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10.3389/fped.2016.00122

http://scihub22266oqcxt.onion/10.3389/fped.2016.00122
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C5110572!5110572!27900314
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suck abstract from ncbi


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pmid27900314      Front+Pediatr 2016 ; 4 (ä): ä
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  • Renal and Cardiovascular Morbidities Associated with APOL1 Status among African-American and Non-African-American Children with Focal Segmental Glomerulosclerosis #MMPMID27900314
  • Woroniecki RP; Ng DK; Limou S; Winkler CA; Reidy KJ; Mitsnefes M; Sampson MG; Wong CS; Warady BA; Furth SL; Kopp JB; Kaskel FJ
  • Front Pediatr 2016[]; 4 (ä): ä PMID27900314show ga
  • Background and objectives: African-American (AA) children with focal segmental glomerulosclerosis (FSGS) have later onset disease that progresses more rapidly than in non-AA children. It is unclear how APOL1 genotypes contribute to kidney disease risk, progression, and cardiovascular morbidity in children. Design, setting, participants, and measurements: We examined the prevalence of APOL1 genotypes and associated cardiovascular phenotypes among children with FSGS in the Chronic Kidney Disease in Children (CKiD) study; an ongoing multicenter prospective cohort study of children aged 1?16?years with mild to moderate kidney disease. Results: A total of 140 AA children in the CKiD study were genotyped. High risk (HR) APOL1 genotypes were present in 24% of AA children (33/140) and were associated with FSGS, p??3?mg/l (33 vs. 15%, p?=?0.12), and obesity (48 vs. 19%, p?=?0.01). There were no differences in glomerular filtration rate, hemoglobin, iPTH, or calcium?phosphate product. Conclusion: AA children with HR APOL1 genotype and FSGS have increase prevalence of obesity and LVH despite a later age of FSGS onset, while adjusting for socioeconomic status. Treatment of obesity may be an important component of chronic kidney disease and LVH management in this population.
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