Actual diet and nutritional deficiencies status in children on peritoneal dialysis at the Vietnam National Hospital of Pediatrics

Thuc, Luu Thi My; Dũng, Nguyễn Quang; Ha, Vu Ngoc; Tam, Nguyen Duc; Nga, Nguyễn Thị Hằng

doi:10.4103/1319-2442.265470

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…Patients undergoing HD have been reported to have greater muscle mass and mid-arm circumference than those undergoing PD therapy [ 10 ]. PD patients are also susceptible to micronutrient (vitamin and mineral) deficiencies as a consequence of abnormalities in metabolism, intestinal dysfunction and inadequate nutritional intake [ 11 ]. These deficiencies may exacerbate existing comorbidities including cardiovascular disease, sexual dysfunction, anemia [ 12 ] and sarcopenia [ 13 ].…”

Section: Significance Of Nutritional Status In Pdmentioning

confidence: 99%

“…In addition to optimal dosing of dialysis, specific drugs including recombinant human growth hormone may be prescribed [ 73 ]. Thuc et al, reported in 2019 that children treated by PD showed significant nutritional deficiencies, including low levels of Vitamins A and D, iron and demonstrated low serum albumin [ 11 ]. The National Institute of Diabetes and Digestive and Kidney Diseases have outlined nutritional recommendations for pediatric patients.…”

Section: Nutritional Recommendations For Pediatric Patients Treatementioning

confidence: 99%

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Nutritional Status in Peritoneal Dialysis: Nutritional Guidelines, Adequacy and the Management of Malnutrition

et al. 2020

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The positive impact of nutritional status on the health and treatment adequacy of peritoneal dialyzed patients has been well established. Protein intake is an important factor used to stratify malnutrition, with inadequate intake leading to protein-energy wasting during the course of therapy. In this review, we discuss the recommendations made by nephrological societies regarding nutrition in this population of dialysis patients. Special attention is given to the intake of protein, and recommendations on the intake of micronutrients are also discussed. Furthermore, factors that may impair nutritional intake and balance are discussed, with mention of the innovative strategies utilized to combat them. In light of inconsistent recommendations that vary between each respective society, as well as a general lack of concise information, it is our intention to call for further research regarding nutritional recommendations in peritoneal dialysis (PD), as well as to advocate for clear and accessible information for patients.

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Section: Significance Of Nutritional Status In Pdmentioning

confidence: 99%

Section: Nutritional Recommendations For Pediatric Patients Treatementioning

confidence: 99%

Nutritional Status in Peritoneal Dialysis: Nutritional Guidelines, Adequacy and the Management of Malnutrition

et al. 2020

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“…Patients with lower serum 25-hydroxyvitamin D [25(OH)D] concentrations were treated with PD. Reasons for vitamin D deficiency in PD patients include chronic renal dysfunction, reduced sunlight exposure, restricted dietary and peritoneal effluent [ 9 , 10 ]. Vitamin D deficiency is reported to correlate with enhanced inflammation in stable hemodialysis patients [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Low serum vitamin D concentration is correlated with anemia, microinflammation, and oxidative stress in patients with peritoneal dialysis

et al. 2021

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Background Peritoneal dialysis (PD) is a form of dialysis to replace the function of kidney, that uses the peritoneum as a dialysis membrane to remove metabolites and water retained in the body. Vitamin D deficiency is prevalent in patients treated with PD. This research investigated the correlation between serum 25-hydroxyvitamin D [25(OH)D] concentration and anemia, microinflammation, and oxidative stress in PD patients. Methods 62 PD patients and 56 healthy volunteers were recruited in this research. Serum concentrations of 25(OH)D and basic parameters of anemia were detected. The correlation between serum 25(OH)D concentration with anemia, oxidative stress, and microinflammatory state were analyzed. Results In the PD group, the concentration of 25(OH)D was lower than the healthy control (HC) group (p < 0.001). Hemoglobin, red blood cell count (RBC), and total iron binding capacity (TIBC) in the PD group was significantly lower (all p < 0.001), while high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), and tumor necrosis factor α (TNF-α) concentrations were significantly higher, than the HC group (all p < 0.001). In the PD group, malondialdehyde (MDA) concentration was higher than in the HC group (p < 0.001), while superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) were lower (both p < 0.001). Serum 25(OH)D exhibited positive correlation with hemoglobin (r = 0.4509, p = 0.0002), RBC (r = 0.3712, p = 0.0030), TIBC (r = 0.4700, p = 0.0001), SOD (r = 0.4992, p < 0.0001) and GSH-Px (r = 0.4312, p = 0.0005), and negative correlation with hs-CRP (r = − 0.4040, p = 0.0011), TNF-α (r = − 0.4721, p = 0.0001), IL-6 (r = − 0.5378, p < 0.0001) and MDA (r = − 0.3056, p = 0.0157). Conclusion In conclusion, reduced serum 25(OH)D concentrations in PD patients contribute to anemia, oxidative stress and microinflammatory state.

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Scoping review of the dietary intake of children with chronic kidney disease

2022

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Actual diet and nutritional deficiencies status in children on peritoneal dialysis at the Vietnam National Hospital of Pediatrics

Cited by 5 publications

References 8 publications

Nutritional Status in Peritoneal Dialysis: Nutritional Guidelines, Adequacy and the Management of Malnutrition

Nutritional Status in Peritoneal Dialysis: Nutritional Guidelines, Adequacy and the Management of Malnutrition

Low serum vitamin D concentration is correlated with anemia, microinflammation, and oxidative stress in patients with peritoneal dialysis

Scoping review of the dietary intake of children with chronic kidney disease

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