Growth, development and nutritional status in Japanese children under 2 years on continuous ambulatory peritoneal dialysis

Honda, Masashi; Kamiyama, Youichi; Kawamura, Ken; Kawahara, Katsunobu; Shishido, Seiichiro; Nakai, Hideo; Kawamura, Takesi; Ito, Hiroshi

doi:10.1007/bf00860924

Cited by 38 publications

(20 citation statements)

References 16 publications

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“…The data from our center extend the recently reported experience of Honda [12] that good growth and development can be attained with dialysis in infants and young children. His study followed 15 patients who started CAPD before the age of 2 years for up to 10 years.…”

Section: Discussionsupporting

confidence: 78%

Improved outcome of young children on nightly automated peritoneal dialysis

et al. 1997

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We reviewed our center's experience with nightly automated peritoneal dialysis (APD) as maintenance renal replacement therapy (RRT) for infants and children under the age of 5 years and compared it with national dialysis and transplant data. A retrospective chart review of 19 consecutive patients with the onset of end-stage renal disease (ESRD) before 5 years of age (mean = 1.8 years) between June 1988 and June 1994 was performed. All patients received nightly APD, supplemental feedings, calcitriol, erythropoietin, and 10 of 19 were on growth hormone (rhGH) therapy. The growth of our patients was maintained or improved during the study period, with the 10 of 19 on rhGH gaining a mean of one standard deviation in height when followed for 2 years. Our school-age children were all in age-appropriate classes. There were no deaths in our group; the incidence of peritonitis was lower than in national data. We conclude that APD is a realistic option for the treatment of ESRD in the 0- to 5-year-old child. Because of the improved graft and patient survival in older children, APD in a specialized center might be the RRT of choice in this age group, allowing good growth and development while maximizing the chances of an eventual and successful renal transplant.

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Section: Discussionsupporting

confidence: 78%

Improved outcome of young children on nightly automated peritoneal dialysis

et al. 1997

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“…Some, but not all, reports have been able to establish a relationship between nutritional intake and growth. Growth velocity correlated positively with energy intake in 17 children with CRF [75], and with energy but not protein intake in 15 children on CAPD [76]. Growth velocity was inversely correlated with dietary protein intake and positively correlated with caloric intake both before the initiation of rhGH therapy and after the first year of treatment in 31 children on dialysis [77].…”

Section: Evidence For the Benefit Of Dietetic Input Dietary Supplemementioning

confidence: 99%

Nutrition in children with CRF and on dialysis

Rees

Shaw²

2007

Pediatr Nephrol

110

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The objectives of this study are: (1) to understand the importance of nutrition in normal growth; (2) to review the methods of assessing nutritional status; (3) to review the dietary requirements of normal children throughout childhood, including protein, energy, vitamins and minerals; (4) to review recommendations for the nutritional requirements of children with chronic renal failure (CRF) and on dialysis; (5) to review reports of spontaneous nutritional intake in children with CRF and on dialysis; (6) to review the epidemiology of nutritional disturbances in renal disease, including height, weight and body composition; (7) to review the pathological mechanisms underlying poor appetite, abnormal metabolic rate and endocrine disturbances in renal disease; (8) to review the evidence for the benefit of dietetic input, dietary supplementation, nasogastric and gastrostomy feeds and intradialytic nutrition; (9) to review the effect of dialysis adequacy on nutrition; (10) to review the effect of nutrition on outcome.

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“…Geary and Haka-Ikse reported developmental delay in 41% of their infants with end-stage renal failure (ESRF) [2]. Later, Honda et al observed abnormal development at the end of PD in 69% of their Japanese patients <2 years of age at PD initiation [3]. Warady et al, on the other hand, detected neurodevelopmental delay in only 21% of their children undergoing PD treatment during infancy.…”

Section: Introductionmentioning

confidence: 95%

Neurological development in 21 children on peritoneal dialysis in infancy

et al. 2011

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Few studies have focused on the neurodevelopment of infants on peritoneal dialysis (PD). Infants are the most demanding patient group on PD and thus are vulnerable to neurological sequelae. We studied 21 patients <2 years of age (mean 0.59 years) at onset of PD. They were evaluated by a neurologist, otologist, physiotherapist, and occupational therapist during PD. Neuropsychological tests were collected from all patients at least 5 years old, and the brain images were reviewed. Eleven patients (52%) had a pre- or neonatal problem or comorbidity as risk factor for their development at onset of PD. All infants tolerated PD well. At the end of the study, 71% had some neurological abnormality, 29% a major impairment (all with predialysis risk factors), and 43% a minor one. Brain infarcts were detected in four patients (19%) and other ischemic lesions in three (14%). Three patients (14%) developed hearing defect. Mortality rate was 5%. PD is a safe treatment modality for end-stage renal failure in infants. Some patients had risk factors for development, but their neurological problems did not progress during PD. Patients without risk factors tolerated PD well without major neurological sequelae.

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Growth, development and nutritional status in Japanese children under 2 years on continuous ambulatory peritoneal dialysis

Cited by 38 publications

References 16 publications

Improved outcome of young children on nightly automated peritoneal dialysis

Improved outcome of young children on nightly automated peritoneal dialysis

Nutrition in children with CRF and on dialysis

Neurological development in 21 children on peritoneal dialysis in infancy

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