ESPU Congress 2017 - Abstract book

240

CONGRESS OF THE ESPU

10:29–10:32

S22-4 (PP)

KIDNEY STONES AS A RISK FACTOR FOR STUNTING

IN CHILDREN

Angel De Jesús RIOS MEDINA, Martha María De Los ángeles MEDINA ESCOBEDO

and Gloria De La Luz MARTÍN SOBERANIS

Hospital General “Dr. Agustín O’Horán”, Unidad de Investigación en Enfermedades Renales, Mérida, MEXICO

PURPOSE

Kidney stones (KS) is a problem with a wide range of prevalence throughout the world and its

prevalence is on the rise. Several studies have related chronic kidney disease and renal tubular

acidosis with stunting in children; however, we found no studies of this kind on patients with KS. The

aim of this study was to determine whether KS is a risk factor for stunting.

MATERIAL AND METHODS

Case control study. Male and female under 15 years old were included, all patients underwent

ultrasound and blood and urine tests; patients with comorbidities, long course of any pharmacologi-

cal treatment, anemia, acute disorders that could affect weight or any condition that may trouble

measurements were excluded. Standardized SECA instruments were used for height and weight

measurements and CDC/WHO growth charts for reference.

RESULTS

We included 165 children with KS (50.9% male) and 173 without KS (50.8% male). No difference

was found between means of age (88.36 plus-minus 47.36 and 100.79 plus-minus 41.53 months

p=0.059) or hemoglobin (12.71 plus-minus 0.76 and 12.62 plus-minus 0.73 mg/dL p=0.286). BMI

as a measure of nutritional status showed no difference on diagnosis (underweight, normal weight,

overweight and obesity) by group (p=0.453). Significant difference was found when comparing z-

Score means for height (-1.22 plus-minus 1.34 and -0.43 plus-minus 1.05 p=0.004). Odds ratio for

stunting in patients with KS was 3.424 (CI 95%: 1.913-6.127 p=0.00003).

CONCLUSIONS

Our results show KS is a risk factor for stunting in children from our study population. Further studies

should be done to elucidate the mechanisms on how KS affect growth and if same results can be

found on other populations.

10:32–10:44

Discussion