Pediatric kidney disease tied to abnormal carotid arteries

Pediatric kidney disease tied to abnormal carotid arteries
Ultrasound measurements of carotid intima-media thickness are significantly elevated among children with chronic kidney disease compared with healthy controls, according to a study published online Sept. 13 in the Clinical Journal of the American Society of Nephrology.

(HealthDay)—Ultrasound measurements of carotid intima-media thickness (cIMT) are significantly elevated among children with chronic kidney disease (CKD) compared with healthy controls, according to a study published online Sept. 13 in the Clinical Journal of the American Society of Nephrology.

Tammy M. Brady, M.D., from Johns Hopkins University in Baltimore, and colleagues analyzed data from 101 children aged 2 to 18 years with mild-to-moderate CKD (median [GFR], 42.9 ml/min/1.73 m²) enrolled in the in Children cohort study and 97 healthy controls followed for 12 months. Overall cIMT measurement was calculated from an average of six standardized B-mode ultrasound measurements.

The researchers found that median cIMT in children with CKD was 0.43 mm (interquartile range, 0.38 to 0.48), which was significantly greater than that in healthy controls (0.41 mm) and remained larger after multivariable adjustment. Dyslipidemia and hypertension were associated with 0.05 mm (95 percent confidence interval [CI], 0.01 to 0.08) and 0.04 mm (95 percent CI, 0.003 to 0.08) greater mean cIMT, respectively. cIMT was not associated with , CKD etiology, GFR, birth weight, pubertal status, calcium, phosphorus, sex, or race.

"cIMT is significantly elevated among children with CKD, as is the prevalence of other ," the authors write. "Of these risk factors, hypertension and dyslipidemia are significantly associated with increased cIMT."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Africa's uneven health care becomes easy prey for Ebola

8 hours ago

Threatened by the possible spread of an Ebola epidemic which respects no borders, Africa is divided between a handful of countries equipped to withstand an outbreak and many more which would be devastated, experts say.

Ebola case stokes concerns for Liberians in Texas

9 hours ago

The first case of Ebola diagnosed in the U.S. has been confirmed in a man who recently traveled from Liberia to Dallas, sending chills through the area's West African community whose leaders urged caution ...

Is Australia prepared for Ebola?

12 hours ago

Australia needs to be proactive about potential disease outbreaks like Ebola and establish a national centre for disease control.

User comments