title: Anthropometric and growth assessment of children receiving renal replacement therapy in Malaysia.
abstract: OBJECTIVE
  To report on the anthropometric and growth status of children receiving renal replacement therapy (RRT) in Malaysia.
  
  
  METHODS
  Cross-sectional study with some retrospective elements.
  
  
  METHODS
  Outpatients' clinics in a major referral hospital in Malaysia.
  
  
  METHODS
  Fifteen renal transplants (mean age, 13.3 +/- 2.8 years) and 35 continuous ambulatory peritoneal dialysis (CAPD) patients (mean age, 12.6 +/- 3.0 years) participated. The RRT period ranged between 3 months to 6 years for both groups.
  
  
  METHODS
  None.
  
  
  METHODS
  Body mass index (BMI), percent body fat (% BF), triceps skinfold (TSF), mid upper-arm circumference (MUAC), arm muscle area (AMA), and z scores for height and weight.
  
  
  RESULTS
  BMI for age indicated 7% of transplant subjects (TS) versus 40% of CAPD subjects were below the 5th percentile, whereas only 7% of TS were above the 95th percentile. % BF was higher for TS compared with the CAPD group for both sexes (boys, 19.5% and girls, 29.8% v boys, 12.4% and girls, 21.5%). Despite higher percentiles for TSF, transplant subjects still showed depleted muscle mass based on MUAC and AMA. z scores for height showed 93% of transplant subjects and 62% of CAPD subjects below -2 standard deviation (SD), whereas for weight these were 27% and 54%, respectively. Sixty-four percent of TS experienced catch-up growth for height and 86% for weight. These percentages were approximately halved for the CAPD group (32% and 43%, respectively).
  
  
  CONCLUSIONS
  Patterns of growth and body composition appear distinctly different with the different RRT modalities. Serial anthropometric evaluation appears vital in pre- and post-RRT monitoring in pediatric renal populations.
authors.affiliation: Department of Nutrition and Dietetics, Faculty of Allied Health Sciences, National University of Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia.
authors.forename: Tilakavati
authors.initials: T
authors.lastname: Karupaiah
authors.forename: Chee Hoe
authors.initials: CH
authors.lastname: Chooi
authors.forename: Yam Ngo
authors.initials: YN
authors.lastname: Lim
authors.forename: Zaki
authors.initials: Z
authors.lastname: Morad
mesh_terms: D000293:Adolescent; D000886:Anthropometry; D001823:Body Composition / Q000502:physiology; D001827:Body Height / Q000502:physiology; D015992:Body Mass Index; D001835:Body Weight / Q000502:physiology; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D008296:Malaysia; D008297:Male; D009752:Nutritional Status / Q000502:physiology; D017582:Renal Replacement Therapy / Q000009:adverse effects*; D012189:Retrospective Studies; D012885:Skinfold Thickness