Orejas G, Santos F, Málaga S, Rey C, Cobo A, Simarro M
Division of Paediatric Nephrology, Hospital Central of Asturias, University of Oviedo, Spain.
Pediatr Nephrol. 1995 Feb;9(1):52-6. doi: 10.1007/BF00858971.
Nutritional status was evaluated in 15 children (11 males) with moderate chronic renal failure (CRF). Two 3-day prospective dietary records, anthropometric measures and biochemical determinations were performed 3 months apart. Energy, protein, carbohydrate, fat, polyunsaturated, monounsaturated and saturated fatty acid intakes, expressed as percentages of international recommendations, were 87 +/- 14, 223 +/- 42, 73 +/- 12, 110 +/- 27, 55 +/- 31, 129 +/- 51 and 111 +/- 26%, respectively. The relative distribution of calories was 15 +/- 2% from proteins, 48 +/- 5% from carbohydrates and 37 +/- 5% from lipids. Anthropometric indices, expressed as standard deviation score, were: weight -0.50 +/- 0.8, height -0.94 +/- 1.3, growth velocity -0.61 +/- 1.8, triceps skinfold thickness -0.30 +/- 0.6, subscapular skinfold thickness -0.19 +/- 0.8, mid-arm muscle circumference 0.38 +/- 0.3 and body mass index -0.22 +/- 1.0. Serum concentrations of albumin, total protein, transferrin, IgG, IgA, IgM, C3 and C4 and blood lymphocyte counts were within normal limits. The mean serum insulin-like growth factor-I concentration, expressed as standard deviation score, as 0.74 +/- 1.5. No anthropometric or biochemical signs of malnutrition were found in children with moderate CRF. However, their dietary intake of calories and carbohydrates was low and the protein and saturated fatty acid intake excessively high.
对15名中度慢性肾衰竭（CRF）儿童（11名男性）的营养状况进行了评估。相隔3个月进行了两次为期3天的前瞻性饮食记录、人体测量和生化测定。能量、蛋白质、碳水化合物、脂肪、多不饱和脂肪酸、单不饱和脂肪酸和饱和脂肪酸的摄入量，以国际推荐量的百分比表示，分别为87±14%、223±42%、73±12%、110±27%、55±31%、129±51%和111±26%。热量的相对分布为：蛋白质占15±2%，碳水化合物占48±5%，脂质占37±5%。以标准差分数表示的人体测量指数为：体重-0.50±0.8，身高-0.94±1.3，生长速度-0.61±1.8，三头肌皮褶厚度-0.30±0.6，肩胛下皮褶厚度-0.19±0.8，上臂中部肌肉周长0.38±0.3，体重指数-0.22±1.0。血清白蛋白、总蛋白、转铁蛋白、IgG、IgA、IgM、C3和C4浓度以及血液淋巴细胞计数均在正常范围内。以标准差分数表示的血清胰岛素样生长因子-I平均浓度为0.74±1.5。中度CRF儿童未发现营养不良的人体测量或生化迹象。然而，他们的热量和碳水化合物饮食摄入量较低，蛋白质和饱和脂肪酸摄入量过高。
