Nutritional Assessment for Children with end-stage Renal Disease on Regular Dialysis (Khartoum- Sudan)

Background: Chronic kidney disease (CKD) describes the gradual loss of kidney function. It has five stages; the last stage is referred to as end-stage renal disease that requires renal replacement therapy (i.e renal dialysis or transplantation). Malnutrition is a common complication of chronic kidney disease and is associated with increased morbidity and mortality in children and adults.

Objective: The aim of this study is to assess the nutritional status of the children with ESRD on regular dialysis attending Noura center for kidney disease and renal transplantation in Soba University Hospital Khartoum.

Methods: A cross-sectional descriptive Analytical study was done at Noura center for kidney disease and renal transplantation in Soba University Hospital. All the patients attending the dialysis sessions there were included in this study (n=40) aged from 3 to 18 years. Weight, height, total plasma protein levels and serum albumin levels were measured.

Results: Height was the most affected anthropometric parameter with 69.8% were stunted, older children were affected more than younger ones and no significant association between the serum albumin level and the presence of wasting or stunting.

Conclusion: The prevalence of malnutrition in our patients with end stage renal disease (ESRD) .was high (30% among the 40 children included in this study) There was no specific age group affected more than the other; and no significant association was found between serum albumin levels and the presence of malnutrition or stunting. There were only three patient peritoneal dialysis and were trained to perform it at home.

They just come for follow up every mouth.