Feeding Pattern and Hypoalbuminemia in Pediatrics With Chronic Kidney Disease.
To determine the impact of feeding pattern on the development of hypoalbuminemia and out come of pediatric patients with chronic kidney disease.
- EligibilityCriteria: Inclusion Criteria:  The study will include patient on maintenance hemodialysis with hypoalbuminemia according to] Mites SedBuffone GJed Pediatric Clinical Chemistry. 3rd ed., Press(1989)[ (Hypoalbuminemia was defined as an albumin level of less than 3.4 g/dL for patients 7 months or older and less than 2.5 g/dL for patients younger than 7 months. ) who fulfilled the following criteria will be included in the study:  Age range from 2-16 years old. Both sexes. On maintenance hemodialysis with hypoalbuminemia  Exclusion Criteria:  other causes of hypoalbuminemia such as heart disease, diabetes mellitus , hepatic failure . chronic kidney disease without hypoalbuminemia. - Gender: All - MinimumAge: 2 Years - MaximumAge: 16 Years - StdAgeList: Child - StudyPopulation: Based on determining the main outcome variable ,the estimated minimum required sample size is77. The sample size was calculated using Epi-info version 7 software, based on the following assumptions:  Main outcome variable is the role of feeding in treating hypoalbuminemia in pediatric patients with CKD . Based on previous studies ( O.S. Catherine. et al. 2002 ) the percentage of patients of chronic kidney disease with hypoalbuminemia53.1% and based on the percentage confidence limits of 7% and a Confidence level =80 - SamplingMethod: Non-Probability Sample