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Renal function in prepubertal children born with very low birthweight

Holzer, Simone, Schoeps, Denise de Oliveira, Suano-Souza, Fabiola Isabel, Gessulo, Anelise Del Vecchio, Hix, Sonia, Fonseca, Fernando Luiz Affonso, Sarni, Roseli Oselka Saccardo
Nutrition 2019 v.62 pp. 20-24
albumins, albuminuria, blood pressure, calcium, childhood obesity, children, creatinine, excretion, glomerular filtration rate, low birth weight, neutrophils, nutritional status, puberty, urea, uric acid, urine, waist circumference
The objective of this study was to evaluate estimated glomerular filtration rates (eGFR) and markers of renal function in very low birthweight (VLBW) children and to relate these parameters to current nutritional status.A cross-sectional and controlled study was performed with prepubertal children between ages 5 and 10, including 44 VLBW participants and 30 healthy participants born at full term with an adequate birthweight (control group). The following data were collected: perinatal history; current weight, height and waist circumference; blood pressure (three measures); blood creatinine, urea, uric acid, cystatin-C, and neutrophil gelatinase-associated lipocalin levels; and urine albumin, creatinine, and calcium levels.Blood pressure, eGFR, albuminuria, concentrations of cystatin-C, neutrophil gelatinase-associated lipocalin, uric acid, urea, creatinine, and fractional calcium excretion did not differ between VLBW and control groups. Regarding the VLBW group, there was no difference in eGFR, albuminuria, and other markers of renal injury in overweight or obese children compared with children with a normal body mass index.Prepubertal children born with VLBW did not have altered renal function, regardless of their current nutritional status.