title: Nutrition assessment of children with advanced stages of chronic kidney disease-A single center study.
abstract: BACKGROUND
  Malnutrition is a major problem among children with Chronic Kidney Disease (CKD) and it is essential to be recognized as early as possible. Aim of our study was to assess the nutrition status of children with CKD.
  
  
  METHODS
  Nutrition status of 30 children (1-16 years) with CKD stages IIIV and on peritoneal dialysis was evaluated. Malnutrition risk was assessed by Pediatric Digital Scaled MAlnutrition Risk screening Tool (PeDiSMART) score software.Anthropometry was expressed as Z-scores for age and sex. Phase angle (PhA) and body cell mass were assessed by bioelectrical impedance analysis (BIA). Three-day food intake was recorded and analyzed. Biochemical indexes were assessed.
  
  
  RESULTS
  Depending on the marker used for assessment 20-40% of our patients were malnourished. Intake/requirements ratio (median) was 86.5% for actual energy intake and 127% for actual protein intake. Multiple regression analysis has shown that the most determinant factor for Mid Upper Arm Circumference (MUAMC) was actual protein intake, Glomerular Filtration Rate (GFR) and age at diagnosis. PhA was mainly affected by GFR and energy intake. Statistically significant inverse correlation was found between PeDiSMART score and PhA (p=0.001), MUAMC (p=0.008) as well as protein intake (p=0.016).
  
  
  CONCLUSIONS
  A considerable proportion of children with advanced CKD are undernourished. Regular dietitian evaluation based on novel tools as PeDiSMART score and PhA may identify earlier patients at risk for malnutrition. Hippokratia 2014; 18 (3): 212-216.
authors.affiliation: Clinical Nutrition Lab "Christos Mantzoros", Nutrition Dept, Alexander Technological Education Institute, Thessaloniki, Greece.
authors.forename: A
authors.initials: A
authors.lastname: Apostolou
authors.affiliation: Pediatric Department, Medical Faculty, Aristotle University of Thessaloniki, Thessaloniki, Greece.
authors.forename: N
authors.initials: N
authors.lastname: Printza
authors.affiliation: Clinical Nutrition Lab "Christos Mantzoros", Nutrition Dept, Alexander Technological Education Institute, Thessaloniki, Greece.
authors.forename: T
authors.initials: T
authors.lastname: Karagiozoglou-Lampoudi
authors.affiliation: Pediatric Department, Medical Faculty, Aristotle University of Thessaloniki, Thessaloniki, Greece.
authors.forename: J
authors.initials: J
authors.lastname: Dotis
authors.affiliation: Pediatric Department, Medical Faculty, Aristotle University of Thessaloniki, Thessaloniki, Greece.
authors.forename: F
authors.initials: F
authors.lastname: Papachristou
keywords: PeDiSMART score; anthropometry; malnutrition; phase angle