Assessment of Nutritional Status and Associated Factors of Children with Chronic Kidney Disease in Tikur Anbessa Specialized Hospital Pediatric Renal Clinic 2024/25 Addis Ababa, Ethiopia
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Date
2025-02-15
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Addis Ababa University
Abstract
Back ground: Poor growth in children with CKD, which is a marker of disease severity, is associated with significant morbidity and mortality. We studied nutritional status and associated factors in our children with CKD. The study aims were to evaluate the nutritional status and associated factors among children with CKD at the Pediatric Renal Clinic at Tikur Anbessa Specialized Hospital 2024/25.
Methods: This study was conducted at Tikur Anbessa Specialized Hospital/TASH/. An institution based cross-sectional study employed among 86 children with CKD. Data was collected from medical records and by taking history and physical examination of CKD children receiving follow up care in the pediatric renal clinic using a pre-tested structured checklist. Statistical software Epi Info (7.2.5.0) was used for data entering and (SPSS 26 version) was employed for data analysis clearance. For variables that were statistically significant, descriptive statistics, ordinal logistic regression statistical analysis was used. Data was presented with frequency, percentage, and tables.
Result: Out of the 88 children with chronic kidney disease who were chosen for the study; the questionnaire was completed for 86 children, yielding a response rate of 97.7%. About 36.2% of patients were in the active age group of >10 years, and 37.2% of children were in the 5–10-year age range. Males outnumbered females, with a male-to-female ratio of 1.61:1. Among a total 86 children with CKD, 44.2% had stunting, and about 45.3% had wasting. Monthly income of the family, duration CKD from diagnosis, address (residence where the child live) and presence of comorbidity were strongly associated with malnutrition. The longer the duration illness the higher the risk of development of malnutrition with respective -14.5(95% CI: -16.564, -12.468, p-value= 0.000).
Conclusion: Malnutrition was seen in a considerable portion of our children with CKD, Malnutrition status was strongly associated with their age, gender, place of residency(address), caregivers’ income, duration of illness and presence of associated comorbidity. Standard guideline needs to be prepared to diagnose and manage malnourished children with CKD.
Keywords: malnutrition, CKD, children, stunting
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malnutrition CKD children stunting