Hipovitaminosis D en pacientes pediátricos en terapia de sustitución renal / Hypovitaminosis D in pediatric patients on renal replacement therapy
Rev. méd. Chile
; 139(3): 334-339, mar. 2011. ilus
Article
en Es
| LILACS
| ID: lil-597622
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BR1.1
ABSTRACT
Background:
Hypovitaminosis D has a high prevalence among patients with chronic kidney disease (CKD).Aim:
To determine the prevalence of 25 hydroxy vitamin D (25(OH) D) insufficiency and deficiency in pediatric patients on dialysis and kidney transplantation. Material andMethods:
Serum calcium and phosphorus, parathormone (PTH), alkaline phosphatases and 25 (OH)D were measured in 13 children on hemodialysis (HD), 18 on peritoneal dialysis (PD) and 53 that received an allograft (Tx), aged 9.8 ± 4.6 years (51 percent females).Results:
Fifty four percent of patients had height Z score less than -1.88. Patients on HD had the lowest values. The average time of replacement therapy was 2.9 ± 2.8 years. Mean 25(OH)D levels in all was 18.7 ± 10.7ng/ml (HD 21 ± 16.8, PD 18.9 ± 8.5, Tx 18.1 ± 9.72 ng/ml). Eighty eight percent of patients had levels below 30 ng/ml. Mean of serum calcium was 9.5 ± 0.64 mg/dl, serum phosphorus 5.03 ± 1.02 mg/dl, calcium-phosphorus product 48 ± 11.8 mg/dl and alkaline phosphatases 300.5 ± 171.3 IU/L. Average PTH values in dialyzed and Tx patients were 724.6 ± 640.5 and 107.7 ± 56.2 pg/ml, respectively (p < 0.001). A positive correlation between 25 (OH) D and calcium levels among PD patients was observed (r = 0.490, p = 0.04).Conclusions:
Hypovitaminosis D is highly prevalent among children on renal substitution therapy, regardless of the type of therapy used and the stage of renal failure.Palabras clave
Texto completo:
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Índice:
LILACS
Asunto principal:
Deficiencia de Vitamina D
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Terapia de Reemplazo Renal
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Fallo Renal Crónico
Tipo de estudio:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prevalence_studies
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Risk_factors_studies
Límite:
Child
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Female
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Humans
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Male
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
2011
Tipo del documento:
Article
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Project document