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2016 ; 17
(8
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The Impact of Nonalcoholic Fatty Liver Disease on Renal Function in Children with
Overweight/Obesity
#MMPMID27472326
Pacifico L
; Bonci E
; Andreoli GM
; Di Martino M
; Gallozzi A
; De Luca E
; Chiesa C
Int J Mol Sci
2016[Jul]; 17
(8
): ä PMID27472326
show ga
The association between nonalcoholic fatty liver disease (NAFLD) and chronic
kidney disease has attracted interest and attention over recent years. However,
no data are available in children. We determined whether children with NAFLD show
signs of renal functional alterations, as determined by estimated glomerular
filtration rate (eGFR) and urinary albumin excretion. We studied 596 children
with overweight/obesity, 268 with NAFLD (hepatic fat fraction ?5% on magnetic
resonance imaging) and 328 without NAFLD, and 130 healthy normal-weight controls.
Decreased GFR was defined as eGFR < 90 mL/min/1.73 m². Abnormal albuminuria was
defined as urinary excretion of ?30 mg/24 h of albumin. A greater prevalence of
eGFR < 90 mL/min/1.73 m² was observed in patients with NAFLD compared to those
without liver involvement and healthy subjects (17.5% vs. 6.7% vs. 0.77%; p <
0.0001). The proportion of children with abnormal albuminuria was also higher in
the NAFLD group compared to those without NAFLD, and controls (9.3% vs. 4.0% vs.
0; p < 0.0001). Multivariate logistic regression analysis revealed that NAFLD was
associated with decreased eGFR and/or microalbuminuria (odds ratio, 2.54
(confidence interval, 1.16-5.57); p < 0.05) independently of anthropometric and
clinical variables. Children with NAFLD are at risk for early renal dysfunction.
Recognition of this abnormality in the young may help to prevent the ongoing
development of the disease.