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Pediatric Nephrology
Published in: Pediatric Nephrology 11/2006

01-11-2006 | Original Article

Body composition and nutritional intake in children with chronic kidney disease

Authors: Rajeeb Rashid, Esther Neill, Wilma Smith, Diane King, T. James Beattie, Anna Murphy, Ian J. Ramage, Heather Maxwell, S. Faisal Ahmed

Published in: Pediatric Nephrology | Issue 11/2006

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Abstract

The aim of this study was to assess body composition in children with chronic renal failure (CRF) and post renal transplantation (Tx), and to compare it to body mass index (BMI) and nutritional intake. Dietary assessment using 3-day diaries, total and regional body composition assessment by dual x-ray energy absorptiometry of 50 CRF children (29M, 21F), median age 8.9 yrs and 50 Tx children (32M, 18F), median age 12.9 yrs. BMI, percentage fat mass (%FM) and lean mass (LM) were corrected for height and expressed as SDS (HSDS). In both groups, BMIHSDS was lower than %FMHSDS and higher than LMHSDS (p<0.05). In the Tx group, there were associations on bivariate analysis between energy & protein intake and BMIHSDS & %FMHSDS (r,0.5, p<0.05), and between LMHSDS and protein intake (r,0.5, p<0.05). On multivariate analysis, there was an association between LMHSDS and time since transplantation (r,−0.4, p<0.05). Children in the CRF and Tx groups had a high percentage predicted trunk:leg FM ratio of 148% and 157%, respectively. Children with CRF and Tx have discordant body composition with a relatively high FM and low LM, which is not reflected by BMI. In addition, they appear to have an increased level of central adiposity that may predispose them to increased morbidity in later life.
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Metadata
Title
Body composition and nutritional intake in children with chronic kidney disease
Authors
Rajeeb Rashid
Esther Neill
Wilma Smith
Diane King
T. James Beattie
Anna Murphy
Ian J. Ramage
Heather Maxwell
S. Faisal Ahmed
Publication date
01-11-2006
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 11/2006
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-006-0235-y

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