Protein intake in infancy and kidney size and function at the age of 6 years: The Generation R Study

Trudy Voortman1, Hanneke Bakker, Sanaz Sedaghat

  • 1The Generation R Study Group, Erasmus MC, University Medical Center, Rotterdam, The Netherlands, trudy.voortman@erasmusmc.nl.

Insights

Early childhood protein intake does not independently affect kidney size or function by age 6. Further research is needed to identify other early life factors influencing long-term kidney health.

Area of Science:

  • Pediatric Nephrology
  • Nutritional Science
  • Developmental Pediatrics

Background:

  • High protein intake is associated with kidney growth and function.
  • The relationship between protein intake and kidney outcomes in healthy children remains unclear.

Purpose of the Study:

  • To investigate the association between infant protein intake and kidney outcomes at age 6.
  • To determine if early life protein consumption impacts kidney size, function, or albuminuria in children.

Main Methods:

  • A population-based cohort study of 2968 children.
  • Protein intake assessed at 1 year via food-frequency questionnaire, adjusted for energy.
  • Kidney volume, urinary albumin/creatinine ratio (ACR), and estimated glomerular filtration rate (eGFR) measured at age 6.

Main Results:

  • Initially, higher protein intake correlated with lower ACR and higher eGFR.
  • These associations disappeared after adjusting for dietary and lifestyle factors (sodium, diet quality, TV watching).
  • No consistent association was found between protein intake and kidney volume; no differences between animal and vegetable protein.

Conclusions:

  • Infant protein intake is not independently linked to kidney size or function at age 6.
  • Other early-life factors may be more critical predictors of later kidney health.
  • Further research is warranted to explore these alternative predictors.
Abstract

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