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Role of foetal kidney size on kidney function in childhood: the born in bradford cohort renal study.
Ziauddeen, Nida; Jeffrey, Robin F; Waiblinger, Dagmar; Fraser, Simon Ds; Alwan, Nisreen A; Yuen, Ho M; Azad, Rafaq; Mason, Dan; Wright, John; Coward, Richard Jm; Roderick, Paul J.
Afiliação
  • Ziauddeen N; School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK. Nida.Ziauddeen@soton.ac.uk.
  • Jeffrey RF; NIHR Applied Research Collaboration Wessex, Southampton, UK. Nida.Ziauddeen@soton.ac.uk.
  • Waiblinger D; Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, UK.
  • Fraser SD; Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, UK.
  • Alwan NA; School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.
  • Yuen HM; NIHR Applied Research Collaboration Wessex, Southampton, UK.
  • Azad R; School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.
  • Mason D; NIHR Applied Research Collaboration Wessex, Southampton, UK.
  • Wright J; NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.
  • Coward RJ; School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.
  • Roderick PJ; Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, UK.
BMC Nephrol ; 24(1): 41, 2023 02 22.
Article em En | MEDLINE | ID: mdl-36814219
BACKGROUND: Foetal and early childhood development contributes to the risk of adult non-communicable diseases such as hypertension and cardiovascular disease. We aimed to investigate whether kidney size at birth is associated with markers of kidney function at 7-11 years. METHODS: Foetal kidney dimensions were measured using ultrasound scans at 34 weeks gestation and used to derive kidney volume (cm3) in 1802 participants in the Born in Bradford (BiB) birth cohort. Blood and urine samples were taken from those who participated in the BiB follow-up at 7-11 years (n = 630) and analysed for serum creatinine, cystatin C, urea, and urinary albumin to creatinine ratio (ACR), protein to creatinine ratio (PCR) and retinol binding protein (RBP). Estimated glomerular filtration rate (eGFR) was calculated using Schwartz creatinine only and combined with cystatin C, and cystatin C only Zappitelli and Filler equations. Linear regression was used to examine the association between foetal kidney volume and eGFR, ACR, PCR and blood pressure, unadjusted and adjusted for confounders. RESULTS: Kidney volume was positively associated in adjusted models with eGFR calculated using Schwartz combined (0.64 ml/min diff per unit increase in volume, 95% CI 0.25 to 1.02), Zappitelli (0.79, 95% CI 0.38 to 1.20) and Filler (2.84, 95% CI 1.40 to 4.28). There was an association with the presence of albuminuria but not with its level, or with other urinary markers or with blood pressure. CONCLUSION: Foetal kidney volume was associated with small increases in eGFR in mid-childhood. Longitudinal follow-up to investigate the relationship between kidney volume and markers of kidney function as children go through puberty is required.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Rim Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Rim Idioma: En Ano de publicação: 2023 Tipo de documento: Article