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