Growth, development and nutritional status in Japanese children under 2 years on continuous ambulatory peritoneal dialysis
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We examined the growth, development and nutritional status over a period of 10 years of 15 young children (<2 years old) on continuous ambulatory peritoneal dialysis (CAPD). There were 6 males and 9 females with a mean age of 12.5 months, mean weight of 6.3 kg, mean height of 66.2 cm at the start of CAPD and a mean duration of therapy of 2.6 years. Height, weight, head circumference, development quotient (DQ), blood chemistry and dietary intake were assessed over a period of 10 years. The patients' mean height standard deviation score (SDS) did not change significantly (from −2.51 to −2.74) during CAPD therapy. The mean growth velocity index (GVI) during CAPD was 76.5% and correlated positively with energy intake but not with protein intake. The mean DQ was low (67.0%) at the start of CAPD and 69.3% at the end of CAPD. DQ did not correlate with energy intake, GVI, head circumference SDS or with the weight/height ratio; however, 2 patients with low DO (<60%) had a low energy intakes. Although most patients had a low DQ, the IQ at 5–6 years of age was normal in all patients except 1 without cerebral disease. Our study showed minimal growth (ΔSDS) and mental developmental (IQ) delays during CAPD therapy, but an adequate nutritional intake must be assured to obtain the above results.
Key wordsEnd-stage renal disease Infant Continuous ambulatory peritoneal dialysis Nutrition Growth Development
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- 4.Betts PR, Magrath G (1974) Growth pattern and dictary intake of children with chronic renal insufficiency. BMJ 27: 189–193Google Scholar
- 6.Opelz G (1988) Influence of recipient and donor age in pediatric renal transplantation. European collaborative transplant study. Transplant Int 1: 95–98Google Scholar
- 11.Alexander SR (1984) Treatment of infants with ESRD. In: Fine RN, Gruskin AB (eds) End-stage renal disease in children. Saunders, Philadelphia, pp 17–29Google Scholar
- 12.The Japanese Ministry of Welfare (1989) Recommended dietary allowance for Japanese (in Japanese). The Japanese Ministry of Welfare, TokyoGoogle Scholar
- 13.Enjoji M (1984) Enjoji methods of developmental scale for young children (in Japanese). Keio Tusin, TokyoGoogle Scholar
- 14.Tanaka Education Institute (1987) Tanaka-Binet intellectual examination (in Japanese). Taken, TokyoGoogle Scholar
- 15.Mothers' and Children's Health and Welfare Association (1981) The growth data of young children and infants-1980 (in Japanese). Mothers' and Children's Health and Welfare, TokyoGoogle Scholar
- 18.Masuda H, Kamiyama Y, Honda M, Hasegawa O, Ito H (1990) Calcium metabolism in children with chronic renal failure: the effective dose of 1 α(OH)D for control of renal osteodystrophy in children on CAPD. Abstracts of the Eleventh Congress of Nephrology, Tokyo. International Society of Nephrology, Tokyo, pp 22AGoogle Scholar
- 21.Broyer M, Niaudet P, Champion G, Jean G, Chopin N, Czernichow P (1983) Nutritional and metabolic studies in children on continuous ambulatory peritoneal dialysis. Kidney Int 24 [Suppl]: S106-S110Google Scholar
- 24.Honda M, Hasegawa O, Kawamura T, Ito H (1987) Serum amino acid pattern in children with end-stage renal disease (in Japanese). Jpn J clin Dial 3: 251–257Google Scholar