Is Low Birth Weight an Antecedent of CKD in Later Life? A Systematic Review of Observational Studies
Background: There has been considerable interest in the hypothesis that low birth weight may be a marker of impaired nephrogenesis and that this is causally related to chronic kidney disease (CKD). Study Design: Systematic review and meta-analysis of observational studies. Setting & Population:...
| Main Authors: | , , , , , , , , , , |
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| Format: | Journal Article |
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2009
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| Online Access: | http://hdl.handle.net/20.500.11937/37375 |
| _version_ | 1848755029678227456 |
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| author | White, S. Perkovic, V. Cass, A. Chang, C. Poulter, N. Spector, T. Haysom, L. Craig, J. Salmi, I. Chadban, S. Huxley, Rachel |
| author_facet | White, S. Perkovic, V. Cass, A. Chang, C. Poulter, N. Spector, T. Haysom, L. Craig, J. Salmi, I. Chadban, S. Huxley, Rachel |
| author_sort | White, S. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: There has been considerable interest in the hypothesis that low birth weight may be a marker of impaired nephrogenesis and that this is causally related to chronic kidney disease (CKD). Study Design: Systematic review and meta-analysis of observational studies. Setting & Population: Studies of the relationship between birth weight and CKD published before February 1, 2008, were identified by using electronic searches. Selection Criteria: All studies that had collected data for birth weight and kidney function at greater than 12 months of age were eligible for inclusion, except for studies of extremely low-birth-weight infants, very premature infants, or toxic exposure in utero. Study Factor: Birth weight. Outcomes: CKD defined as albuminuria, low estimated glomerular filtration rate (<60 mL/min/1.73 m2 or < 10th centile for age/sex), or end-stage renal disease. Results: We analyzed 31 relevant cohort or case-control studies with data for 49,376 individuals and data for 2,183,317 individuals from a single record-linkage study. Overall, 16 studies reported a significant association between low birth weight and risk of CKD and 16 observed a null result. The combination of weighted estimates from the 18 studies for which risk estimates were available (n = 46,249 plus 2,183,317 from the record linkage study) gave an overall odds ratio (OR) of 1.73 (95% confidence interval [CI], 1.44 to 2.08). Combined ORs were consistent in magnitude and direction for risks of albuminuria (OR, 1.81; 95% CI, 1.19 to 2.77), end-stage renal disease (OR, 1.58; 95% CI, 1.33 to 1.88), or low estimated glomerular filtration rate (OR, 1.79; 95% CI, 1.31 to 2.45). Limitations: A reliance on published estimates and estimates provided on request rather than individual patient data and the possibility of reporting bias. Conclusions: Existing data indicate that low birth weight is associated with subsequent risk of CKD, although there is scope for additional well-designed population-based studies with accurate assessment of birth weight and kidney function and consideration of important confounders, including maternal and socioeconomic factors. © 2009 National Kidney Foundation, Inc. |
| first_indexed | 2025-11-14T08:49:49Z |
| format | Journal Article |
| id | curtin-20.500.11937-37375 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:49:49Z |
| publishDate | 2009 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-373752017-09-13T13:38:14Z Is Low Birth Weight an Antecedent of CKD in Later Life? A Systematic Review of Observational Studies White, S. Perkovic, V. Cass, A. Chang, C. Poulter, N. Spector, T. Haysom, L. Craig, J. Salmi, I. Chadban, S. Huxley, Rachel Background: There has been considerable interest in the hypothesis that low birth weight may be a marker of impaired nephrogenesis and that this is causally related to chronic kidney disease (CKD). Study Design: Systematic review and meta-analysis of observational studies. Setting & Population: Studies of the relationship between birth weight and CKD published before February 1, 2008, were identified by using electronic searches. Selection Criteria: All studies that had collected data for birth weight and kidney function at greater than 12 months of age were eligible for inclusion, except for studies of extremely low-birth-weight infants, very premature infants, or toxic exposure in utero. Study Factor: Birth weight. Outcomes: CKD defined as albuminuria, low estimated glomerular filtration rate (<60 mL/min/1.73 m2 or < 10th centile for age/sex), or end-stage renal disease. Results: We analyzed 31 relevant cohort or case-control studies with data for 49,376 individuals and data for 2,183,317 individuals from a single record-linkage study. Overall, 16 studies reported a significant association between low birth weight and risk of CKD and 16 observed a null result. The combination of weighted estimates from the 18 studies for which risk estimates were available (n = 46,249 plus 2,183,317 from the record linkage study) gave an overall odds ratio (OR) of 1.73 (95% confidence interval [CI], 1.44 to 2.08). Combined ORs were consistent in magnitude and direction for risks of albuminuria (OR, 1.81; 95% CI, 1.19 to 2.77), end-stage renal disease (OR, 1.58; 95% CI, 1.33 to 1.88), or low estimated glomerular filtration rate (OR, 1.79; 95% CI, 1.31 to 2.45). Limitations: A reliance on published estimates and estimates provided on request rather than individual patient data and the possibility of reporting bias. Conclusions: Existing data indicate that low birth weight is associated with subsequent risk of CKD, although there is scope for additional well-designed population-based studies with accurate assessment of birth weight and kidney function and consideration of important confounders, including maternal and socioeconomic factors. © 2009 National Kidney Foundation, Inc. 2009 Journal Article http://hdl.handle.net/20.500.11937/37375 10.1053/j.ajkd.2008.12.042 restricted |
| spellingShingle | White, S. Perkovic, V. Cass, A. Chang, C. Poulter, N. Spector, T. Haysom, L. Craig, J. Salmi, I. Chadban, S. Huxley, Rachel Is Low Birth Weight an Antecedent of CKD in Later Life? A Systematic Review of Observational Studies |
| title | Is Low Birth Weight an Antecedent of CKD in Later Life? A Systematic Review of Observational Studies |
| title_full | Is Low Birth Weight an Antecedent of CKD in Later Life? A Systematic Review of Observational Studies |
| title_fullStr | Is Low Birth Weight an Antecedent of CKD in Later Life? A Systematic Review of Observational Studies |
| title_full_unstemmed | Is Low Birth Weight an Antecedent of CKD in Later Life? A Systematic Review of Observational Studies |
| title_short | Is Low Birth Weight an Antecedent of CKD in Later Life? A Systematic Review of Observational Studies |
| title_sort | is low birth weight an antecedent of ckd in later life? a systematic review of observational studies |
| url | http://hdl.handle.net/20.500.11937/37375 |