Growth and nutritional status in children with chronic kidney disease on maintenance dialysis in Poland

Despite vast availability of modern methods of treatment of chronic kidney disease and its complications, the short stature still is a major point of concern in adolescents with chronic kidney disease. The aim of the study was to assess changes in growth and nutritional status of Polish children on...

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Veröffentlicht in:Advances in medical sciences 2016-03, Vol.61 (1), p.46-51
Hauptverfasser: Stańczyk, Małgorzata, Miklaszewska, Monika, Zachwieja, Katarzyna, Wierciński, Ryszard, Stankiewicz, Roman, Firszt-Adamczyk, Agnieszka, Zachwieja, Jacek, Borzęcka, Hanna, Zagożdżon, Ilona, Ziółkowska, Helena, Leszczyńska, Beata, Medyńska, Anna, Adamczyk, Piotr, Szczepańska, Maria, Tkaczyk, Marcin
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container_issue 1
container_start_page 46
container_title Advances in medical sciences
container_volume 61
creator Stańczyk, Małgorzata
Miklaszewska, Monika
Zachwieja, Katarzyna
Wierciński, Ryszard
Stankiewicz, Roman
Firszt-Adamczyk, Agnieszka
Zachwieja, Jacek
Borzęcka, Hanna
Zagożdżon, Ilona
Ziółkowska, Helena
Leszczyńska, Beata
Medyńska, Anna
Adamczyk, Piotr
Szczepańska, Maria
Tkaczyk, Marcin
description Despite vast availability of modern methods of treatment of chronic kidney disease and its complications, the short stature still is a major point of concern in adolescents with chronic kidney disease. The aim of the study was to assess changes in growth and nutritional status of Polish children on renal replacement therapy in the decade, 2004–2013. The study was designed as a cross-sectional analysis of anthropometric values and selected indices of growth status amongst children receiving dialysis in Poland between the years 2004 and 2013. Data were acquired during two different multicentre studies on hypertension in dialyzed children in Poland. Basic anthropometric parameters (body weight, body height/length, body mass index – BMI), dialysis adequacy and duration of RRT were assessed. The study showed that anthropometric parameters of children undergoing renal replacement therapy had not significantly changed in the last 10 years of observation. Children on RRT were still of short stature despite availability of modern methods of hormonal therapy and nutrition. Median of height z-score was −2.10 in 2004 and −2.19 in 2013. Expected clinical improvement in these measures was not proven. The cause of chronic kidney disease, method of dialysis, time on dialysis or dialysis adequacy did not influence the anthropometric parameters significantly in dialyzed children in Poland.
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Expected clinical improvement in these measures was not proven. 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identifier ISSN: 1896-1126
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subjects Adolescent
Anthropometry
Body Height
Body Mass Index
Child
Child Development
Children
Chronic kidney disease
Dialysis adequacy
Growth
Humans
Nutritional Status
Poland
Regression Analysis
Renal Dialysis
Renal Insufficiency, Chronic - physiopathology
Renal Replacement Therapy
title Growth and nutritional status in children with chronic kidney disease on maintenance dialysis in Poland
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