Resumen

MORENO BARRETO, Greysi Melissa  y  CAMPOS CAVADA, Isabel. Crecimiento y estado nutricional en niños con enfermedad renal crónica. Arch Venez Puer Ped [online]. 2011, vol.74, n.2, pp.017-024. ISSN 0004-0649.

Chronic renal disease (CRD) is a complex syndrome resulting from a progressive deterioration of kidney function, which affects growth and nutritional status in children. The objective of this study was to evaluate these variables in children with different stages of CRD. Methods: a descriptive study was performed between November-2010 and March-2011, in 17 patients ages 2 to 13 years (13 males, 4 females). Anthropometric variables and indicators were considered, such as body weight (W), height (H), mid arm circumference (MAC), triceps skinfold (TSK), fat and lean mass (FM, LM), and body mass index (BMI); biochemical parameters (total serum proteins, albumin, calcium, potassium) were measured and dietary intake was assessed by 24-hour recall and nutritional adequacy. Anthropometric variables and indicators were evaluated according to the National Study of Human Growth and Development; and dietary intake according to the Energy and Nutrient Reference Values for Venezuelan Population. Results: growth deficit was present in 47.1% and 52.9%, for weight and height respectively; 82.4% had normal MAC and 76.5% had normal TSK, LM and FM. In regard to MAC, TSK, FM and LM, deficits cases increased with the stage of CRD, with stage 4 being the most affected. Total serum proteins were normal in 100%, serum albumin in 76.5% and calcium in 70.6%; potassium was low in 47.1%. Dietary intake was deficient in 58.8% of patients and protein adequacy was low in 41.2%, with no relation to the nutritional status. Conclusions: early diagnosis of CRD will allow an early intervention, contributing to minimize the impact on the nutritional status.

Palabras clave : chronic renal disease; growth; nutritional assessment; children.