DOI: 10.36347/sjams.2020.v08i10.038

Pages: 2413-2418

Background: Children with end-stage renal disease (ESRD) have rates of mortality estimated to be 30-times higher than expected for age compared with those of healthy children. Physical manifestations of under-nutrition, such as body mass index (BMI) have been associated with increased risk of mortality. Traditional measures, such as height, weight and serum albumin concentration, may not be accurate indicators to assess the nutritional status of children receiving maintenance hemodialysis. Meeting the special nutritional needs of these children often requires nutritional supplementation, by either the enteral or the parenteral route. Recently, in children receiving maintenance hemodialysis that is malnourished, intradialytic parenteral nutrition (IDPN) has been utilized as a means to provide additional protein and calories. Objectives: The present study was carried out to identify the malnutrition in children receiving maintenance hemodialysis, with special focus on outcome. Method: This was A cross-sectional observational study was conducted in the Department of Pediatrics of a Pediatric hospital of Benghazi from January 2019 to June 2019. 81 children aged from five to eighteen years on regular hemodialysis. Outcome measures: Measurements included questionnaire that elicited information on social demographic characteristics, Patient’s medical history, and duration of hemodialysis. Anthropometry, biochemical parameters were measured. Anthropometric measurements were expressed as z - scores. Data were analyzed using descriptive statistics. The Chi-Square test was applied to examine the study data. Results: Data shows that 49. 4% of children had BMI between 5th percentile up to the 85th percentile were considered normal weight, while, 30. 9% of children had BMI less than the 5th percentile, were categorized as underweight. With regard to biochemical parameters, children had significantly higher serum phosphate, creatinine, and Blood urea nitrogen. However, study......