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15th
World Congress Clinical Nutrition
19th
– 22nd September 2010 El Sokhna Resort - Egypt
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Copyright © 2010.
WCCN2010.COM
All rights reserved |
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Growth and nutritional
status in Egyptian children with
chronic renal failure on
hemodialysis
Moushira Erfan Zaki *, Mona
Hassan**, Hafez Bazaraa**, Hany
Ahmed* * Biological anthropology
depart, NRC, ** Depart of
pediatrics, Faculty of Medicine,
Cairo Univ
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Growth failure is a common and
significant clinical problem in
children with chronic renal failure
(CRF).
Objective To assess
growth and nutritional status in 30
Egyptian children with end-stage
renal disease on regular
hemodialysis at the Hemodialysis
Unit of the Center of Pediatric
Nephrology and Transplantation of
Cairo University. Their age ranged
from 6.41-13.83 years with a mean of
10.5 years.
Results A
significant growth retardation was
evident , since 83.3 % of these
children were short (mean Ht. SDS >
-2), and the mean height SDS was
-3.66. This retardation was
significantly related to duration of
the disease, degree of anemia,
degree of metabolic acidosis, renal
osteodystrophy, and caloric and
protein intake. Height SDS showed a
significant positive correlation
with caloric intake. Results showed
a significant positive correlation
between protein intake and blood
urea nitrogen (predialysis) and a
significant negative correlation
between protein intake and serum
bicarbonate level. There is a close
association between adequate dose of
dialysis and the development of
malnutrition in chronic hemodialysed
children.
Conclusion
Corrections of anemia, metabolic
acidosis, and renal osteodystrophy
together with adequate dialysis are
needed to improve growth in children
with CRF.
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