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Food insecurity during COVID-19 in children with end-stage kidney disease: a pilot study.
Chan, Melvin; Mokiao, Reya; Wilson, Amy C; Pottanat, Neha; Hingorani, Sangeeta; Starr, Michelle C.
  • Chan M; Division of Pediatric Nephrology, Department of Pediatrics, Indiana University School of Medicine and Riley Children's Health, Indianapolis, IN, USA.
  • Mokiao R; Department of Pediatrics, University of Washington, Seattle, WA, USA.
  • Wilson AC; Division of Pediatric Nephrology, Department of Pediatrics, Indiana University School of Medicine and Riley Children's Health, Indianapolis, IN, USA.
  • Pottanat N; Division of Pediatric Nephrology, Department of Pediatrics, Indiana University School of Medicine and Riley Children's Health, Indianapolis, IN, USA.
  • Hingorani S; Department of Pediatrics, University of Washington, Seattle, WA, USA.
  • Starr MC; Division of Pediatric Nephrology, Department of Pediatrics, Indiana University School of Medicine and Riley Children's Health, Indianapolis, IN, USA. mcstarr@iu.edu.
BMC Pediatr ; 22(1): 420, 2022 07 15.
Article in English | MEDLINE | ID: covidwho-1938297
ABSTRACT

BACKGROUND:

Food insecurity, an important social determinant of health among children, has become more common during the COVID-19 pandemic. Children with chronic diseases including end-stage kidney disease (ESKD) are at higher risk of food insecurity due to their complex care needs, medication burden, and dietary restrictions. No data exists describing food insecurity prevalence in pediatric ESKD patients during the COVID-19 pandemic.

METHODS:

Food insecurity was assessed among families of children (age 0-18 years) with ESKD on chronic dialysis at two pediatric academic medical centers. Families were screened in April 2020 using the Hunger Vital Sign, a validated 2-question screening tool. We assessed impact of COVID-19 on food insecurity. We compared serum phosphorus "pre-COVID" (January/February 2020) to "during COVID" (April/May 2020).

RESULTS:

A total of 29 families enrolled in this study. 62% (18/29) of children with ESKD lived in food insecure households, and of those, 72% (13/18) reported that COVID-19 had worsened their food insecurity status. During the COVID-19 pandemic, food insecure patients experienced greater rise in their serum phosphorus levels (1.1 mg/dL vs. 0 mg/dL, p = 0.03) and decreased likelihood of having adequate phosphorus control (50% vs. 11%, p = 0.03).

CONCLUSION:

Food insecurity was common among children with ESKD on chronic dialysis during the COVID-19 pandemic. Children with food insecurity had a greater increase in their phosphorus levels during the pandemic than did food secure children. Further exploration into how food resources such as an onsite food pantry impacts food insecurity and phosphorus control in children with ESKD is essential.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Kidney Failure, Chronic Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Adolescent / Child / Child, preschool / Humans / Infant / Infant, Newborn Language: English Journal: BMC Pediatr Journal subject: Pediatrics Year: 2022 Document Type: Article Affiliation country: S12887-022-03472-2

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Kidney Failure, Chronic Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Adolescent / Child / Child, preschool / Humans / Infant / Infant, Newborn Language: English Journal: BMC Pediatr Journal subject: Pediatrics Year: 2022 Document Type: Article Affiliation country: S12887-022-03472-2