School attendance and sport participation amongst children with chronic kidney disease: a cross-sectional analysis from the Kids with CKD (KCAD) study

Adam C. Hudson, Anita van Zwieten, Kylie Ann Mallitt, Anne Durkan, Deirdre Hahn, Chandana Guha, Rabia Khalid, Madeleine Didsbury, Anna Francis, Steven McTaggart, Fiona E. Mackie, Chanel Prestidge, Armando Teixeira-Pinto, Suncica Lah, Martin Howell, Kirsten Howard, Natasha Nassar, Allison Jaure, Jonathan C. Craig, Germaine WongSiah Kim

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Abstract

Background: School attendance and life participation, particularly sport, is a high priority for children with chronic kidney disease (CKD). This study is aimed at assessing the association between CKD stage, sports participation, and school absences in children with CKD. Methods: Using data from the binational Kids with CKD study (ages 6–18 years, n = 377), we performed multivariable regression to evaluate the association between CKD stage, school absences, and sports participation. Results: Overall, 62% of participants played sport with the most frequent sport activities engaged in being swimming (17%) and soccer (17%). Compared to children with CKD 1–2, the incidence rate ratios (IRR) (95% CI) for sports participation amongst children with CKD 3–5, dialysis, or transplant were 0.84 (0.64–1.09), 0.59 (0.39–0.90), and 0.75 (0.58–0.96), respectively. The median (IQR) days of school absences within a four-week period were 1 day (0–1), with children on dialysis reporting the highest number of school absences (9 days (5–15)), followed by transplant recipients (2 days (1–7)), children with CKD 3–5 (1 day (0–3)), and with CKD 1–2 (1 day (0–3)). Duration of CKD modified the association between CKD stage and school absences, with children with a transplant experiencing a higher number of missed school days with increasing duration of CKD, but not in children with CKD 1–5 or on dialysis (p-interaction < 0.01). Conclusions: Children receiving dialysis and with a kidney transplant had greater school absences and played fewer sports compared to children with CKD stages 1–2. Innovative strategies to improve school attendance and sport participation are needed to improve life participation of children with CKD. 

Original languageEnglish
Pages (from-to)1229-1237
Number of pages9
JournalPEDIATRIC NEPHROLOGY
Volume39
Issue number4
Early online date9 Nov 2023
DOIs
Publication statusPublished - Apr 2024

Keywords

  • Adolescents
  • Children
  • Chronic kidney disease
  • Dialysis
  • Kidney replacement therapy
  • Life participation
  • School
  • Sport
  • Transplantation

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