Association of malnutrition with renal function in children with kidney disease
DOI:
https://doi.org/10.30574/gscbps.2021.17.3.0354Keywords:
Malnutrition, Children, Renal function, Kidney diseaseAbstract
Background: Malnutrition is a serious and lasting burden worldwide. Woman, infants, children, and adolescents are at particular risk of malnutrition. Prevalence of malnutrition children under 5 years in 2020 was 45 million were estimated to be wasted, and 38.9 million were overweight or obese. Around 45% of deaths among children under 5 years old were related to undernutrition, especially in low- and middle-income countries. Children with kidney disease was a risk factor to become a malnutrition. Malnutrition increases morbidity and mortality in children with kidney disease. Earlier studies showed a high prevalence rate of malnutrition in children with chronic kidney disease.
Objectives: The aim of the study to associate malnutrition with renal function in children with kidney disease.
Methods: A cross-sectional study was conducted on children with kidney disease aged 2-17 years who met the inclusion criteria who were hospitalized at the Inpatient Department/SMF Department of Child Health Sciences, Dr. Hospital. Soetomo, Surabaya from October to December 2020 after taking approval from parents and institutional ethics committee in the department of Pediatrics. Detailed anthropometric measurements were taken and grading of malnutrition was calculated according to WHO, CDC, and Waterlow criteria. Serum creatinine was measured for each sample.
Results: There were 157 samples met the inclusion criteria. Sex between male and female almost balanced (54.8%:45.2%) and the median age was 13 years-old. The most frequent diagnosis in this group was lupus nephritic (68%). Forty eight percent of total samples were malnutrition, which most of them were moderate malnutrition. Estimated glomerular filtration rate of moderate malnutrition was normal in 12 (23.5%) cases, decreased in 39 (76.5%) cases. A significant statistically was showed between malnutrition with severe estimated glomerular filtration rate (P 0.000)
Conclusions: Malnutrition was a common finding in nutritional status of children with kidney disease. There was a correlation between nutritional status and renal function in children with kidney disease.
Metrics
References
Pneumonia [Internet]. Geneva: World Health Organization; © 2021 [cited 2021 Nov 11]. Available from https://www.who.int/news-room/fact-sheets/detail/pneumonia
Iorember, Franca M. Malnutrition in chronic kidney disease. Frontiers inPediatrics. 2018; 6(161): 1-9.
Fouque D, Kalantar-Zadeh K, Kopple J, Cano N, Chauveau P, Cuppari L, Franch H, Guarnieri G, Ikizler TA, Kaysen G, Lindholm B, Massy Z, Mitch W, Pineda E, Stenvinkel P, Trevinho-Becerra A. A proposed nomenclature and diagnostic criteria for protein-energy wasting in acute and chronic kidney disease. Kidney International. 2008; 73(4): 391-398.
Biswas H, Dey P. Glomerular Filtration Rate in Malnourished Children. Journal of Evolution of Medical and Dental Sciences. 2019; 8(20): 1639-1642.
Ikatan Dokter Anak Indonesia. Rekomendasi Ikatan Dokter Anak Indonesia: Asuhan Nutrisi Pediatrik (Pediatric Nutrition Care). Damayanti RS, Sri SN, Yoga DCT (Eds.). Ikatan Dokter Anak Indonesia. 2011. p. 4-6.
Sozeri B, Mir S, Kara OD, Dincel N. Growth impairment and nutritional status in children with chronic kidney disease. Iranian J Ped. 2011; 21(3): 271-277.
Hogg RJ, Portman RJ, Milliner D, Lemley KV, Eddy A, Ingelfinger J. Evaluation and Management of Proteinuria and Nephrotic Syndrome in Children: Recommendations From a Pediatric Nephrology Panel Established at the National Kidney Foundation Conference on Proteinuria, Albuminuria, Risk, Assessment, Detection, and Elimination (PARADE). Pediatrics. 2000; 105(6): 1242-1249.
Kopple JD, Greene T, Chumlea WC, Hollinger D, Maroni BJ, Merrill D, Scherch LK, Schulman G, Wang SR, Zimmer GS. Relationship between nutritional status and the glomerular filtration rate: Results from the MDRD study. Kidney International. 2000; 57(4): 1688-1703.
Benabe, Julio E., Martinez-Maldonadob, Manuel. The Impact of Malnutrition on Kidney Function. Miner Electrolyte Metab. 1998; 24: 20-26.
Cianciaruso B, Brunori G, Kopple JD, Traverso G, Panarello G, Enia G, Strippoli P, De Vecchi A, Querques M, Viglino G, Vonesh E, Maiorca R. Cross-sectional comparison of malnutrition in continuous ambulatory peritoneal dialysis and hemodialysis patients. American Journal of Kidney Disease. 1995; 26(3): 475-486.
Arroyave G, Wilson D, Behar M, Scrimshaw NS. Serum and Urinary Creatinine in Children with Severe Protein Malnutrition. American Journal of Clinical Nutrition. 1961; 9: 176-179.
Paniagua R, Santos D, Munoz R, Luengas J, Frenk S. Renal function in protein-energy malnutrition. Pediatr. Res. 1980; 14: 1260-1262.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.