Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-11T06:50:16.508Z Has data issue: false hasContentIssue false
  • English
  • Français

Birth weight predicts both proteinuria and overweight/obesity in a rural population of Aboriginal and non-Aboriginal Canadians

Published online by Cambridge University Press:  21 December 2012

R. T. Oster ,
V. A. Luyckx  and
E. L. Toth
R. T. Oster
Affiliation:
Division of Endocrinology, University of Alberta, Edmonton, Alberta, Canada
V. A. Luyckx
Affiliation:
Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada
E. L. Toth*
Affiliation:
Division of Endocrinology, University of Alberta, Edmonton, Alberta, Canada
*
Address for correspondence: Dr E. L. Toth, Department of Medicine, University of Alberta, 362 Heritage Medical Research Centre, Edmonton, Alberta, Canada T6G 2S2. Email ellen.toth@ualberta.ca
Get access Rights & Permissions [Opens in a new window]

Abstract

The risk for many chronic diseases appears to be mediated in part by birth weight. Among Aboriginal Canadians, the prevalence of end-stage renal disease and cardiovascular disease risk is disproportionately high, largely because of elevated diabetes prevalence. The relationships between birth weight (and other potential risk factors) and diabetes, hypertension, proteinuria and overweight/obesity were explored in 1439 rural Albertans (Canada), of whom 67.3% were Aboriginal. At voluntary outreach screening programs, demographic and clinical data were measured and recalled birth weights recorded. Statistical modeling using logistic regression was used to evaluate the relationships. In the final adjusted models, associations remained for low birth weight and proteinuria [odds ratio (OR) 2.36; 95% CI 1.24–4.49], as well as for high birth weight and overweight/obesity (OR 1.58; 95% CI 1.00–2.53). These findings emphasize the need to strive for healthy pregnancies, with appropriate weight gains in these and other disadvantaged populations around the world.

Keywords

aboriginal healthbirth weightprogrammingrenaltype 2 diabetes
Type
Brief Report
Information
Journal of Developmental Origins of Health and Disease , Volume 4 , Issue 2 , April 2013 , pp. 139 - 145
Copyright
Copyright © Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2012 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Barker, DJP, Osmond, C. Infant mortality, childhood nutrition and ischaemic heart disease in England and Wales. Lancet. 1986; 1, 1077–1081.Google Scholar
2.White, SL, Perkovic, V, Cass, A, et al. Is low birth weight an antecedent of CKD in later life? A systematic review of observational studies. Am J Kidney Dis. 2009; 54, 248–261.CrossRefGoogle ScholarPubMed
3.Lackland, DT, Bendall, HE, Osmond, C, et al. Low birth weights contribute to high rates of early-onset chronic renal failure in the Southeastern United States. Arch Intern Med. 2000; 160, 1472–1476.CrossRefGoogle ScholarPubMed
4.Nelson, RG, Morgenstern, H, Bennett, PH. Birth weight and renal disease in Pima Indians with type 2 diabetes mellitus. Am J Epidemiol. 1998; 148, 650–656.Google Scholar
5.Whincup, PH, Kaye, SJ, Owen, CG, et al. Birth weight and risk of type 2 diabetes: a systematic review. JAMA. 2008; 300, 2886–2897.Google Scholar
6.Dyck, RF. Tracking ancient pathways to a modern epidemic: diabetic end-stage renal disease in Saskatchewan Aboriginal people. Kidney Int Suppl. 2005; 97, 53–57.Google Scholar
7.Yeates, K, Tonelli, M. Chronic kidney disease among Aboriginal people living in Canada. Clin Nephrol. 2010; 74(Suppl. 1), S57–S60.Google ScholarPubMed
8.Gao, S, Manns, BJ, Culleton, BF, et al. Prevalence of chronic kidney disease and survival among Aboriginal people. J Am Soc Nephrol. 2007; 18, 2953–2959.CrossRefGoogle ScholarPubMed
9.Oster, RT, Johnson, JA, Hemmelgarn, BR, et al. Recent epidemiologic trends of diabetes mellitus among status Aboriginal adults. Can Med Assoc J. 2011; 183, E803–E808.CrossRefGoogle ScholarPubMed
10.Oster, RT, Virani, S, Strong, D, et al. Diabetes care and health status of First Nations individuals with type 2 diabetes in Alberta. Can Fam Physician. 2009; 55, 386–393.Google ScholarPubMed
11.Ralph-Campbell, K, Oster, RT, Connor, T, et al. Emerging longitudinal trends in health indicators for rural residents participating in a diabetes and cardiovascular screening program in northern Alberta, Canada. Int J Family Med. 2011; 2011.Google Scholar
12.Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA. 2001; 285, 2486–2497.Google Scholar
13.Fernández, JR, Redden, DT, Pietrobelli, A, et al. Waist circumference percentiles in nationally representative samples of African-American, European-American, and Mexican-American children and adolescents. J Pediatr. 2004; 145, 439–444.Google Scholar
14.Hedley, AA, Ogden, CL, Johnson, CL, et al. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA. 2002; 288, 728–732.Google Scholar
15.National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004; 114(Suppl. 2), 555–576.CrossRefGoogle Scholar
16.Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Canadian Diabetes Association 2008 clinical practice guidelines for the prevention and management of diabetes in Canada. Can J Diabetes. 2008; 32(Suppl. 1), S1–S201.Google Scholar
17.Goldenberg, RM, Cheng, AYY, Punthakee, Z, et al. Use of glycated hemoglobin (A1c) in the diagnosis of type 2 diabetes mellitus in adults. Can J Diabetes. 2011; 35, 247–249.Google Scholar
18.Dubois, L, Girard, M. Early determinants of overweight at 4.5 years in a population-based longitudinal study. Int J Obesity. 2006; 30, 610–617.Google Scholar
19.Statistics Canada. Aboriginal peoples in Canada in 2006: 2006 census, 2006. Statistics Canada: Ottawa, ON, Canada.Google Scholar
20.Sarnak, MJ, Astor, BC. Implications of proteinuria: CKD progression and cardiovascular outcomes. Adv Chronic Kidney Dis. 2011; 18, 258–266.CrossRefGoogle ScholarPubMed
21.Othman, M, Kawar, B, El Nahas, AM. Influence of obesity on progression of non-diabetic chronic kidney disease: a retrospective cohort study. Nephron Clin Pract. 2009; 113, c16–c23.CrossRefGoogle ScholarPubMed
22.Mu, M, Wang, S, Sheng, J, et al. Birth weight and subsequent blood pressure: a meta-analysis. Arch Cardiovasc Dis. 2012; 105, 99–113.CrossRefGoogle ScholarPubMed
23.Reproductive Health Working Group. Alberta reproductive health: pregnancies and births 2009, 2009. Alberta Health and Wellness: Edmonton, AB, Canada.Google Scholar
24.Health Canada. A statistical profile on the health of First Nations in Canada: vital statistics for Atlantic and Western Canada, 2001/2002, 2011. Health Canada: Ottawa, ON, Canada.Google Scholar
25.Luo, ZC, Wilkins, R, Heaman, M. Birth outcomes and infant mortality among First Nations Inuit, and non-Indigenous women by northern versus southern residence, Quebec. J Epidemiol Community Health. 2012; 66, 328–333.CrossRefGoogle ScholarPubMed
26.Smylie, J, Williams, L, Cooper, N. Culture-based literacy and Aboriginal health. Can J Public Health. 2006; 97(Suppl. 2), S21–S25.Google ScholarPubMed
27.King, KM, Sanguins, J, McGregor, L, et al. First Nations people's challenge in managing coronary artery disease risk. Qual Health Res. 2007; 17, 1074–1087.Google Scholar
28.Dyck, R, Klomp, H, Tan, LK, et al. A comparison of rates, risk factors, and outcomes of gestational diabetes between Aboriginal and non-Aboriginal women in the Saskatoon health district. Diabetes Care. 2002; 25, 487–493.CrossRefGoogle ScholarPubMed
29.Adegboye, AR, Heitmann, B. Accuracy and correlates of maternal recall of birthweight and gestational age. BJOG. 2008; 115, 886–893.Google Scholar
30.Wodskou, PM, Hundrup, YA, Obel, EB, et al. Validity of self-reported birthweight among middle-aged and elderly women in the Danish Nurse Cohort Study. Acta Obstet Gynecol Scand. 2010; 89, 1134–1139.CrossRefGoogle ScholarPubMed
31.Abitbol, CL, Rodriguez, MM. The long-term renal and cardiovascular consequences of prematurity. Nat Rev Nephrol. 2012; 8, 265–274.Google Scholar
32.Keijzer-Veen, MG, Schrevel, M, Finken, MJ, et al. Microalbuminuria and lower glomerular filtration rate at young adult age in subjects born very premature and after intrauterine growth retardation. J Am Soc Nephrol. 2005; 16, 2762–2768.Google Scholar