Evidence mapPaperPMID 30035656Full record

ArticleRenal failure2018

Are there any new reliable markers to detect renal injury in obese children?

Özlem Bostan Gayret, Mehmet Taşdemir, Meltem Erol, Hikmet Tekin Nacaroğlu, Oğuzhan Zengi, Özgül Yiğit

Open access · goldAbstract readValidation Study
In one paragraph

Article in Renal failure, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Lipid metabolism and renal function markers in obese adolescents.Pediatric endocrinology, diabetes, and metabolism · 2023
    Article
  6. Observational
  7. Article
  8. Obesity-related glomerulopathy: Current approaches and future perspectives.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Osteopontin: The Molecular Bridge between Fat and Cardiac-Renal Disorders.International journal of molecular sciences · 2020
    Review
  15. Renal injury in obese children.Renal failure · 2019
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Özlem Bostan Gayreta Department of Pediatrics , Ministry of Health, Bağcılar Training and Research Hospital , Istanbul , Turkey.
Mehmet Taşdemirb Department of Pediatrics, Division of Pediatric Nephrology , Koc University Hospital , Istanbul , Turkey.
Meltem Erola Department of Pediatrics , Ministry of Health, Bağcılar Training and Research Hospital , Istanbul , Turkey.
Hikmet Tekin Nacaroğluc Department of Pediatric Allergy , Medipol University Hospital , Istanbul , Turkey.
Oğuzhan Zengid Department of Biochemistry , Ministry of Health, Bağcılar Training and Research Hospital , Istanbul , Turkey.
Özgül Yiğita Department of Pediatrics , Ministry of Health, Bağcılar Training and Research Hospital , Istanbul , Turkey.
Ministry of Health · TRIstanbul Medipol University · TRKoç University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to examine the serum and urine levels of kidney injury molecule-1 (KIM-1), neutrophil gelatinase-associated lipocalin (NGAL), osteopontin (OPN), matrix metalloproteinase-9 (MMP-9), and serum Cystatin-C to determine the renal effect of obesity in obese children.

methodsSeventy-two obese and 35 non-obese healthy children were included in this study. Blood pressure (BP) was evaluated with office measurement. Creatinine, cystatin C, lipids, fasting glucose, and insulin levels were measured, and homeostasis model assessment -insulin resistance (HOMA-IR) was calculated. The urine albumin/creatinine ratio was calculated. The serum and urine KIM-1, NGAL, OPN, and MMP-9 levels were measured.

resultsSerum cystatin-C, triglyceride, and homeostasis model assessment-insulin resistance (HOMA-IR) index were found to be significantly higher in the obese group (p = .0001), and high-density lipoprotein (HDL) cholesterol was found to be significantly lower (p = .019) in the obese group. No significant differences were found in serum KIM-1, NGAL, OPN or MMP-9 levels between groups (p > .05). No significant differences were found in urine KIM-1 and MMP-9 levels (p > .05), Urine NGAL, and OPN levels were found significantly higher in obese groups (p < .05).

conclusionsAccording to our results, although serum KIM-1, NGAL, OPN, MMP-9, and urine MMP-9, urine KIM-1 do not appear to be ideal markers to evaluate renal injury in the early period of obesity, the serum levels of cystatin C and urine NGAL, urine OPN can be used as a good marker for assessing the renal effect of obesity which can lead end stage renal disease in pediatric population.

Indexed as

BiomarkersChildCreatinineCystatin CFemaleHepatitis A Virus Cellular Receptor 1HumansKidneyKidney Function TestsLipocalin-2MaleMatrix Metalloproteinase 9ObesityOsteopontinRenal InsufficiencyReproducibility of ResultsBiomarkersCreatinineCST3 protein, humanCystatin CHAVCR1 protein, humanHepatitis A Virus Cellular Receptor 1LCN2 protein, humanLipocalin-2Matrix Metalloproteinase 9MMP9 protein, humanOsteopontinSPP1 protein, humanchildrenCystatin CKIM-1MMP-9NGALobeseOPN

Identifiers

PMID30035656
PMCPMC6060377
OpenAlexW2883618301

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.