Congenital retardation of renal development may increase the risk of renal disease, and this risk may be enhanced by diseases, such as diabetes, that damage the kidney.
In this study, the prevalence of urinary albumin excretion, determined in 308 Pima Indians with type 2 diabetes, was 63% in subjects with low birth weight (<2,500 g), 41% in those with normal birth weight (2,500-4,499 g), and 64% in those with high birth weight (>=4,500 g).
When examined as a continuous variable by generalized additive logistic regression, birth weight had a U-shaped association with the prevalence of elevated urinary albuminuria (p=0.04) after adjustment for age, sex, duration of diabetes, glycosylated hemoglobin, and blood pressure.
The odds of elevated albuminuria in subjects of low birth weight was 2.3 times (95% confidence interval 0.72-7.2) that in subjects of normal birth weight, and the odds in subjects of high birth weight was 3.2 times (95% confidence interval 0.75-13.4) as high.
Sixty-four percent of the subjects with high birth weight and none of those with low birth weight were offspring of diabetic mothers.
After maternal diabetes during pregnancy was controlled for, the odds of elevated albuminuria in subjects of high birth weight was no longer higher (odds ratio=1.0,95% confidence interval 0.22-4.9). (...)
Mots-clés Pascal : Diabète, Mère, Gestation, Néphropathie, Poids naissance, Epidémiologie, Facteur risque, Méthodologie, Nouveau né, Homme, Etats Unis, Amérique du Nord, Amérique, Indien, Endocrinopathie, Appareil urinaire pathologie, Rein pathologie, Nouveau né pathologie, Gestation pathologie
Mots-clés Pascal anglais : Diabetes mellitus, Mother, Pregnancy, Nephropathy, Birth weight, Epidemiology, Risk factor, Methodology, Newborn, Human, United States, North America, America, Indian, Endocrinopathy, Urinary system disease, Kidney disease, Newborn diseases, Pregnancy disorders
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0510618
Code Inist : 002B20F02. Création : 23/03/1999.