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儿童肥胖症会影响以后的慢性肾脏病吗?

Can childhood obesity influence later chronic kidney disease?

机构信息

Department of Paediatrics, Gloucestershire Royal Hospital, Gloucester, GL1 3NN, UK.

Department of Medical Statistics, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.

出版信息

Pediatr Nephrol. 2019 Dec;34(12):2457-2477. doi: 10.1007/s00467-018-4108-y. Epub 2018 Nov 10.

Abstract

Childhood overweight and obesity affects more and more children. Whilst associations of childhood overweight with later outcomes such as hypertension, diabetes and cardiovascular disease have been well documented, less is known about the association of childhood overweight and obesity with kidney disease. We review the existing evidence for the association of childhood obesity with markers of childhood and adult kidney disease. Whilst there is some evidence for an association, studies have not been able to distinguish between childhood being a sensitive time to develop later kidney problems, or whether observed associations of childhood obesity with poor outcomes are driven by greater lifelong exposure to obesity.

摘要

儿童超重和肥胖影响越来越多的儿童。虽然儿童超重与高血压、糖尿病和心血管疾病等后期结果的关联已得到充分记录,但儿童超重和肥胖与肾脏疾病的关联知之甚少。我们回顾了现有的证据,证明儿童肥胖与儿童和成人肾脏疾病的标志物有关。虽然有一些证据表明存在关联,但这些研究还无法区分儿童时期是一个容易出现后期肾脏问题的敏感时期,还是儿童肥胖与不良结果之间的观察到的关联是由长期暴露于肥胖所驱动。

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