Blood pressure and kidney function in neonates and young infants with intrauterine growth restriction View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-09-02

AUTHORS

Katharina Monika Heuchel, Fabian Ebach, Ebru Aileen Alsat, Heiko Reutter, Andreas Mueller, Alina Christine Hilger

ABSTRACT

BackgroundIntrauterine growth restriction (IUGR) has been associated with changes in kidney anatomy, nephrogenesis and the vascular system, resulting in secondary arterial hypertension and kidney damage in adulthood. Here, we compare routine clinical and metabolic parameters between IUGR and non-IUGR study participants in the neonatal and early infant period.MethodsA total of 39 IUGR and 60 non-IUGR neonates were included during an 18-month study period. We compared blood pressure, serum creatinine (SCr), urea nitrogen (BUN), urinary albumin, α-1-microglobulin, transferrin, immunoglobulin G and total protein excretion in spontaneous urine normalized by urine creatinine level during the hospital stay.ResultsThere were no significant differences in mean values of blood pressure and urinary protein excretion between cases and controls. SCr and BUN levels were lower in the IUGR group compared to the non-IUGR group.ConclusionsThe lower levels of SCr and BUN may be attributed to lower liver and muscle mass in IUGR neonates and young infants. Biomarkers currently used in routine clinical care do not allow early postnatal prediction of higher blood pressure or worse kidney function due to IUGR, so further studies are needed.Graphical abstractA higher resolution version of the Graphical abstract is available as Supplementary information. More... »

PAGES

1-10

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00467-022-05713-z

DOI

http://dx.doi.org/10.1007/s00467-022-05713-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1150701298

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/36053356


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210 schema:name Department of Neonatology and Pediatric Intensive Care, University Hospital Bonn, Bonn, Germany
211 Department of Pediatrics and Adolescent Medicine, Friedrich-Alexander University Nürnberg-Erlangen, Erlangen, Germany
212 Research Center On Rare Kidney Diseases (RECORD), University Hospital Erlangen, Erlangen, Germany
213 rdf:type schema:Organization
214 grid-institutes:grid.5330.5 schema:alternateName Division of Neonatology and Pediatric Intensive Care, Department of Pediatrics and Adolescent Medicine, Friedrich-Alexander University Nürnberg-Erlangen, Erlangen, Germany
215 schema:name Department of Neonatology and Pediatric Intensive Care, University Hospital Bonn, Bonn, Germany
216 Division of Neonatology and Pediatric Intensive Care, Department of Pediatrics and Adolescent Medicine, Friedrich-Alexander University Nürnberg-Erlangen, Erlangen, Germany
217 rdf:type schema:Organization
 




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