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.

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