2013
DOI: 10.1016/s0140-6736(13)60311-6
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Effect of fetal and child health on kidney development and long-term risk of hypertension and kidney disease

Abstract: Developmental programming of non-communicable diseases is now an established paradigm. With respect to hypertension and chronic kidney disease, adverse events experienced in utero can affect development of the fetal kidney and reduce final nephron number. Low birth weight and prematurity are the most consistent clinical surrogates for a low nephron number, and are associated with increased risk of hypertension, proteinuria and kidney disease in later life. Rapid weight gain in childhood or adolescence further … Show more

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Cited by 451 publications
(392 citation statements)
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“…These results are similar to findings in infants without CCHD 11. In infants without CCHD, SGA has been linked to the development of early systemic hypertension,27 type 2 diabetes mellitus,28 hyperlipidemia,28 and reduced renal function 29, 30. We hypothesize that this link is even more apparent in infants with CCHD.…”
Section: Discussionsupporting
confidence: 87%
“…These results are similar to findings in infants without CCHD 11. In infants without CCHD, SGA has been linked to the development of early systemic hypertension,27 type 2 diabetes mellitus,28 hyperlipidemia,28 and reduced renal function 29, 30. We hypothesize that this link is even more apparent in infants with CCHD.…”
Section: Discussionsupporting
confidence: 87%
“…Studies showing that lower eGFR relates with renal disease development many decades later suggest that subclinical variation in kidney function precedes the developmental of renal disease. 13 In conclusion, lower fetal weight gain and lower early infant weight gain led to smaller kidneys, whereas only lower fetal weight gain led to a lower eGFR. Although the observed effect estimates are small and without direct individual clinical consequence, they suggest that suboptimal early growth affects kidney function in later life.…”
Section: Fetal and Early Childhood Growth And Childhood Kidneymentioning
confidence: 77%
“…These findings are in line with previous studies showing that low birth weight for gestational age is associated with kidney function in childhood. 13 We are not aware of other large population-based studies focused on the associations of birth weight taking into account gestational age with kidney function at young age.…”
Section: Fetal and Early Childhood Growth And Childhood Kidneymentioning
confidence: 98%
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