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Published on: July 3, 2013
Low birth weight is associated with chronic kidney disease only in men
1Chronic Disease Research Group, Minneapolis Medical Research Foundation, Minneapolis, Minnesota, USA.
Insights
Low birth weight is linked to chronic kidney disease in men, but not women. Further research is needed to understand and prevent this association for better public health outcomes.
Area of Science:
- Nephrology
- Public Health
- Epidemiology
Background:
- Low birth weight is a potential risk factor for adult health issues.
- Chronic kidney disease (CKD) affects a significant portion of the adult population.
- Early identification of CKD risk factors is crucial for public health interventions.
Purpose of the Study:
- To investigate the association between low birth weight and chronic kidney disease.
- To determine if this association differs between men and women.
- To explore potential public health implications of low birth weight on kidney health.
Main Methods:
- Utilized data from the National Kidney Foundation's Kidney Early Evaluation Program.
- Included 12,364 adult participants (aged 18+) with diabetes, hypertension, or family history of these conditions.
- Defined low birth weight (<2500 g) and CKD (eGFR <60 ml/min/1.73 m² or ACR ≥30 mg/g).
Main Results:
- 15% of participants reported low birth weight.
- A significant association between low birth weight and CKD was observed in men after adjustments.
- No significant association was found between low birth weight and CKD in women.
- No significant interaction between birth weight and race was identified for either gender.
Conclusions:
- Low birth weight is a significant risk factor for chronic kidney disease in men.
- The association between low birth weight and CKD requires further investigation into its underlying mechanisms.
- Understanding and addressing this link may lead to new prevention strategies for kidney disease.
Abstract:
The association of low birth weight and chronic kidney disease was examined in a screened volunteer population by the National Kidney Foundation's Kidney Early Evaluation Program. This is a free, community-based health program enrolling individuals aged 18 years or older with diabetes, hypertension, or a family history of kidney disease, diabetes, or hypertension. Self-reported birth weight was categorized and chronic kidney disease defined as an estimated glomerular filtration rate less than 60 ml per min per 1.73 m(2) or a urine albumin/creatinine ratio >or=30 mg/g. Among 12 364 participants, 15% reported a birth weight less than 2500 g. In men, significant corresponding odds ratios were found after adjustment for demographic characteristics and health conditions to this low birth weight and chronic kidney disease, but there was no association among women. There was no significant interaction between birth weight and race for either gender. Efforts to clinically understand the etiology of this association and potential means of prevention are essential to improving public health.
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