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Body composition in children with renal disease: use of dual energy X-ray absorptiometry
P Cochat, P Braillon, J Feber, A Hadj-Aissa, L Dubourg, I Liponski, MH Said, C Glastre, PJ Meunier, L David
Jazyk angličtina Země Německo
Grantová podpora
IZ2786
MZ0
CEP - Centrální evidence projektů
Digitální knihovna NLK
Plný text - Část
Zdroj
NLK
ProQuest Central
od 1996-08-01 do 2017-12-31
Medline Complete (EBSCOhost)
od 1996-08-01 do Před 1 rokem
Nursing & Allied Health Database (ProQuest)
od 1996-08-01 do 2017-12-31
Health & Medicine (ProQuest)
od 1996-08-01 do 2017-12-31
Family Health Database (ProQuest)
od 1996-08-01 do 2017-12-31
PubMed
8792387
Knihovny.cz E-zdroje
- MeSH
- absorpční fotometrie MeSH
- chronické selhání ledvin * chirurgie metabolismus radiografie MeSH
- dialýza ledvin MeSH
- dítě MeSH
- dospělí MeSH
- hodnoty glomerulární filtrace MeSH
- kojenec MeSH
- kostní denzita fyziologie účinky léků MeSH
- lidé MeSH
- mladiství MeSH
- páteř metabolismus MeSH
- předškolní dítě MeSH
- růstový hormon škodlivé účinky terapeutické užití MeSH
- složení těla * fyziologie MeSH
- spotřeba kyslíku fyziologie MeSH
- transplantace ledvin MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- kojenec MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
Dual energy X-ray absorptiometry (DEXA) is a non-invasive accurate method which estimates bone mineral content and density (BMD), as well as fat (FM) and lean (LM) body mass. This method was used in control children in order to establish normal values for BMD of lumbar spine and whole body composition ?logistic curves, general equation E = k+K/[1+ alpha exp(- beta A)]?. In children with chronic renal failure (CRF), LM correlated with the urinary excretion of creatinine (r = 0.97, P = 0.0001) independently from glomerular filtration rate. However, the assessment of LM by DEXA must take into account the hydration level, since there is a positive correlation between fluid loss and reduction in LM in children on hemodialysis (r = 0.98, P = 0.0001). After renal transplantation, a significant loss of BMD (median -9.2%) was observed at 6 months which returned to 95% of pretransplant values by the end of the 1st year. Maximal changes in LM and FM occurred during the first 3 months (-7.8% and +7.2%, respectively) and may be due to steroids; these should be influenced by physical activity since FM correlated inversely with maximal oxygen consumption (r = 0.69, P = 0.0001). Recombinant growth hormone treatment could also increase LM and decrease FM, as shown in 9 patients. DEXA appears therefore to be a reliable method for evaluating therapeutic interventions affecting nutritional status in children with CRF.
Childrens Hospital Motol 1st Pediatric Clinic Prague Czech Republic
Unité de Nephrologie Pédiatrique Hôpital Edouard Herriot Lyon France
Literatura
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