ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005

email@asn-online.org

202-640-4660

The Latest on X

Kidney Week

Abstract: SA-PO376

Exploring the Value of Assessing Hydration and Nutritional Status with Bioelectrical Impedance Analysis in Pediatric Chronic Dialysis

Session Information

  • Pediatric Nephrology - III
    November 04, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Pediatric Nephrology

  • 1900 Pediatric Nephrology

Authors

  • Shen, Qian, Children's Hospital of Fudan University, Shanghai, China
  • Xu, Hong, Children's Hospital of Fudan University, Shanghai, China
  • Yuan, Wei, Children's Hospital of Fudan University, Shanghai, China
Background

There is a lack of domestic and international clinical studies on the assessment of the hydration and nutritional status of children on dialysis by bioimpedance analysis-body composition monitor (BIA-BCM).

Methods

Children treated on dialysis in the nephrology department of the Children’s hospital of Fudan University between July 1, 2021 and December 31, 2022 were assigned. A total of 100 children were described before and after 3 days of their dialysis, including basic information, biochemical indicators, imaging findings, and BIA-BCM indicators, exploring the correlation between BIA-BCM indicators and clinical indicators.

Results

Totally, 86 children with peritoneal dialysis and 14 children with hemodialysis were included. In peritoneal dialysis group, 19.77% and 36.05% had mild and severe water overload ; reduced LTI in 41.54% and increased LTI in 10.77%. In hemodialysis group, 35.71% with mild and severe water overload each; 3 cases with reduced LTI (Fig1).
There was a significant linear relationship between BIA-BCM hydration indicators and clinical hydration indicators, and BIA-BCM nutritional indicators and clinical nutritional indicators (Fig2).

Conclusion

BIA-BCM can help guide the adjustment of clinical treatment regimens, and chronic dialysis children have some degree of improvement in hydration and nutritional status.

Figure 1

Figure 2