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      KCI등재 SCI SCIE SCOPUS

      Effects of Prenatal Growth Status on Subsequent Childhood Renal Function Related to High Blood Pressure

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      https://www.riss.kr/link?id=A106845967

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      다국어 초록 (Multilingual Abstract)

      Background: Hypertension is one of the major causes of chronic diseases. The effect on high blood pressure (BP) with fetal growth restriction is now well-established. Recent studies suggest that a reduced number of nephrons programmed during the intrauterine period contribute to a subsequently elevated BP, due to a permanent nephron deficit. However, few studies have examined this in children. We investigated the effects of low birth weight (LBW) and preterm birth on the renal function markers related to a high BP in childhood.
      Methods: We used data from 304 children aged 7–12 years who participated in the 2014 Ewha Birth and Growth Cohort survey in Korea. We assessed the serum uric acid, cystatin C, blood urea nitrogen (BUN), creatinine levels, and the estimated glomerular filtration rate (eGFR) in childhood. Anthropometric characteristics, BP in childhood, birth weight and gestational age were collected.
      Results: The serum uric acid was significantly higher in LBW children (4.0 mg/dL) than in normal birth weight children (3.7 mg/dL). The cystatin C levels were highest among children who were very preterm (0.89 mg/dL) compared with those who were not (preterm, 0.84 mg/dL; normal, 0.81 mg/dL), although the result was only borderline significant (P for trend = 0.06). Decreased birth weight was found to be significantly associated with an increased serum BUN level in childhood. In the analysis of the effects of renal function on BP, subjects with an eGFR lower than the median value had a significantly higher diastolic BP in childhood (difference = 2.4 mmHg; P < 0.05).
      Conclusion: These findings suggest that LBW and preterm birth are risk factors for increased serum levels of renal function markers in childhood. Reduced eGFR levels were significantly associated with elevated diastolic BP in childhood. It is necessary to identify vulnerable individuals during their life and intervene appropriately to reduce the risk of an increased BP in the future.
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      Background: Hypertension is one of the major causes of chronic diseases. The effect on high blood pressure (BP) with fetal growth restriction is now well-established. Recent studies suggest that a reduced number of nephrons programmed during the intra...

      Background: Hypertension is one of the major causes of chronic diseases. The effect on high blood pressure (BP) with fetal growth restriction is now well-established. Recent studies suggest that a reduced number of nephrons programmed during the intrauterine period contribute to a subsequently elevated BP, due to a permanent nephron deficit. However, few studies have examined this in children. We investigated the effects of low birth weight (LBW) and preterm birth on the renal function markers related to a high BP in childhood.
      Methods: We used data from 304 children aged 7–12 years who participated in the 2014 Ewha Birth and Growth Cohort survey in Korea. We assessed the serum uric acid, cystatin C, blood urea nitrogen (BUN), creatinine levels, and the estimated glomerular filtration rate (eGFR) in childhood. Anthropometric characteristics, BP in childhood, birth weight and gestational age were collected.
      Results: The serum uric acid was significantly higher in LBW children (4.0 mg/dL) than in normal birth weight children (3.7 mg/dL). The cystatin C levels were highest among children who were very preterm (0.89 mg/dL) compared with those who were not (preterm, 0.84 mg/dL; normal, 0.81 mg/dL), although the result was only borderline significant (P for trend = 0.06). Decreased birth weight was found to be significantly associated with an increased serum BUN level in childhood. In the analysis of the effects of renal function on BP, subjects with an eGFR lower than the median value had a significantly higher diastolic BP in childhood (difference = 2.4 mmHg; P < 0.05).
      Conclusion: These findings suggest that LBW and preterm birth are risk factors for increased serum levels of renal function markers in childhood. Reduced eGFR levels were significantly associated with elevated diastolic BP in childhood. It is necessary to identify vulnerable individuals during their life and intervene appropriately to reduce the risk of an increased BP in the future.

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      참고문헌 (Reference)

      1 이종국, "한국 소아 청소년 정상 혈압 참고치" 대한소아청소년과학회 51 (51): 33-41, 2008

      2 Barker DJ, "Weight in infancy and death from ischaemic heart disease" 2 (2): 577-580, 1989

      3 Feig DI, "Uric acid and cardiovascular risk" 359 (359): 1811-1821, 2008

      4 Suh I, "Twelve-year tracking of blood pressure in Korean school children : the Kangwha Study" 40 (40): 383-387, 1999

      5 Chen X, "Tracking of blood pressure from childhood to adulthood : a systematic review and meta-regression analysis" 117 (117): 3171-3180, 2008

      6 Brenner BM, "The interrelationships among filtration surface area, blood pressure, and chronic renal disease" 19 (19): S1-S7, 1992

      7 Dressler GR, "The cellular basis of kidney development" 22 (22): 509-529, 2006

      8 Park B, "The association between fetal and postnatal growth status and serum levels of uric acid in children at 3 years of age" 22 (22): 403-408, 2009

      9 Rohani F, "The Prevalence of pre-hypertension in children with type 1 diabetes mellitus" 5 (5): S44-49, 2014

      10 Baum M, "Role of the kidney in the prenatal and early postnatal programming of hypertension" 298 (298): F235-F247, 2010

      1 이종국, "한국 소아 청소년 정상 혈압 참고치" 대한소아청소년과학회 51 (51): 33-41, 2008

      2 Barker DJ, "Weight in infancy and death from ischaemic heart disease" 2 (2): 577-580, 1989

      3 Feig DI, "Uric acid and cardiovascular risk" 359 (359): 1811-1821, 2008

      4 Suh I, "Twelve-year tracking of blood pressure in Korean school children : the Kangwha Study" 40 (40): 383-387, 1999

      5 Chen X, "Tracking of blood pressure from childhood to adulthood : a systematic review and meta-regression analysis" 117 (117): 3171-3180, 2008

      6 Brenner BM, "The interrelationships among filtration surface area, blood pressure, and chronic renal disease" 19 (19): S1-S7, 1992

      7 Dressler GR, "The cellular basis of kidney development" 22 (22): 509-529, 2006

      8 Park B, "The association between fetal and postnatal growth status and serum levels of uric acid in children at 3 years of age" 22 (22): 403-408, 2009

      9 Rohani F, "The Prevalence of pre-hypertension in children with type 1 diabetes mellitus" 5 (5): S44-49, 2014

      10 Baum M, "Role of the kidney in the prenatal and early postnatal programming of hypertension" 298 (298): F235-F247, 2010

      11 Bayazit AK, "Reno-vascular hypertension in childhood : a nationwide survey" 22 (22): 1327-1333, 2007

      12 Frankfurt JA, "Renal function and systolic blood pressure in very-low-birth-weight infants 1–3 years of age" 27 (27): 2285-2291, 2012

      13 Mañalich R, "Relationship between weight at birth and the number and size of renal glomeruli in humans : a histomorphometric study" 58 (58): 770-773, 2000

      14 Agarwal R, "Prevalence, treatment, and control of hypertension in chronic hemodialysis patients in the United States" 115 (115): 291-297, 2003

      15 Washburn LK, "Preterm birth is associated with higher uric acid levels in adolescents" 167 (167): 76-80, 2015

      16 Luyckx VA, "Preterm birth and its impact on renal health" 37 (37): 311-319, 2017

      17 Wlodek ME, "Normal lactational environment restores nephron endowment and prevents hypertension after placental restriction in the rat" 18 (18): 1688-1696, 2007

      18 Luyckx VA, "Low nephron number and its clinical consequences" 2 (2): e0061-, 2011

      19 Starzec K, "Longitudinal assessment of renal size and function in extremely low birth weight children at 7 and 11 years of age" 31 (31): 2119-2126, 2016

      20 Lee HA, "Long-term effects of the SLC2A9 G844A and SLC22A12 C246T variants on serum uric acid concentrations in children" 18 (18): 296-, 2018

      21 White SL, "Is low birth weight an antecedent of CKD in later life? A systematic review of observational studies" 54 (54): 248-261, 2009

      22 Feig DI, "Hypothesis : uric acid, nephron number, and the pathogenesis of essential hypertension" 66 (66): 281-287, 2004

      23 Rodríguez MM, "Histomorphometric analysis of postnatal glomerulogenesis in extremely preterm infants" 7 (7): 17-25, 2004

      24 Din-Dzietham R, "High blood pressure trends in children and adolescents in national surveys, 1963 to 2002" 116 (116): 1488-1496, 2007

      25 Wlodek ME, "Growth restriction before or after birth reduces nephron number and increases blood pressure in male rats" 74 (74): 187-195, 2008

      26 Brenner BM, "Glomeruli and blood pressure. Less of one, more the other?" 1 (1): 335-347, 1988

      27 Hughson M, "Glomerular number and size in autopsy kidneys : the relationship to birth weight" 63 (63): 2113-2122, 2003

      28 Forouzanfar MH, "Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm Hg, 1990–2015" 317 (317): 165-182, 2017

      29 Whelton PK, "Global burden of cardiovascular diseases : part I : general considerations, the epidemiologic transition, risk factors, and impact of urbanisation" 344 (344): 101-106, 1994

      30 Barker DJ, "Fetal and placental size and risk of hypertension in adult life" 301 (301): 259-262, 1990

      31 Franco MC, "Effects of low birth weight in 8-to 13-year-old children : implications in endothelial function and uric acid levels" 48 (48): 45-50, 2006

      32 Saxén L, "Early organogenesis of the kidney" 1 (1): 385-392, 1987

      33 Brenner BM, "Congenital oligonephropathy and the etiology of adult hypertension and progressive renal injury" 23 (23): 171-175, 1994

      34 Lauer RM, "Childhood predictors of future blood pressure" 18 (18): I74-I81, 1991

      35 Rosner B, "Childhood blood pressure trends and risk factors for high blood pressure : the NHANES experience 1988–2008" 62 (62): 247-254, 2013

      36 Roggero P, "Blood urea nitrogen concentrations in low-birth-weight preterm infants during parenteral and enteral nutrition" 51 (51): 213-215, 2010

      37 Bloomfield GS, "Blood pressure and chronic kidney disease progression in a multi-racial cohort : the Multi-Ethnic Study of Atherosclerosis" 27 (27): 421-426, 2013

      38 Park B, "Association between serum levels of uric acid and blood pressure tracking in childhood" 30 (30): 713-718, 2017

      39 Kwinta P, "Assessment of long-term renal complications in extremely low birth weight children" 26 (26): 1095-1103, 2011

      40 Hait HI, "A longitudinal study of blood pressure in a national survey of children" 72 (72): 1285-1287, 1982

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      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.48 0.37 1.06
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.85 0.75 0.691 0.11
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