Nutritional Status in Children with Chronic Renal Failure on Hemodialysis

Moushira Erfan Zaki¹, Mona Mamdouh Hassan², Hafez Mahmoud Bazaraa², Hany Fathy Ahmed¹, Ahmed Mohamed Mahmoud Badr²

¹Biological Anthropology Department, Medical Research Division, National Research Centre, Cairo, Egypt; ²Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt

Background and Aim: Growth retardation is still an important manifestation of children with chronic renal failure (CRF). The aim of this study is to evaluate the growth in relation to nutritional status in Egyptian children with CRF on hemodialysis.

Subjects and Methods: The study included 30 Egyptian children above the age of six years on regular haemodialysis at the Haemodialysis Unit of the Centre of Pediatric Nephrology and Transplantation of Cairo University. Anthropometry, biochemical parameters and dietary intake were measured. Anthropometric measurements were expressed as z - scores.

Results: Data shows that height was the most affected anthropometric parameter. Short stature in CRF is proportionate and body weight is less affected than height. Dietary analysis showed that 76.7 % of patients had recommended dietary allowance of calories. Height z-score showed a significant positive correlation with caloric intake. On the other hand, the protein intake showed a significant positive correlation with blood urea nitrogen and a significant negative correlation with serum bicarbonate.

Conclusions: Nutritional assessment is essential to the management of children with CRF. Anthropometry is a sensitive indicator of the nutritional status. The study recommends avoiding excessive protein intake to prevent metabolic acidosis and accumulation of toxic nitrogen waste products.

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Citation: Zaki ME, Hassan MM, Bazaraa HM, Hany Fathy Ahmed HF. Nutritional Status in Children with Chronic Renal Failure on Hemodialysis. Maced J Med Sci. 2012 Oct 15; 5(3):296-301. http://dx.doi.org/10.3889/MJMS.1957-5773.2012.0234.
Key words: Nutritional statu; chronic renal failure; Egyptian children.
Correspondence: Prof. Moushira Erfan Zaki. Biological Anthropology Department, Medical Research Division, National Research Centre, Egypt. E-mail: moushiraz@yahoo.com
Received: 25-Jan-2012; Revised: 20-Mar-2012; Accepted: 20-Mar-2012; Online first: 21-Aug-2012
Copyright: © 2012 Zaki ME. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Competing Interests: The authors have declared that no competing interests exist.
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