%0 Journal Article
%T Evaluation of Nutritional Habits and Dietary Management in Children with Chronic Kidney Disease
%A Nevra KO£¿
%J -
%D 2019
%X Objective: This study was conducted to evaluate the dietary habits, nutritional status and dietary management practices of children with chronic kidney disease. Material and Methods: The study was conducted on 16 patients aged 2 to 18 years (9 boys, 7 girls) who were followed at our clinic with predialysis chronic kidney disease and with peritoneal dialysis. The nutritional status of the patients was determined by 24-hour dietary recall and subjective global nutritional assessment. In addition, anthropometric measurements and biochemical parameters were evaluated. Results: When the anthropometric measurements of the children were evaluated; 56.2% of them were found to be wasted and 62.5% were found to be stunted. According to subjective global nutritional assessment, 60% were found to be severely malnourished. Iron binding capacity, glomerular filtration rate and albumin levels were significantly higher in the predialysis group than in the peritoneal dialysis group (p<0.05). When uric acid, total protein, hemoglobin, hematocrit, ferritin, iron, sodium, potassium, and phosphorus levels were examined, no difference was found between the groups (p>0.05) The average daily energy intake of the children was 1564.3¡À982.4 kcal. Carbohydrates were found to be the source of 45.6¡À9.0% of the daily energy intake while 12.4¡À4.1% of the energy intake was from proteins and 41.9¡À7% from fats. We found that children with chronic kidney disease had consumed dietary fibers, calcium and magnesium inadequately while consuming salt more than their requirements. Conclusion: Children with chronic kidney disease had irregular eating habits and their dietary management was inadequate. Attitudes, behaviors and knowledge of these children and their families were inadequate regarding the patients¡¯s dietary needs. For this reason, it is believed that a diet based on individual nutrition rather than a nutrient-based dietary approach consisting of a chain of restrictions is more suitable for children with chronic kidney disease
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%U http://dergipark.org.tr/tchd/issue/45426/545296