TY - JOUR SN - 0931-041X VL - 35 N2 - BACKGROUND: Enteral feeding by tube in chronic kidney disease (CKD) before 2 years of age improves growth. Whether it is effective after this age is unknown. We assessed whether height and weight SDS changed after tube feeding was started in children with CKD above 2 years of age. METHODS: Retrospective study of pre-transplant, pre-pubertal children (< 11 years) with CKD stages 2?5 started on nasogastric tube or gastrostomy feeds for the first time after age 2 years. Children were identified by searching dietetic records and the renal database. Children on growth hormone were excluded. Height, weight, and BMI were documented 1 year prior to and at the start of tube feeds, and after 1 and 2 years. Data collection ceased at transplantation. RESULTS: Fifty children (25 male) were included. The median (range) age at start of tube feeds was 5.6 (2.1?10.9) years. Sixteen children were dialysed (1 haemodialysis, 15 peritoneal dialysis); 34 predialysis patients had a median (range) eGFR of 22 (6?88) ml/min/1.73 m2. Overall height SDS (Ht SDS) improved from ? 2.39 to ? 2.27 at 1 year and ? 2.18 after 2 years (p = 0.02). BMI SDS improved from ? 0.72 to 0.23 after 1 year and was 0.09 after 2 years of enteral feeding (p < 0.0001). Height SDS improved more in children aged 2?6 years (? 2.13 to ? 1.68, p = 0.03) and in children not on dialysis (? 2.33 to ? 1.99, p = 0.002). CONCLUSIONS: Enteral tube feeding commenced after 2 years of age in prepubertal children with CKD improves height and weight SDS, with stability of BMI during the second year. Younger children and those not on dialysis had the greatest benefit. EP - 118 IS - 1 TI - Catch-up growth in children with chronic kidney disease started on enteral feeding after 2 years of age N1 - © The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/). Y1 - 2020/01// UR - https://doi.org/10.1007/s00467-019-04382-9 A1 - Marlais, M A1 - Stojanovic, J A1 - Jones, H A1 - Cleghorn, S A1 - Rees, L KW - Pediatrics KW - Urology & Nephrology KW - Paediatrics KW - Chronic kidney disease KW - Growth KW - Enteral feeding KW - Gastrostomy AV - public PB - SPRINGER SP - 113 ID - discovery10090515 JF - Pediatric Nephrology ER -