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子宫内生命到成年期:慢性肾脏病的一个潜在危险因素。

Intrauterine life to adulthood: a potential risk factor for chronic kidney disease.

机构信息

Department of Medicine, Division of Nephrology, Koc University School of Medicine, Istanbul, Turkey.

Department of Medicine, Koc University School of Medicine, Istanbul, Turkey.

出版信息

Nephrol Dial Transplant. 2023 Nov 30;38(12):2675-2684. doi: 10.1093/ndt/gfad134.

Abstract

Multiple risk factors for chronic kidney disease (CKD), one of the major causes of morbidity and mortality in the adult population globally, have been identified, including older age, male gender, family history, smoking, diabetes mellitus, hypertension, ischaemic heart diseases and various medications. Preterm delivery, affecting >10% of the newborns in the USA, is a global concern with increasing incidence in recent decades. Preterm birth has been linked to multiple medical comorbidities such as diabetes mellitus, hypertension and cardiovascular diseases, while its association with CKD has recently been investigated. Prematurity and intrauterine growth restriction (IUGR) have been associated with an increased risk for CKD, specific histopathological examination findings and CKD-associated risk factors such as diabetes mellitus, hypertension and dyslipidaemia. In this narrative review, our aim is to evaluate and summarize the association between the risk for CKD and prematurity, low birthweight and IUGR along with potential underlying pathophysiological mechanisms.

摘要

多种慢性肾脏病(CKD)的风险因素已被确定,包括年龄较大、男性、家族史、吸烟、糖尿病、高血压、缺血性心脏病和各种药物。早产是一个全球性的问题,影响了美国超过 10%的新生儿,近几十年来发病率一直在上升。早产与多种合并症有关,如糖尿病、高血压和心血管疾病,而其与 CKD 的关系最近也得到了研究。早产和宫内生长受限(IUGR)与 CKD 的风险增加、特定的组织病理学检查结果以及 CKD 相关的风险因素(如糖尿病、高血压和血脂异常)有关。在这篇叙述性综述中,我们的目的是评估和总结 CKD 风险与早产、低出生体重和 IUGR 之间的关联,以及潜在的潜在病理生理机制。

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