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Published on: May 22, 2019
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.
Background:
High protein intake has been linked to kidney growth and function. Whether protein intake is related to kidney outcomes in healthy children is unclear.
Methods:
We examined the associations between protein intake in infancy and kidney outcomes at age 6 years in 2968 children participating in a population-based cohort study. Protein intake at 1 year was assessed using a food-frequency questionnaire and was adjusted for energy intake. At age 6 years we measured the kidney volume and urinary albumin/creatinine ratio (ACR) of all participating children, and we estimated glomerular filtration rate (eGFR) using serum creatinine and cystatin C levels.
Results:
In models adjusted for age, sex, body surface area, and sociodemographic factors, a higher protein intake was associated with a lower ACR and a higher eGFR but was not consistently associated with kidney volume. However, after further adjustment for additional dietary and lifestyle factors, such as sodium intake, diet quality, and television watching, higher protein intake was no longer associated with kidney function. No differences in associations were observed between animal and vegetable protein intake.
Conclusions:
Our findings show that protein intake in early childhood is not independently associated with kidney size or function at the age of 6 years. Further study is needed on other early life predictors of kidney size and function in later life.
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