Evaluation of the body mass index (BMI) in children born to organ transplant recipients
| Autor: | Joanna Schreiber-Zamora, Natalia Czaplinska, Monika Szpotanska-Sikorska, Agnieszka Drozdowska-Szymczak, Bozena Kociszewska-Najman, Bronisława Pietrzak, Miroslaw Wielgos |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Pediatric Obesity medicine.medical_treatment 030209 endocrinology & metabolism Overweight Liver transplantation 030226 pharmacology & pharmacy Organ transplantation Tacrolimus Body Mass Index 03 medical and health sciences Health problems 0302 clinical medicine Pregnancy medicine Prevalence Humans Kidney transplantation business.industry Obstetrics and Gynecology Infant medicine.disease Obesity Kidney Transplantation Liver Transplantation Transplantation Case-Control Studies Child Preschool Prenatal Exposure Delayed Effects Pediatrics Perinatology and Child Health Female Poland medicine.symptom business Body mass index Immunosuppressive Agents |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 32(15) |
| ISSN: | 1476-4954 |
| Popis: | Overweight and obesity are one of the most serious clinical health problems. Until now, the long-term development of children born to mothers after transplantation is unknown. In this study, we attempted to present the analysis of the prevalence of overweight in the population of mothers after kidney or liver transplants.A comparison of body mass index (BMI) measurements performed in 61 children of kidney transplant women (study group) and 64 children born to healthy mothers (control group). The children from both groups were born at a similar gestational age and in the similar time period from 12/1996 to 11/2010. BMI was measured once on one of the follow-up visits in the time period from 07/2010 to 11/2013. BMI was assessed in infants older than one month as well as in toddlers or children in the preschool or school age. The results obtained in the study group of children born to transplanted mothers were compared with control group results and with the theoretical population data.There were no differences in the incidence of underweight and overweight, when BMI values of children born to transplanted mothers were compared to those of children of healthy mothers. There was a trend towards a greater incidence of obesity in children of studied group compared to controls (16 versus 6%, p = .072). Among analysed factors, it was noted that prenatal exposure to tacrolimus was associated with a 2.8-fold increased risk of developing a higher BMI in later follow-up.Obesity among children of mothers after kidney or liver transplants seems to be more frequently observed. This observation may be an important factor in the further paediatric care, especially in children born to transplanted mothers treated chronically with tacrolimus. |
| Databáze: | OpenAIRE |
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