| 特集名 | 透析患者のるいそう | |
|---|---|---|
| 題名 | 小児透析患者の栄養状態と成長，肥満・るいそう | |
| 発刊年月 | 2000年 04月 | |
| 著者 | 石倉 健司 | 東京都立清瀬小児病院腎内科 |
| 著者 | 本田 雅敬 | 東京都立清瀬小児病院腎内科 |
| 【 要旨 】 | 小児，とくに乳幼児の透析療法の進歩で，近年，小児透析患者の生命予後は著しく改善し，患児がいかに正常に近い成長発達を獲得できるかがきわめて重要になってきている． 乳幼児では良好な成長のために十分な熱量摂取を行い，必然的に増える水分摂取に対しても十分な除水を行うなど，きめこまやかな管理が必要になる． 年長児では運動不足に起因する肥満が多くみられる．過剰な栄養制限を行うことなく適切な運動をさせ，そのうえで食事管理を行うべきである． |
|
| Theme | Emaciation in Chronic Dialysis Patients | |
|---|---|---|
| Title | Nutritional status and development, obesity and tabescence in pediatric dialytic patients | |
| Author | Kenji Ishikura | Department of Paediatrics Nephrology, Tokyo Metropolitan Childrens Hospital |
| Author | Masataka Honda | Department of Paediatrics Nephrology, Tokyo Metropolitan Childrens Hospital |
| [ Summary ] | Recently, the prognosis for children with ESRD had been greatly improved, especially in infants and young children. Therefore, adequate growth and development are needed. Because in infants and young children, energy intake significantly correlates with growth in height, adequate enegy intake is nessesary. Although obesity was not seen in young children, school-aged children tend to become obese. Children who are obese did not have excessive energy intake and weight/height ratio correlated with excercise, as measured by a walking-meter. These results suggest school-aged children with obesity need appropriate exercise and low energy intake was not recommended. | |