%0 Journal Article
%T School attendance and sport participation amongst children with chronic kidney disease: a cross-sectional analysis from the Kids with CKD (KCAD) study.
%A Hudson AC
%A van Zwieten A
%A Mallitt KA
%A Durkan A
%A Hahn D
%A Guha C
%A Khalid R
%A Didsbury M
%A Francis A
%A McTaggart S
%A Mackie FE
%A Prestidge C
%A Teixeira-Pinto A
%A Lah S
%A Howell M
%A Howard K
%A Nassar N
%A Jaure A
%A Craig JC
%A Wong G
%A Kim S
%J Pediatr Nephrol
%V 39
%N 4
%D 2024 Apr 9
%M 37945915
%F 3.651
%R 10.1007/s00467-023-06198-0
%X <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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).<BR><B>CONCLUSIONS: </B>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.