Effect of fetal and child health on kidney development and long-term risk of hypertension and kidney disease

被引:416
作者
Luyckx, Valerie A. [1 ]
Bertram, John F. [2 ]
Brenner, Barry M. [3 ]
Fall, Caroline [4 ]
Hoy, Wendy E. [5 ]
Ozanne, Susan E. [6 ]
Vikse, Bjorn E. [7 ,8 ]
机构
[1] Univ Alberta, Div Nephrol, Edmonton, AB T6G 2S2, Canada
[2] Monash Univ, Dept Anat & Dev Biol, Melbourne, Vic 3004, Australia
[3] Harvard Univ, Brigham & Womens Hosp, Sch Med, Boston, MA 02115 USA
[4] Southampton Gen Hosp, MRC Lifecourse Epidemiol Unit, Southampton SO9 4XY, Hants, England
[5] Univ Queensland, Sch Med, Ctr Chron Dis, Brisbane, Qld, Australia
[6] Univ Cambridge, Metab Res Labs, Inst Metab Sci, Cambridge, England
[7] Univ Bergen, Inst Med, Bergen, Norway
[8] Haukeland Hosp, Dept Med, N-5021 Bergen, Norway
基金
英国医学研究理事会;
关键词
LOW-BIRTH-WEIGHT; IMPAIRED GLUCOSE-TOLERANCE; BLOOD-PRESSURE; NEPHRON NUMBER; PRETERM BIRTH; GLOMERULAR NUMBER; RENAL-FUNCTION; SENSITIVE HYPERTENSION; GROWTH RESTRICTION; SALT SENSITIVITY;
D O I
10.1016/S0140-6736(13)60311-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Developmental programming of non-communicable diseases is now an established paradigm. With respect to hypertension and chronic kidney disease, adverse events experienced in utero can aff ect development of the fetal kidney and reduce fi nal nephron number. Low birthweight and prematurity are the most consistent clinical surrogates for a low nephron number and are associated with increased risk of hypertension, proteinuria, and kidney disease in later life. Rapid weight gain in childhood or adolescence further compounds these risks. Low birthweight, prematurity, and rapid childhood weight gain should alert clinicians to an individual's lifelong risk of hypertension and kidney disease, prompting education to minimise additional risk factors and ensuring follow-up. Birthweight and prematurity are aff ected substantially by maternal nutrition and health during pregnancy. Optimisation of maternal health and early childhood nutrition could, therefore, attenuate this programming cycle and reduce the global burden of hypertension and kidney disease in the future.
引用
收藏
页码:273 / 283
页数:11
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