ArticlePediatric nephrology (Berlin, Germany)2026
The impact of nutritional management on the growth and nutritional status of children on regular hemodialysis.
Article in Pediatric nephrology (Berlin, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Ultrasound evaluation of quadriceps muscle thickness and body fat distribution in children receiving maintenance hemodialysis: a cross-sectional case-control study.European journal of pediatrics · 2026Article
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5 authors.
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Abstract
backgroundChronic kidney disease (CKD) is a relatively uncommon disease in children. A child's nutritional status indicates how well their body is getting the required nutrients. This research aimed to determine the nutritional state of hemodialysis-treated children with end-stage kidney failure. PATIENTS AND
methodsA case group of 50 children with kidney failure undergoing hemodialysis was compared with a control group of 50 healthy children of the same age. A structured interview questionnaire was used with the children or their mothers, covering nutritional assessment, physical examination, anthropometric measurements, and lab tests. Dietary intake was evaluated through 24-hour recalls, and each case's dietary consumption was analyzed, followed by nutritional education. Children were reassessed after a 6-month follow-up.
resultsMost children with kidney failure initially had height and weight below the 5th percentile, with Mid Upper Arm Circumference (MUAC) below -3 SD. Dietary recall initially revealed low caloric intake (p = 0.046), high sodium (p = 0.06), high potassium (p = 0.01), high phosphorus (p < 0.01), and low calcium (p < 0.009) compared to controls. By study's end, MUAC and weight percentiles improved (p = 0.045 and 0.039). Lab results showed significant decreases in urea (p = 0.005), creatinine (p < 0.001), sodium (p < 0.001), potassium (p = 0.001), uric acid (p < 0.001), phosphorus (p = 0.04), and parathormone (p = 0.03) from baseline.
conclusionOur study suggests that appropriately targeted nutrition education in children with CKD can improve weight centiles and MUAC and deranged renal biochemistry (including low serum albumin and raised serum potassium).
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