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IS OBESITY ASSOCIATED WITH PROGRESSION OF STEROID-RESISTANT NEPHROTIC SYNDROME IN CHILDREN?

https://doi.org/10.24884/1561-6274-2017-21-2-56-61

Abstract

THE AIM: to study potential associations of obesity with progression of idiopathic steroid-resistant nephrotic syndrome (SRNS) in children. PATIENTS AND METHODS. We performed a retrospective one-center 15-years follow up study of SRNS course in 65 children divided into 2 groups: 1) with obesity (n=48); 2) with normal weight or overweight (n=17). RESULTS. In patients with SRNS and obesity we found no associations with clinical predictors of unfavorable outcome – arterial hypertension and proteinuria and also with glomerular filtration rate at recent hospitalization. Renal survival was comparable between SRNS patients with obesity and normal weight or overweight. CONCLUSION. Obesity does not have any impact on course and prognosis of SRNS in children and can not be considered as risk factor for the disease progression.

About the Authors

L. S. Prikhodina
Pirogov Russian National Research Medical University; Medical Continuous Postgraduate Education
Russian Federation

Prof. Larisa S. Prikhodina, MD, PhD. 

Division of Inherited and Acquired Kidney Diseases, Research Clinical Institute for Pediatrics n.a. acad. Y.E. Veltishev. 

125412 Moscow, Taldomskaya St., 2.



S. V. Papizh
Pirogov Russian National Research Medical University
Russian Federation

Svetlana V. Papizh, MD, PhD. 

Division of Inherited and Acquired Kidney Diseases, Research Clinical Institute for Pediatrics n.a. acad. Y.E. Veltishev. 

125412 Moscow, Taldomskaya St., 2.



M. V. Lebedenkova
Pirogov Russian National Research Medical University
Russian Federation

Marina V. Lebedenkova, MD. 

Division of Inherited and Acquired Kidney Diseases, Research Clinical Institute for Pediatrics n.a. acad. Y.E. Veltishev.

125412 Moscow, Taldomskaya St., 2.



E. S. Stolyarevich
Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs; Moscow University of Medicine and Dentistry; City Clinical Hospital №52 Department of Health in Moscow, Moscow City Nephrology Center
Russian Federation

Ekaterina S. Stolyarevich, MD, DMedSci. 

123182 Moscow, Shchukinskaya Str., d. 1



References

1. Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 2006;1:11–25

2. de Onis M, Blossner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr 2010;92:1257–1264

3. World Health Organ Tech Rep Ser. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. WHO 2000;894:1–253

4. Lobstein T, Baur L, Uauy R. IASO International Obesity Task-Force. Obesity in children and young people: a crisis in public health. Obes Rev 2004;5:4–104

5. Ejerblad E, Fored CM, Lindblad P et al. Obesity and risk for chronic renal failure. J Am Soc Nephrol 2006;17:1695–1702

6. Wang Y, Chen X, Klag MJ, Caballero B. Epidemic of childhood obesity: implications for kidney disease. Adv Chronic Kidney Dis 2006;13(4):336–351

7. Wang Y, Chen X, Song Y. et al. Association between obesity and kidney disease: a systematic review and meta-analysis. Kidney Int 2008;73(1):19–33

8. Weisinger JR, Kempson RL, Elridge L et al. The nephrotic syndrome: a complication of massive obesity. Ann Intern Med 1974;81(4):440–447

9. Cohen AH. Massive obesity and the kidney. A morphologic and statistical study. Am J Pathol 1975;81(1):117–130

10. Brenner BM. Nephron adaptation to renal injury or ablation. Am J Physiol 1985; 249: 324–337

11. Hedley A, Ogden CL, Johnson CL et al. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA 2004;291:2847–2850

12. Kambham N, Markowitz GS, Valeri AM et al. Obesityrelated glomerulopathy: an emerging epidemic. Kidney Int 2001; 59:1498–1509

13. Praga M, Morales E. The Fatty Kidney: Obesity and Renal Disease. Nephron 2016 Jul 15.doi:10.1159/000447674. [Epub ahead of print]

14. Darouich S, Goucha R, Jaafoura MH et al. Clinicopathological Characteristics of Obesity-associated Focal Segmental Glomerulosclerosis. J Ultrastr Pathol 2011;35:176-182

15. Ahmed MH, Khalil AA. Obesity-related glomerulopathy: another nail in the coffin of the epidemic of end-stage renal disease. J Clin Pathol 2007; 60: 582. doi:10.1136/jcp.2006.040410

16. Tomaszewski M, Charchar FJ, Maric C et al. Glomerular hyperfiltration: a marker of metabolic risk. Kidney Int 2007;71:816–821

17. Praga M, Hernandez E, Morales E et al. Clinical features and long-term outcome of obesity-associated focal segmental glomerulosclerosis. Nephrol Dial Transplant 2001; 16:1790–1798

18. Tsuboi N, Koike K, Hirano K et al. Clinical features and long-term renal outcomes of Japanese patients with obesityrelated glomerulopathy. Clin Exp Nephrol 2013;17: 379–385

19. Kidney Disease: Improving Global Outcomes (KDIGO) Glomerulonephritis Work Group (2012) KDIGO Clinical Practice Guideline for Glomerulonephritis. Kidney Int 2012; Suppl 2:139274

20. Schwartz GJ, Brion LP, Spitzer A. The use of plasma creatinine concentration in for estimating glomerular filtration rate in infants, children and adolescents. Pediatr Clin North Am 1987; 34: 571–590

21. National Kidney Foundation Kidney Disease Outcomes Quality Initiatives. K/DOQI Clinical Practice Guidelines for Chronic Kidney Disease Evaluation Classification Stratification. Am J Kidney Dis 2002; 39: 1-266

22. Center for Disease Control and Prevention: CDC Growth Charts: U.S. http://www.cdc.gov/nchs/about/major/nhanes/ growthcharts/background.htm (2008)

23. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents: The Fourth Report on the Diagnosis, Evaluation and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics 2004; 114; 555-576

24. Lurbe E,Cifkova R, Cruickshank JK et al. Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension. Journal of Hypertension 2009; 27: 1719–1742

25. Ehrich JHH, Geerlings C, Zivicnjak M. et al. Steroidresistant idiopathic childhood nephrosis: overdiagnosed and undertreated. Nephrol Dial Transplant 2007; 22:2183-2193

26. Abeyagunawardena AS, Sebire NJ, Risdon RA et al. Predictors of long-term outcome of children with focal segmental glomerulosclerosis. Pediatr Nephrol 2007; 22: 215-221

27. Abrantes MM, Cardosa LSP, Lima EM et al. Clinical course of 110 children and adolescents with primary focal segmental glomerulosclerosis. Pediatr Nephrol 2006; 21: 482-489


Review

For citations:


Prikhodina L.S., Papizh S.V., Lebedenkova M.V., Stolyarevich E.S. IS OBESITY ASSOCIATED WITH PROGRESSION OF STEROID-RESISTANT NEPHROTIC SYNDROME IN CHILDREN? Nephrology (Saint-Petersburg). 2017;21(2):56-61. (In Russ.) https://doi.org/10.24884/1561-6274-2017-21-2-56-61

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ISSN 1561-6274 (Print)
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