Growth impairment in children with pre-dialysis chronic kidney disease in Japan View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-02-26

AUTHORS

Yuko Hamasaki, Kenji Ishikura, Osamu Uemura, Shuichi Ito, Naohiro Wada, Motoshi Hattori, Yasuo Ohashi, Ryojiro Tanaka, Koichi Nakanishi, Tetsuji Kaneko, Masataka Honda

ABSTRACT

BackgroundGrowth impairment is a major complication of chronic kidney disease (CKD) in children. However, no cohort studies have examined the growth of Asian children with pre-dialysis CKD.MethodsWe sent cross-sectional surveys to 113 Japanese medical institutions that were treating 447 children with CKD stages 3–5 in 2010 and 2011. Of 447 children included in our survey conducted in 2010, height and CKD stage were evaluable for 297 children in 2011, and height standard deviation score (height SDS) was calculated in these children.ResultsHeight SDS decreased with increasing CKD stage (P < 0.001) in boys and girls. Height SDS also decreased significantly with increasing CKD stage among patients with congenital anomalies of the kidney and urinary tract (P < 0.001). Risk factors for growth impairment included CKD stages 4 and 5 (relative to stage 3), being small-for-date, and asphyxia at birth. Among children with a height SDS ≤−2.0, growth hormone was used in 19.5, 31.0, and 25.0 % of children with CKD stages 3, 4, and 5, respectively.ConclusionsThis prospective cohort study revealed marked growth impairment in Japanese children with CKD stages 3–5 relative to healthy children. CKD-related risk factors for growth impairment included advanced CKD (stages 4 and 5), being small-for-date, and asphyxia at birth. Growth hormone was infrequently used in this cohort of children with pre-dialysis CKD. More... »

PAGES

1142-1148

References to SciGraph publications

Journal

TITLE

Clinical and Experimental Nephrology

ISSUE

6

VOLUME

19

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10157-015-1098-y

DOI

http://dx.doi.org/10.1007/s10157-015-1098-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1020313128

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25715867


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34 schema:description BackgroundGrowth impairment is a major complication of chronic kidney disease (CKD) in children. However, no cohort studies have examined the growth of Asian children with pre-dialysis CKD.MethodsWe sent cross-sectional surveys to 113 Japanese medical institutions that were treating 447 children with CKD stages 3–5 in 2010 and 2011. Of 447 children included in our survey conducted in 2010, height and CKD stage were evaluable for 297 children in 2011, and height standard deviation score (height SDS) was calculated in these children.ResultsHeight SDS decreased with increasing CKD stage (P < 0.001) in boys and girls. Height SDS also decreased significantly with increasing CKD stage among patients with congenital anomalies of the kidney and urinary tract (P < 0.001). Risk factors for growth impairment included CKD stages 4 and 5 (relative to stage 3), being small-for-date, and asphyxia at birth. Among children with a height SDS ≤−2.0, growth hormone was used in 19.5, 31.0, and 25.0 % of children with CKD stages 3, 4, and 5, respectively.ConclusionsThis prospective cohort study revealed marked growth impairment in Japanese children with CKD stages 3–5 relative to healthy children. CKD-related risk factors for growth impairment included advanced CKD (stages 4 and 5), being small-for-date, and asphyxia at birth. Growth hormone was infrequently used in this cohort of children with pre-dialysis CKD.
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40 schema:keywords Asian children
41 CKD stage
42 CKD stage 3
43 CKD stage 4
44 Japan
45 Japanese children
46 Japanese medical institutions
47 MethodsWe
48 SDS
49 advanced chronic kidney disease
50 anomalies
51 asphyxia
52 birth
53 boys
54 children
55 chronic kidney disease
56 cohort
57 cohort of children
58 cohort study
59 complications
60 congenital anomalies
61 cross-sectional survey
62 date
63 deviation score
64 disease
65 factors
66 girls
67 growth
68 growth hormone
69 growth impairment
70 healthy children
71 height
72 height SDS
73 hormone
74 impairment
75 institutions
76 kidney
77 kidney disease
78 major complications
79 medical institutions
80 patients
81 pre-dialysis chronic kidney disease
82 prospective cohort study
83 relatives
84 risk factors
85 scores
86 stage
87 stage 3
88 stage 4
89 standard deviation score
90 study
91 survey
92 tract
93 urinary tract
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