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 |
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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. |
doi_str_mv | 10.1016/j.advms.2015.09.004 |
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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.</description><identifier>ISSN: 1896-1126</identifier><identifier>EISSN: 1898-4002</identifier><identifier>DOI: 10.1016/j.advms.2015.09.004</identifier><identifier>PMID: 26498069</identifier><language>eng</language><publisher>Netherlands: Elsevier Urban & Partner Sp. z o.o</publisher><subject>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</subject><ispartof>Advances in medical sciences, 2016-03, Vol.61 (1), p.46-51</ispartof><rights>2015 Medical University of Bialystok</rights><rights>Copyright © 2015 Medical University of Bialystok. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-7640406cbe62d905e0f4118bc2e3f80b099ae246c59455c54b63ae63a44f669f3</citedby><cites>FETCH-LOGICAL-c359t-7640406cbe62d905e0f4118bc2e3f80b099ae246c59455c54b63ae63a44f669f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26498069$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stańczyk, Małgorzata</creatorcontrib><creatorcontrib>Miklaszewska, Monika</creatorcontrib><creatorcontrib>Zachwieja, Katarzyna</creatorcontrib><creatorcontrib>Wierciński, Ryszard</creatorcontrib><creatorcontrib>Stankiewicz, Roman</creatorcontrib><creatorcontrib>Firszt-Adamczyk, Agnieszka</creatorcontrib><creatorcontrib>Zachwieja, Jacek</creatorcontrib><creatorcontrib>Borzęcka, Hanna</creatorcontrib><creatorcontrib>Zagożdżon, Ilona</creatorcontrib><creatorcontrib>Ziółkowska, Helena</creatorcontrib><creatorcontrib>Leszczyńska, Beata</creatorcontrib><creatorcontrib>Medyńska, Anna</creatorcontrib><creatorcontrib>Adamczyk, Piotr</creatorcontrib><creatorcontrib>Szczepańska, Maria</creatorcontrib><creatorcontrib>Tkaczyk, Marcin</creatorcontrib><title>Growth and nutritional status in children with chronic kidney disease on maintenance dialysis in Poland</title><title>Advances in medical sciences</title><addtitle>Adv Med Sci</addtitle><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.</description><subject>Adolescent</subject><subject>Anthropometry</subject><subject>Body Height</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>Child Development</subject><subject>Children</subject><subject>Chronic kidney disease</subject><subject>Dialysis adequacy</subject><subject>Growth</subject><subject>Humans</subject><subject>Nutritional Status</subject><subject>Poland</subject><subject>Regression Analysis</subject><subject>Renal Dialysis</subject><subject>Renal Insufficiency, Chronic - physiopathology</subject><subject>Renal Replacement Therapy</subject><issn>1896-1126</issn><issn>1898-4002</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1v1DAQhi0Eol_8AiTkI5eEseN44wMHVEGpVKk90LPl2BPWS2IX22m1_x53t3DkYI1lPe-M5yHkPYOWAZOfdq1xj0tuObC-BdUCiFfklA1qaAQAf324y4YxLk_IWc47AMklwFtywqVQA0h1Sn5epfhUttQER8Naki8-BjPTXExZM_WB2q2fXcJAn3zl7DbF4C395V3APXU-o8lIY6CL8aFgMMFifTbzPvtD_i7OtfkFeTOZOeO7l3pO7r99_XH5vbm5vbq-_HLT2K5XpdlIAQKkHVFyp6BHmARjw2g5dtMAIyhlkAtpeyX63vZilJ3BeoSYpFRTd04-Hvs-pPh7xVz04rPFuf4B45o122w4E6IHqGh3RG2KOSec9EPyi0l7zUA_G9Y7fTCsnw1rULoarqkPLwPWcUH3L_NXaQU-HwGsaz56TDpbj9WK8wlt0S76_w74AxSOjow</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Stańczyk, Małgorzata</creator><creator>Miklaszewska, Monika</creator><creator>Zachwieja, Katarzyna</creator><creator>Wierciński, Ryszard</creator><creator>Stankiewicz, Roman</creator><creator>Firszt-Adamczyk, Agnieszka</creator><creator>Zachwieja, Jacek</creator><creator>Borzęcka, Hanna</creator><creator>Zagożdżon, Ilona</creator><creator>Ziółkowska, Helena</creator><creator>Leszczyńska, Beata</creator><creator>Medyńska, Anna</creator><creator>Adamczyk, Piotr</creator><creator>Szczepańska, Maria</creator><creator>Tkaczyk, Marcin</creator><general>Elsevier Urban & Partner Sp. z o.o</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201603</creationdate><title>Growth and nutritional status in children with chronic kidney disease on maintenance dialysis in Poland</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-7640406cbe62d905e0f4118bc2e3f80b099ae246c59455c54b63ae63a44f669f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Anthropometry</topic><topic>Body Height</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>Child Development</topic><topic>Children</topic><topic>Chronic kidney disease</topic><topic>Dialysis adequacy</topic><topic>Growth</topic><topic>Humans</topic><topic>Nutritional Status</topic><topic>Poland</topic><topic>Regression Analysis</topic><topic>Renal Dialysis</topic><topic>Renal Insufficiency, Chronic - physiopathology</topic><topic>Renal Replacement Therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stańczyk, Małgorzata</creatorcontrib><creatorcontrib>Miklaszewska, Monika</creatorcontrib><creatorcontrib>Zachwieja, Katarzyna</creatorcontrib><creatorcontrib>Wierciński, Ryszard</creatorcontrib><creatorcontrib>Stankiewicz, Roman</creatorcontrib><creatorcontrib>Firszt-Adamczyk, Agnieszka</creatorcontrib><creatorcontrib>Zachwieja, Jacek</creatorcontrib><creatorcontrib>Borzęcka, Hanna</creatorcontrib><creatorcontrib>Zagożdżon, Ilona</creatorcontrib><creatorcontrib>Ziółkowska, Helena</creatorcontrib><creatorcontrib>Leszczyńska, Beata</creatorcontrib><creatorcontrib>Medyńska, Anna</creatorcontrib><creatorcontrib>Adamczyk, Piotr</creatorcontrib><creatorcontrib>Szczepańska, Maria</creatorcontrib><creatorcontrib>Tkaczyk, Marcin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Advances in medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stańczyk, Małgorzata</au><au>Miklaszewska, Monika</au><au>Zachwieja, Katarzyna</au><au>Wierciński, Ryszard</au><au>Stankiewicz, Roman</au><au>Firszt-Adamczyk, Agnieszka</au><au>Zachwieja, Jacek</au><au>Borzęcka, Hanna</au><au>Zagożdżon, Ilona</au><au>Ziółkowska, Helena</au><au>Leszczyńska, Beata</au><au>Medyńska, Anna</au><au>Adamczyk, Piotr</au><au>Szczepańska, Maria</au><au>Tkaczyk, Marcin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Growth and nutritional status in children with chronic kidney disease on maintenance dialysis in Poland</atitle><jtitle>Advances in medical sciences</jtitle><addtitle>Adv Med Sci</addtitle><date>2016-03</date><risdate>2016</risdate><volume>61</volume><issue>1</issue><spage>46</spage><epage>51</epage><pages>46-51</pages><issn>1896-1126</issn><eissn>1898-4002</eissn><abstract>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.</abstract><cop>Netherlands</cop><pub>Elsevier Urban & Partner Sp. z o.o</pub><pmid>26498069</pmid><doi>10.1016/j.advms.2015.09.004</doi><tpages>6</tpages></addata></record> |
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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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