[Height and weight growth delay and protein-energy malnutrition in children with chronic dialysis].
Growth retardation is an important problem in children with chronic renal disease, and malnutrition is a determinative factor.


OBJECTIVE
The study intends to assess the relationship between protein-energy malnutrition and stature-weight retardation in children enrolled in chronic dialysis program.


METHODS
The study group was composed of 16 children (5 boys and 11 girls--sex ratio of 2.2) hospitalized in the IVth Nephrology Clinic at Clinical Emergency Hospital "St. Maria" Iaşi, 13 rural and 3 urban, aged between 9 and 17 years, with chronic dialysis program. This was a follow-up study during a period of 4 years (2006-2009), resulting in correlations between anthropometric paremeters, biochemical, BIA and DEXA data.


RESULTS
The stature-weight deficiency of the 16 patients was as follows: after an average period of 61.7 months of HD and 32.7 months of PD, in children older than 12 years (mean age 15.27 years), 7 of 10 had stature-weight deficits higher than (-3DS) or (-4DS). The group with less than (-2DS) stature-weight deficits showed the same mean age of 15.2 years, the protein energy-malnutrition was present in 2 cases (33%) and was attributed to a dialysis period shorter than 13.8 months.


CONCLUSIONS
The late diagnosis of the disease (at an average age of 13 years), the long period of chronic dialysis program (over 39.5 months on average) and the early debut of malnutrition are favoring or worsening factors of stature-weight retardation. After correlating ESG with biochemical, BIA and DEXA data, in our group were identified 4 cases of moderate malnutrition and 9 cases of severe malnutrition.
Perţea
L
L
Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină Generală, Clinica a V(-a) Pediatrie Gastroenterologie.
Diaconeasa
Lavinia
L
Burlea
M
M
Munteanu
Mihaela
M
Brumariu
O
O
D000293:Adolescent; D001827:Body Height; D001835:Body Weight; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006130:Growth Disorders / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D015596:Nutrition Assessment; D009752:Nutritional Status; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D011502:Protein-Energy Malnutrition / Q000175:diagnosis* / Q000209:etiology*; D012016:Reference Values; D006435:Renal Dialysis / Q000009:adverse effects*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D055815:Young Adult