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Published on: May 22, 2019
Effect of Protein Intake Early in Life on Kidney Volume and Blood Pressure at 11 Years of Age
Ester Parada-Ricart1,2, Natalia Ferre1, Veronica Luque1
1Paediatric Nutrition and Human Development Research Unit, Universitat Rovira i Virgili, IISPV, 43201 Reus, Spain.
Insights
High protein intake in infancy may lead to larger kidney volume and elevated systolic blood pressure in childhood. This study investigated the long-term effects of early protein nutrition on kidney development and blood pressure.
Area of Science:
- Pediatric Nephrology
- Nutritional Science
- Developmental Biology
Background:
- High protein intake is linked to kidney hypertrophy, potentially causing lasting effects if initiated early in life.
- Early life nutrition plays a critical role in programming long-term health outcomes, including organ development and cardiovascular health.
Purpose of the Study:
- To determine if higher protein consumption in infancy persistently impacts kidney volume at 11 years of age.
- To assess the influence of early high protein intake on blood pressure levels in later childhood.
Main Methods:
- Secondary analysis of a randomized controlled trial comparing high-protein formula, low-protein formula, and breastfed infants.
- Renal ultrasound and anthropometric measurements at 6 months and 11 years; blood pressure and urinary analysis at 11 years in 232 children.
Main Results:
- Infants fed higher-protein formula exhibited larger kidney volume (p=0.048) and higher systolic blood pressure (p=0.011) at 11 years.
- No significant differences in microalbuminuria were observed among the feeding groups (p=0.56).
Conclusions:
- Increased protein ingestion in early life may permanently influence kidney size and blood pressure during childhood.
- Early nutritional programming via protein intake has implications for long-term kidney health and cardiovascular risk.
Abstract:
High protein intake has been associated with kidney hypertrophy, which is usually reversible; however, when it occurs early in life, it could lead to cell programming with a long-lasting effect. This study aimed to assess whether higher protein ingestion early in life has a persistent effect on kidney volume at 11 years of age, as well as its influence on blood pressure. This is a secondary analysis of a randomized control trial that compared the growth of infants fed with a higher-protein formula versus those fed with a lower-protein formula, with a control group of breastfed infants. Renal ultrasound and anthropometric measurements were assessed at 6 months and 11 years of age. At 11 years, urinary protein, albumin and creatinine, and blood pressure were measured in 232 children. Feeding with a higher-protein formula was associated with a larger kidney volume (β = 8.71, 95%CI 0.09-17.33, p = 0.048) and higher systolic blood pressure (β = 3.43, 95%CI 0.78-6.08, p = 0.011) at 11 years of age. Microalbuminuria was detected in 7% of the patients, with no differences among groups (p = 0.56). The effect of increased protein ingestion early in life may condition kidney volume and blood pressure in later childhood.
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