Interdialytic weight gain in oligoanuric children and adolescents on chronic hemodialysis

Fabio Paglialonga, Silvia Consolo, Maria Albina Galli, Sara Testa, Alberto Edefonti

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Little is known about the clinical impact of interdialytic weight gain (IDWG) on oligoanuric children undergoing chronic hemodialysis (HD). Methods: We retrospectively assessed IDWG, left ventricular mass index (LVMI) and its changes (ΔLVMI), pre-HD systolic and diastolic blood pressure (DBP), residual urine output, Kt/V, the frequency of intradialytic symptoms, normalized protein catabolic rate, and the 3-month change in the dry weight of 16 hemodialyzed oligoanuric patients with a median age of 14.8 years (range 5.0–17.9). Results: There was a significant correlation between IDWG and median LVMI (r 0.55, p = 0.026), which was 27.3 g/m2.7 (22.5–37.6) in the patients with a median IDWG of 2.7 (28.2–68.7) in those with a median IDWG of >4 % (p = 0.003). None of the four patients with an IDWG of 4 % (p = 0.003); the former also had a better median ΔLVMI (−33.5 % vs −13.0 %; p = 0.02) and a lower median DBP sds (0.24 vs 1.72, p = 0.04). Conclusions: There is a significant correlation between IDWG and LVMI in pediatric oligoanuric patients on chronic HD: those with an IDWG of >4 % are at a higher risk of left ventricular hypertrophy.

Original languageEnglish
Pages (from-to)999-1005
Number of pages7
JournalPediatric Nephrology
Volume30
Issue number6
DOIs
Publication statusPublished - Jun 1 2015

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Weight Gain
Renal Dialysis
Blood Pressure
Left Ventricular Hypertrophy
Urine
Pediatrics
Weights and Measures
Proteins

Keywords

  • Dry weight
  • Interdialytic weight gain
  • Left ventricular hypertrophy
  • Left ventricular mass index
  • Pediatric hemodialysis

ASJC Scopus subject areas

  • Nephrology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Interdialytic weight gain in oligoanuric children and adolescents on chronic hemodialysis. / Paglialonga, Fabio; Consolo, Silvia; Galli, Maria Albina; Testa, Sara; Edefonti, Alberto.

In: Pediatric Nephrology, Vol. 30, No. 6, 01.06.2015, p. 999-1005.

Research output: Contribution to journalArticle

Paglialonga, Fabio ; Consolo, Silvia ; Galli, Maria Albina ; Testa, Sara ; Edefonti, Alberto. / Interdialytic weight gain in oligoanuric children and adolescents on chronic hemodialysis. In: Pediatric Nephrology. 2015 ; Vol. 30, No. 6. pp. 999-1005.
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