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Updated: Apr 30, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Relationship between serum creatinine and obesity in children in Xinjiang, China
1Department of Coronary Artery Disease, Heart Center, First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Insights
Obesity is linked to higher serum creatinine levels in children over 10 years old in Xinjiang, China. Maintaining a healthy weight is crucial for protecting kidney function in this age group.
Area of Science:
- Pediatrics
- Nephrology
- Public Health
Background:
- Serum creatinine levels are important indicators of kidney function.
- Childhood obesity rates are rising globally, necessitating studies on associated health risks.
- Understanding the relationship between body mass index and serum creatinine in children is vital for early detection of renal issues.
Purpose of the Study:
- To investigate the association between serum creatinine and body mass index (BMI) in a pediatric population in Xinjiang, China.
- To determine if obesity is an independent risk factor for elevated serum creatinine in children.
- To provide evidence for weight management strategies aimed at preserving renal health in children.
Main Methods:
- A stratified sampling method was employed to recruit 5222 children aged 6-17 years from three regions in Xinjiang.
- Serum creatinine levels were measured using an enzymatic method.
- Statistical analyses, including correlation and multivariate regression, were performed to assess the relationship between serum creatinine and BMI, adjusting for potential confounders.
Main Results:
- Serum creatinine levels increased with age across different pediatric groups.
- A significant positive correlation was observed between serum creatinine and BMI in children older than 10 years (r values ranging from 0.016 to 0.380, P < 0.05).
- Multivariate regression analysis confirmed that obesity is an independent risk factor for elevated serum creatinine in children over 10 years old (β values ranging from 0.041 to 0.171, P < 0.05).
Conclusions:
- Obesity is identified as an independent risk factor for increased serum creatinine levels in children aged 10 years and older.
- Weight control and management are essential for the protection of renal function in children, particularly those who are overweight or obese.
- These findings highlight the importance of monitoring BMI and renal health indicators in pediatric populations to prevent long-term kidney complications.
Abstract:
This study was designed to analyze the relationship between serum creatinine and body mass index in children in Xinjiang, China. We used a stratified sampling method to select 5222 children aged 6-17 years in 3 areas in Xinjiang and then measured serum creatinine with an enzymatic method. Our analysis showed that the mean serum creatinine of the various age groups differed, and the reference value increased gradually with age. In the groups with subjects older than 10 years, the serum creatinine values had a positive correlation with body mass index (r = 0.016, 10- and 11-year-olds; r = 0.177, 12- and 13-year-olds; r = 0.314, 14- and 15-year-olds; r = 0.380, 16- and 17-year-olds; P < 0.05). In the multivariate regression analysis model, the positive relationship existed even after we removed influencing factors such as blood sugar and cholesterol (β = 0.041, 10- and 11-year-olds; β = 0.081, 12- and 13-year-olds; β = 0.183, 14- and 15-year-olds; β = 0.171, 16- and 17-year-olds; P < 0.05). Obesity is an independent risk factor associated with increasing serum creatinine levels in children aged more than 10 years. Weight control is important in the protection of renal function.
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