title: Ambulatory blood pressure monitoring and renal functions in term small-for-gestational age children.
abstract: The aim of this study was to investigate the relationship between birth weight and blood pressure (BP) by means of ambulatory BP monitoring (ABPM) and renal functions in non-obese children who were born small-for-gestational age (SGA) at term. The study group consisted of 39 (19 female, 20 male; mean age 8.8 ± 2.6 years) children born SGA. Their data were compared to those of 27 (13 female, 14 male; mean age 8.2 ± 2.9 years) children born appropriate-for-gestational age (AGA). No difference between SGA and AGA children was observed based on office BP measurements and daytime, nighttime and 24-h ABPM. Seventeen SGA (48.6%) and nine AGA (37.5%) children had a 24-h systolic BP (SBP) load over 25%, and seven of these (5 SGA, 2 AGA) were hypertensive according to mean SBP values. The prevalence of the non-dipping phenomenon in SGA and AGA children was similar. Renal functions were normal and similar in both groups. Three children (2 SGA, 1 AGA) with normal glomerular filtration rate had higher microalbumin excretion and one SGA child had systolic hypertension according to the office BP. Our findings demonstrate that the influence of intrauterine growth restriction on BP is not manifested during the childhood period, and they do not support the existence of a negative relationship between birth weight and BP in children.
authors.affiliation: Department of Pediatrics, Pediatric Nephrology Unit, Istanbul Faculty of Medicine, Istanbul University, Çapa-Istanbul, 34390, Turkey.
authors.forename: Ilmay
authors.initials: I
authors.lastname: Bilge
authors.forename: Sukran
authors.initials: S
authors.lastname: Poyrazoglu
authors.forename: Firdevs
authors.initials: F
authors.lastname: Bas
authors.forename: Sevinc
authors.initials: S
authors.lastname: Emre
authors.forename: Aydan
authors.initials: A
authors.lastname: Sirin
authors.forename: Selman
authors.initials: S
authors.lastname: Gokalp
authors.forename: Sema
authors.initials: S
authors.lastname: Eryilmaz
authors.forename: Nezih
authors.initials: N
authors.lastname: Hekim
authors.forename: Feyza
authors.initials: F
authors.lastname: Darendeliler
mesh_terms: D000118:Acetylglucosaminidase / Q000652:urine; D000419:Albuminuria; D001724:Birth Weight / Q000502:physiology*; D001794:Blood Pressure / Q000502:physiology*; D018660:Blood Pressure Monitoring, Ambulatory; D001827:Body Height; D015992:Body Mass Index; D001835:Body Weight; D002648:Child; D003404:Creatinine / Q000097:blood / Q000652:urine; D005260:Female; D005317:Fetal Growth Retardation / Q000503:physiopathology*; D005919:Glomerular Filtration Rate / Q000502:physiology; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D007231:Infant, Newborn; D007236:Infant, Small for Gestational Age; D007677:Kidney Function Tests; D016014:Linear Models; D008297:Male; D015995:Prevalence; D014508:Urea / Q000097:blood; D001613:beta 2-Microglobulin / Q000652:urine
chemical_list: D001613:beta 2-Microglobulin; D014508:Urea; D003404:Creatinine; D000118:Acetylglucosaminidase