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Associations of longitudinal Height and Weight with Clinical Outcomes in Pediatric Kidney Replacement Therapy: Results from the ESPN/ERA Registry

2023Journal article Open access
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dc.contributor.authorBonthuis, M
dc.contributor.authorBakkaloglu, SA
dc.contributor.authorVidal, E
dc.contributor.authorBaiko, S
dc.contributor.authorBraddon, F
dc.contributor.authorErrichiello, C
dc.contributor.authorFrancisco, T
dc.contributor.authorHaffner, D
dc.contributor.authorLahoche, A
dc.contributor.authorLeszczyńska, B
dc.contributor.authorMasalkiene, J
dc.contributor.authorStojanovic, J
dc.contributor.authorMolchanova, MS
dc.contributor.authorReusz, G
dc.contributor.authorBarba, AR
dc.contributor.authorRosales, A
dc.contributor.authorTegeltija, S
dc.contributor.authorYlinen, E
dc.contributor.authorZlatanova, G
dc.contributor.authorHarambat, J
dc.contributor.authorJager, KJ
dc.date.accessioned2024-02-09T14:57:28Z
dc.date.available2024-02-09T14:57:28Z
dc.date.issued2023
dc.description.abstractBackground: Associations between anthropometric measures and patient outcomes in children are inconsistent and mainly based on data at kidney replacement therapy (KRT) initiation. We studied associations of height and body mass index (BMI) with access to kidney transplantation, graft failure, and death during childhood KRT. Methods: We included patients < 20 years starting KRT in 33 European countries from 1995-2019 with height and weight data recorded to the ESPN/ERA Registry. We defined short stature as height standard deviation scores (SDS) < -1.88 and tall stature as height SDS > 1.88. Underweight, overweight and obesity were calculated using age and sex-specific BMI for height-age criteria. Associations with outcomes were assessed using multivariable Cox models with time-dependent covariates. Results: We included 11,873 patients. Likelihood of transplantation was lower for short (aHR: 0.82, 95% CI: 0.78-0.86), tall (aHR: 0.65, 95% CI: 0.56-0.75), and underweight patients (aHR: 0.79, 95%CI: 0.71-0.87). Compared with normal height, patients with short and tall statures showed higher graft failure risk. All-cause mortality risk was higher in short (aHR: 2.30, 95% CI: 1.92-2.74), but not in tall stature. Underweight (aHR: 1.76, 95% CI: 1.38-2.23) and obese (aHR: 1.49, 95% CI: 1.11-1.99) patients showed higher all-cause mortality risk than normal weight subjects. Conclusions: Short and tall stature and being underweight were associated with a lower likelihood of receiving a kidney allograft. Mortality risk was higher among pediatric KRT patients with a short stature or those being underweight or obese. Our results highlight the need for careful nutritional management and multidisciplinary approach for these patients. A higher resolution version of the Graphical abstract is available as Supplementary information.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPediatr Nephrol . 2023 Oct;38(10):3435-3443pt_PT
dc.identifier.doi10.1007/s00467-023-05973-3pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4800
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.subjectBody Mass Indexpt_PT
dc.subjectChildpt_PT
dc.subjectDwarfism*pt_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectMalept_PT
dc.subjectObesity / complicationspt_PT
dc.subjectRegistriespt_PT
dc.subjectRenal Replacement Therapypt_PT
dc.subjectThinness* / complicationspt_PT
dc.subjectThinness* / epidemiologypt_PT
dc.subjectHDE NEF PEDpt_PT
dc.titleAssociations of longitudinal Height and Weight with Clinical Outcomes in Pediatric Kidney Replacement Therapy: Results from the ESPN/ERA Registrypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage3443pt_PT
oaire.citation.issue10pt_PT
oaire.citation.startPage3435pt_PT
oaire.citation.titlePediatric Nephrologypt_PT
oaire.citation.volume38pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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