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Plasma renin activity in oedematous and marasmic children with protein energy malnutrition
Insights
Plasma renin activity was significantly elevated in children suffering from kwashiorkor and marasmus, indicating a potential link to cardiovascular changes in severe malnutrition. This finding is crucial for understanding the physiological responses to malnutrition.
Area of Science:
- Pediatric Nutrition
- Endocrinology
- Cardiovascular Physiology
Background:
- Kwashiorkor and marasmus are severe forms of malnutrition.
- Renin-angiotensin-aldosterone system plays a role in cardiovascular regulation.
- Understanding physiological changes in malnutrition is critical.
Purpose of the Study:
- To measure plasma renin activity in children with kwashiorkor and marasmus.
- To compare renin activity between malnourished children and healthy controls.
- To investigate the relationship between renin activity and clinical outcomes.
Main Methods:
- Bio-assay was used to measure plasma renin activity.
- Study included 52 children with kwashiorkor, 28 with marasmus, and 21 healthy children.
- Comparison of plasma renin activity between groups and outcomes.
Main Results:
- Plasma renin activity was significantly increased in children with kwashiorkor and marasmus compared to healthy children.
- Elevated renin activity was observed in non-survivors compared to survivors.
- No direct correlation was found between renin activity and edema severity in kwashiorkor.
Conclusions:
- Increased plasma renin activity is associated with severe malnutrition (kwashiorkor and marasmus).
- Elevated renin activity may reflect terminal cardiovascular dysfunction in malnourished children.
- Further research is needed to elucidate the precise role of renin in malnutrition.
Abstract:
Plasma renin activity was measured by bio-assay in 52 children with kwashiorkor, in 28 with marasmus and in 21 healthy children. Plasma renin activity was significantly increased in children with kwashiorkor and marasmus, compared with healthy children, and in children who died, compared with survivors. No strict causal relationship could be found between plasma renin activity and the degree of oedema in kwashiorkor. Increased renin activity probably results from a terminal change in cardiovascular function.
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