Tilakavati Karupaiah1, Chee Hoe Chooi, Yam Ngo Lim, Zaki Morad. 1. Department of Nutrition and Dietetics, Faculty of Allied Health Sciences, National University of Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia.
Abstract
OBJECTIVE: To report on the anthropometric and growth status of children receiving renal replacement therapy (RRT) in Malaysia. DESIGN: Cross-sectional study with some retrospective elements. SETTING: Outpatients' clinics in a major referral hospital in Malaysia. PATIENTS: 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. INTERVENTION: None. MAIN OUTCOME MEASURES: 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). CONCLUSION: 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. Copyright 2002 by the National Kidney Foundation, Inc.
OBJECTIVE: To report on the anthropometric and growth status of children receiving renal replacement therapy (RRT) in Malaysia. DESIGN: Cross-sectional study with some retrospective elements. SETTING: Outpatients' clinics in a major referral hospital in Malaysia. PATIENTS: 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. INTERVENTION: None. MAIN OUTCOME MEASURES: 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). CONCLUSION: 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. Copyright 2002 by the National Kidney Foundation, Inc.
Authors: Lucimary C Sylvestre; Karla P D Fonseca; Andréa E M Stinghen; Aline Maria Pereira; Rejane P Meneses; Roberto Pecoits-Filho Journal: Pediatr Nephrol Date: 2007-03-06 Impact factor: 3.714