GROWTH, DEVELOPMENT AND NUTRITIONAL STATUS IN CHILDREN WITH CHRONIC RENAL FAILURE

We aim to evaluate the nutritional status and the main causes of malnutrition in uremic children. Study group consisted of 29 children (15 male, 14 female) with end stage renal disease (ESRD). There were ten (5 male, 5 female) predialysis (preD), ten (5 male, 5 female) peritoneal dialysis (PD) and nine (5 male, 4 female) hemodialysis (HD) patients with a mean age of 12.6+4.6 years. All the patients had lower weight and height standart deviation score (SDS) than normal Turkish children. When the patients were evaluated from the aspects of relative weight (RW), normal nutritional state was detected in most of the patients ( 25/29), moderate malnutrition (RW %74) in one, and obesity (RW>%110) in 3 patients. PreD patients had mild malnutrition (%90±3,7), PD patients had moderate malnutrition (%89,5±6,4) and HD patients had severe malnutrition (%82,9±5,5) according to the height for age standarts. The results of our study show that the mean height, weight SDS and the height for age value are the most usefull parameters for the evaluation of growth and nutritional status in children with ESRD. Low energie intake, and impaired energieprotein expenditure are the major risk factors influence growth and development in our patients with ESRD.