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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSENRA, Janaina Campos
dc.contributor.authorCARVALHO, Mariana Azevedo
dc.contributor.authorRODRIGUES, Agatha Sacramento
dc.contributor.authorKREBS, Vera Lucia Jornada
dc.contributor.authorGIBELLI, Maria Augusta Bento Cicaroni
dc.contributor.authorFRANCISCO, Rossana Pulcineli Vieira
dc.contributor.authorBERNARDES, Lisandra Stein
dc.identifier.citationCLINICS, v.73, article ID UNSP e401, 9p, 2018
dc.description.abstractSince studies show that an unfavorable environment during intrauterine development predisposes individuals to several diseases in adulthood, our objective is to assess the relation between fetal growth restriction and chronic renal disease in adults. We searched four different electronic databases through November 2017: CENTRAL, EMBASE, LILACS and MEDLINE. We selected studies with longitudinal or transversal designs associating kidney function in adulthood with low birth weight. Two reviewers evaluated the inclusion criteria and the risk of bias and extracted data from the included papers. Thirteen studies were selected for the systematic review and meta-analysis. We observed increased risks of presenting end-stage renal disease (risk ratio 1.31, 95% confidence interval: 1.17, 1.47), a lower glomerular filtration rate (ml/min) (mean difference 7.14; 95% confidence interval: -12.12, -2.16), microalbuminuria (risk ratio 1.40; 95% confidence interval: 1.28, 1.52) and a small increase in the albumin/creatinine ratio (mean difference 0.46; 95% confidence interval: 0.03, 0.90) in the low birth weight patients, compared with control group. These findings suggest that low birth weight is associated with renal dysfunction in adults.eng
dc.subjectFetal Growth Retardationeng
dc.subjectKidney Diseaseeng
dc.subjectSystematic Revieweng
dc.subject.otherchronic kidney-diseaseeng
dc.subject.otherhuman fetuseng
dc.subject.othermen borneng
dc.titleAn unfavorable intrauterine environment may determine renal functional capacity in adulthood: a meta-analysiseng
dc.rights.holderCopyright HOSPITAL CLINICAS, UNIV SAO PAULOeng
dc.subject.wosMedicine, General & Internaleng
dc.type.versionpublishedVersioneng, Agatha Sacramento:Univ Sao Paulo, Fac Med FMUSP, Dept Obstet & Ginecol, Sao Paulo, SP, Brazil
hcfmusp.description.articlenumberUNSP e401
hcfmusp.publisher.citySAO PAULOeng
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Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MOG
Departamento de Obstetrícia e Ginecologia - FM/MOG

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - HC/ICr
Instituto da Criança - HC/ICr

Artigos e Materiais de Revistas Científicas - LIM/36
LIM/36 - Laboratório de Pediatria Clínica

Artigos e Materiais de Revistas Científicas - LIM/57
LIM/57 - Laboratório de Fisiologia Obstétrica

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