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Circadian rhythms of diuresis, proteinuria and natriuresis in children with chronic glomerular disease

The aim of our study was to examine diurnal variation in urine volume (UV) output, proteinuria (UPRT), urine creatinine (UCr) and urine sodium ion excretion (UNa) in children with chronic glomerulopathy. In 56 patients (20 boys/36 girls, aged 11.7 ± 0.6 years) samples for UPRT, UCr and UNa were coll... Full description

Journal Title: Pediatric nephrology (Berlin West), 2009, Vol.24 (6), p.1165-1172
Main Author: Kruscic, Divna
Other Authors: Paripovic, Dusan , Marinkovic, Jelena , Peco-Antic, Amira
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Berlin/Heidelberg: Springer Berlin Heidelberg
ID: ISSN: 0931-041X
Link: https://www.ncbi.nlm.nih.gov/pubmed/19184117
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title: Circadian rhythms of diuresis, proteinuria and natriuresis in children with chronic glomerular disease
format: Article
creator:
  • Kruscic, Divna
  • Paripovic, Dusan
  • Marinkovic, Jelena
  • Peco-Antic, Amira
subjects:
  • Analysis
  • Blood Pressure Monitoring, Ambulatory
  • Body Mass Index
  • Child
  • Circadian Rhythm
  • Circadian rhythms
  • Creatinine - urine
  • Diuresis
  • Female
  • Glomerulonephritis
  • Humans
  • Kidney Failure, Chronic - urine
  • Male
  • Medicine & Public Health
  • Natriuresis
  • Nephrology
  • Original Article
  • Pediatrics
  • Proteinuria - urine
  • Urology
ispartof: Pediatric nephrology (Berlin, West), 2009, Vol.24 (6), p.1165-1172
description: The aim of our study was to examine diurnal variation in urine volume (UV) output, proteinuria (UPRT), urine creatinine (UCr) and urine sodium ion excretion (UNa) in children with chronic glomerulopathy. In 56 patients (20 boys/36 girls, aged 11.7 ± 0.6 years) samples for UPRT, UCr and UNa were collected during the day and night, with continuous ambulatory blood pressure (BP) monitoring. On the basis of creatinine clearance (CrCl) the patients were divided into group I ( n  = 44, with CrCl 131 ± 3.6 ml/min per 1.73 m 2 body surface area), or group II ( n  = 12, with CrCl 44.6 ± 7.7 ml/min per 1.73 m 2 body surface area). Nocturnal polyuria was defined as night time UV ≥ 35% of the 24 h UV. Age, gender, body mass index of the patients, 24 h UV, UCr and UNa were similar in both groups. However, arterial hypertension and nocturnal polyuria were widespread ( P  
language: eng
source:
identifier: ISSN: 0931-041X
fulltext: no_fulltext
issn:
  • 0931-041X
  • 1432-198X
url: Link


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descriptionThe aim of our study was to examine diurnal variation in urine volume (UV) output, proteinuria (UPRT), urine creatinine (UCr) and urine sodium ion excretion (UNa) in children with chronic glomerulopathy. In 56 patients (20 boys/36 girls, aged 11.7 ± 0.6 years) samples for UPRT, UCr and UNa were collected during the day and night, with continuous ambulatory blood pressure (BP) monitoring. On the basis of creatinine clearance (CrCl) the patients were divided into group I ( n  = 44, with CrCl 131 ± 3.6 ml/min per 1.73 m 2 body surface area), or group II ( n  = 12, with CrCl 44.6 ± 7.7 ml/min per 1.73 m 2 body surface area). Nocturnal polyuria was defined as night time UV ≥ 35% of the 24 h UV. Age, gender, body mass index of the patients, 24 h UV, UCr and UNa were similar in both groups. However, arterial hypertension and nocturnal polyuria were widespread ( P  < 0.01) in group II. In addition, proteinuria was higher ( P  < 0. 05) in group II. The nocturnal decline in CrCl, UV, UPRT and UNa was significantly attenuated ( P  < 0.005) in patients in group II compared with those in group I. The night time mean arterial pressure (MAP), as well as the night/day ratios of MAP, UV, UPRT and UNa, showed negative associations with CrCl. Our findings strongly suggest that renal function diurnal variation and nocturnal MAP are related to decreased glomerular filtration rate at the time of examination.
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subjectAnalysis ; Blood Pressure Monitoring, Ambulatory ; Body Mass Index ; Child ; Circadian Rhythm ; Circadian rhythms ; Creatinine - urine ; Diuresis ; Female ; Glomerulonephritis ; Humans ; Kidney Failure, Chronic - urine ; Male ; Medicine & Public Health ; Natriuresis ; Nephrology ; Original Article ; Pediatrics ; Proteinuria - urine ; Urology
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descriptionThe aim of our study was to examine diurnal variation in urine volume (UV) output, proteinuria (UPRT), urine creatinine (UCr) and urine sodium ion excretion (UNa) in children with chronic glomerulopathy. In 56 patients (20 boys/36 girls, aged 11.7 ± 0.6 years) samples for UPRT, UCr and UNa were collected during the day and night, with continuous ambulatory blood pressure (BP) monitoring. On the basis of creatinine clearance (CrCl) the patients were divided into group I ( n  = 44, with CrCl 131 ± 3.6 ml/min per 1.73 m 2 body surface area), or group II ( n  = 12, with CrCl 44.6 ± 7.7 ml/min per 1.73 m 2 body surface area). Nocturnal polyuria was defined as night time UV ≥ 35% of the 24 h UV. Age, gender, body mass index of the patients, 24 h UV, UCr and UNa were similar in both groups. However, arterial hypertension and nocturnal polyuria were widespread ( P  < 0.01) in group II. In addition, proteinuria was higher ( P  < 0. 05) in group II. The nocturnal decline in CrCl, UV, UPRT and UNa was significantly attenuated ( P  < 0.005) in patients in group II compared with those in group I. The night time mean arterial pressure (MAP), as well as the night/day ratios of MAP, UV, UPRT and UNa, showed negative associations with CrCl. Our findings strongly suggest that renal function diurnal variation and nocturnal MAP are related to decreased glomerular filtration rate at the time of examination.
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abstractThe aim of our study was to examine diurnal variation in urine volume (UV) output, proteinuria (UPRT), urine creatinine (UCr) and urine sodium ion excretion (UNa) in children with chronic glomerulopathy. In 56 patients (20 boys/36 girls, aged 11.7 ± 0.6 years) samples for UPRT, UCr and UNa were collected during the day and night, with continuous ambulatory blood pressure (BP) monitoring. On the basis of creatinine clearance (CrCl) the patients were divided into group I ( n  = 44, with CrCl 131 ± 3.6 ml/min per 1.73 m 2 body surface area), or group II ( n  = 12, with CrCl 44.6 ± 7.7 ml/min per 1.73 m 2 body surface area). Nocturnal polyuria was defined as night time UV ≥ 35% of the 24 h UV. Age, gender, body mass index of the patients, 24 h UV, UCr and UNa were similar in both groups. However, arterial hypertension and nocturnal polyuria were widespread ( P  < 0.01) in group II. In addition, proteinuria was higher ( P  < 0. 05) in group II. The nocturnal decline in CrCl, UV, UPRT and UNa was significantly attenuated ( P  < 0.005) in patients in group II compared with those in group I. The night time mean arterial pressure (MAP), as well as the night/day ratios of MAP, UV, UPRT and UNa, showed negative associations with CrCl. Our findings strongly suggest that renal function diurnal variation and nocturnal MAP are related to decreased glomerular filtration rate at the time of examination.
copBerlin/Heidelberg
pubSpringer Berlin Heidelberg
pmid19184117
doi10.1007/s00467-008-1110-9