Relationship of renal size, body size, and blood pressure in children
| Autor: | J. K. Plummer, Craig W. Belsha, Robert E. Lynch, Ellen Wood, George F. Steinhardt, Pascale H. Lane |
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| Rok vydání: | 1998 |
| Předmět: |
Male
Nephrology medicine.medical_specialty Adolescent Population Blood Pressure Kidney Essential hypertension Body Mass Index Internal medicine medicine Humans Child education education.field_of_study business.industry Body Weight Infant Nephrons medicine.disease Obesity Blood pressure medicine.anatomical_structure Endocrinology Child Preschool Pediatrics Perinatology and Child Health Regression Analysis Population study Female Kidney Diseases business Body mass index |
| Zdroj: | Pediatric Nephrology. 12:35-39 |
| ISSN: | 1432-198X 0931-041X |
| DOI: | 10.1007/s004670050399 |
| Popis: | Somatometric parameters, renal size, and systolic blood pressure (SBP) were studied in 406 patients referred to pediatric nephrology and urology clinics. These patients included 269 females (66%), 67 African Americans (17%), and 87 patients with essential hypertension (21%). Z scores for the study population were comparable to published standards for height, kidney length, and SBP. Weight and body mass index scores were significantly greater than predicted from the standards, especially in the subset of patients with essential hypertension. Age, height, weight, body mass index, kidney length, and SBP all correlated with one another; however, on multiple regression analysis of SBP with the other five independent variables, only weight proved to have a significant correlation. Furthermore, the relationship of kidney length with SBP was positive and hypertensive patients had greater kidney size than published standards. These data do not support reduced kidney size in the population with essential hypertension, nor is there support for a convincing correlation between kidney length and SBP in the general pediatric population. Body weight correlates best with blood pressure. These findings warrant further study in a less-select population. Prevention and treatment of obesity may thus be of prime importance in addressing hypertension in children. |
| Databáze: | OpenAIRE |
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