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Updated: Dec 29, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The relationship between body mass index and renal length in obese children
Gönül Parmaksız1, Şenay Demir Kekeç2, Nurcan Dinler Cengiz3
1Faculty of Medicine Seyhan, Adana Dr. Turgut Noyan Training and Research Center, Department of Pediatric Nephrology, Başkent University, Adana, Turkey. gonulped1@hotmail.com.
Insights
Pediatric obesity is a growing concern. This study found a significant relationship between body mass index (BMI) and kidney size in children, developing nomograms to aid in evaluating renal length in obese youth.
Area of Science:
- Pediatric Nephrology
- Medical Imaging
- Public Health
Background:
- Pediatric obesity is a significant public health issue linked to numerous comorbidities.
- Renal length is a crucial parameter for diagnosing and monitoring kidney diseases.
- Understanding renal size in relation to body mass is vital for pediatric health assessments.
Purpose of the Study:
- To investigate the correlation between ultrasonographically measured renal length and body mass index (BMI) in obese children.
- To establish nomograms for renal length based on BMI in the pediatric population.
- To provide a tool for better evaluation of renal size in overweight and obese children.
Main Methods:
- Renal ultrasound performed on 368 children without renal disease.
- Children categorized into normal weight, overweight, and obese groups based on BMI percentiles.
- Analysis of age, gender, weight, height, and renal length (right and left) in relation to BMI.
Main Results:
- Significant differences in weight, height, BMI, and renal length were observed across the BMI groups (p=0.001).
- Renal length showed significant correlations with BMI, age, and height.
- Developed nomograms for renal length in obese children using multiple regression analysis (R²=0.32, p=0.0001).
Conclusions:
- Ultrasonographic renal length measurement correlated with BMI in children.
- Nomograms can assist in evaluating renal size, particularly in obese children where smaller kidneys might be missed.
- This method provides an additional tool for assessing renal dimensions in pediatric obesity.
Background:
Obesity in the pediatric population is a severe public health problem and is associated with various comorbidities. Renal length is an important clinical parameter for the diagnosis and follow-up of renal diseases. The aim of this study was to determine the relationship between renal length (measured ultrasonographically) and body mass index (BMI) in obese children, and to develop nomograms for renal length according to BMI.
Methods:
Renal ultrasound was performed in 368 children without renal disease. Each child's age, gender, weight, height, and BMI (kg/m2) were recorded. The children were divided into three groups according to BMI percentiles: obese group: BMI ≥ 95th percentile; overweight group: BMI 85th-94th percentile; normal weight group: BMI 5th-84th percentile.
Results:
Weight, height, BMI, and right and left renal length differed significantly between the three groups (p = 0.001). There were significant correlations between renal length with age, weight, height, and BMI. Measurement of renal length was independently associated with BMI, age, and height. BMI was used to create renal length nomograms for obese children, based on multiple regression analysis (R2 = 0.32 and p = 0.0001). Mean renal length was highest in the obese group (96.9 ± 13.4 mm) and lowest in the normal weight group (88.3 ± 12.9 mm).
Conclusions:
Ultrasonographic measurement of the renal length according to BMI in children can be a useful method in evaluating these children. Smaller-than-normal kidneys can easily remain undiagnosed in obese and overweight children and this nomogram offers an additional method to evaluate the renal size in obese children.
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