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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...
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Published in: | Pediatric nephrology (Berlin, West) West), 2009-06, Vol.24 (6), p.1165-1172, Article 1165 |
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creator | Kruscic, Divna Paripovic, Dusan Marinkovic, Jelena Peco-Antic, Amira |
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
|
doi_str_mv | 10.1007/s00467-008-1110-9 |
format | article |
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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.</description><identifier>ISSN: 0931-041X</identifier><identifier>EISSN: 1432-198X</identifier><identifier>DOI: 10.1007/s00467-008-1110-9</identifier><identifier>PMID: 19184117</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Analysis ; Blood pressure ; Blood Pressure Monitoring, Ambulatory ; Body Mass Index ; Child ; Circadian Rhythm ; Circadian rhythms ; Creatinine ; Creatinine - urine ; Diuresis ; Female ; Glomerulonephritis ; Humans ; Kidney diseases ; Kidney Failure, Chronic - urine ; Male ; Medicine & Public Health ; Natriuresis ; Nephrology ; Original Article ; Pediatrics ; Polyuria ; Potassium ; Proteins ; Proteinuria - urine ; Sodium ; Urination ; Urine ; Urology</subject><ispartof>Pediatric nephrology (Berlin, West), 2009-06, Vol.24 (6), p.1165-1172, Article 1165</ispartof><rights>IPNA 2009</rights><rights>COPYRIGHT 2009 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-5c1363fd662b833bf155b70388567460645ff341561f807f55c3867fb4a5f2fb3</citedby><cites>FETCH-LOGICAL-c477t-5c1363fd662b833bf155b70388567460645ff341561f807f55c3867fb4a5f2fb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19184117$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kruscic, Divna</creatorcontrib><creatorcontrib>Paripovic, Dusan</creatorcontrib><creatorcontrib>Marinkovic, Jelena</creatorcontrib><creatorcontrib>Peco-Antic, Amira</creatorcontrib><title>Circadian rhythms of diuresis, proteinuria and natriuresis in children with chronic glomerular disease</title><title>Pediatric nephrology (Berlin, West)</title><addtitle>Pediatr Nephrol</addtitle><addtitle>Pediatr Nephrol</addtitle><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
< 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.</description><subject>Analysis</subject><subject>Blood pressure</subject><subject>Blood Pressure Monitoring, Ambulatory</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>Circadian Rhythm</subject><subject>Circadian rhythms</subject><subject>Creatinine</subject><subject>Creatinine - urine</subject><subject>Diuresis</subject><subject>Female</subject><subject>Glomerulonephritis</subject><subject>Humans</subject><subject>Kidney diseases</subject><subject>Kidney Failure, Chronic - urine</subject><subject>Male</subject><subject>Medicine & Public Health</subject><subject>Natriuresis</subject><subject>Nephrology</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Polyuria</subject><subject>Potassium</subject><subject>Proteins</subject><subject>Proteinuria - urine</subject><subject>Sodium</subject><subject>Urination</subject><subject>Urine</subject><subject>Urology</subject><issn>0931-041X</issn><issn>1432-198X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNp9ks1rHCEYxqW0NNtt_4BeivSQUyf1HcePPYalXxDopYXcxHF0x-BoqjOE_Pd1mYW0IS0eRP09j4-vL0JvgVwAIeJjIaTjoiFENgBAmt0ztIGOtg3s5PVztCE7Cg3p4PoMvSrlhlSQSf4SncEOZAcgNsjtfTZ68DriPN7P41RwcnjwS7bFlw_4NqfZ-rhkr7GOA456zqdD7CM2ow9DthHf-Xmsq5yiN_gQ0mTzEnSuTsXqYl-jF06HYt-c5i36-fnTj_3X5ur7l2_7y6vGdELMDTNAOXUD520vKe0dMNYLQqVkXHSc8I45RztgHJwkwjFmqOTC9Z1mrnU93aLz1bfm_rXYMqvJF2ND0NGmpajqUivGoYLvH4E3acmxZlNt21IqKCUValbooINVPro0Z20ONtqsQ4rW-bp9SSVreUtq8C26eIKvY7CTN08Kzv8QjFaHeSwpLLNPsfwNwgqanErJ1qnb7Ced7xUQdewFtfaCql-sjr2gdlXz7vTEpZ_s8KA4fX4FxCNT42d9vLvG9uG_1u2qLNU0Hmx-qN6_Rb8BZBvO8A</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Kruscic, Divna</creator><creator>Paripovic, Dusan</creator><creator>Marinkovic, Jelena</creator><creator>Peco-Antic, Amira</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090601</creationdate><title>Circadian rhythms of diuresis, proteinuria and natriuresis in children with chronic glomerular disease</title><author>Kruscic, Divna ; Paripovic, Dusan ; Marinkovic, Jelena ; Peco-Antic, Amira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-5c1363fd662b833bf155b70388567460645ff341561f807f55c3867fb4a5f2fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Analysis</topic><topic>Blood pressure</topic><topic>Blood Pressure Monitoring, Ambulatory</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>Circadian Rhythm</topic><topic>Circadian rhythms</topic><topic>Creatinine</topic><topic>Creatinine - urine</topic><topic>Diuresis</topic><topic>Female</topic><topic>Glomerulonephritis</topic><topic>Humans</topic><topic>Kidney diseases</topic><topic>Kidney Failure, Chronic - urine</topic><topic>Male</topic><topic>Medicine & Public Health</topic><topic>Natriuresis</topic><topic>Nephrology</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Polyuria</topic><topic>Potassium</topic><topic>Proteins</topic><topic>Proteinuria - urine</topic><topic>Sodium</topic><topic>Urination</topic><topic>Urine</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kruscic, Divna</creatorcontrib><creatorcontrib>Paripovic, Dusan</creatorcontrib><creatorcontrib>Marinkovic, Jelena</creatorcontrib><creatorcontrib>Peco-Antic, Amira</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric nephrology (Berlin, West)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kruscic, Divna</au><au>Paripovic, Dusan</au><au>Marinkovic, Jelena</au><au>Peco-Antic, Amira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Circadian rhythms of diuresis, proteinuria and natriuresis in children with chronic glomerular disease</atitle><jtitle>Pediatric nephrology (Berlin, West)</jtitle><stitle>Pediatr Nephrol</stitle><addtitle>Pediatr Nephrol</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>24</volume><issue>6</issue><spage>1165</spage><epage>1172</epage><pages>1165-1172</pages><artnum>1165</artnum><issn>0931-041X</issn><eissn>1432-198X</eissn><abstract>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
< 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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>19184117</pmid><doi>10.1007/s00467-008-1110-9</doi><tpages>8</tpages></addata></record> |
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source | Springer Link |
subjects | Analysis Blood pressure Blood Pressure Monitoring, Ambulatory Body Mass Index Child Circadian Rhythm Circadian rhythms Creatinine Creatinine - urine Diuresis Female Glomerulonephritis Humans Kidney diseases Kidney Failure, Chronic - urine Male Medicine & Public Health Natriuresis Nephrology Original Article Pediatrics Polyuria Potassium Proteins Proteinuria - urine Sodium Urination Urine Urology |
title | Circadian rhythms of diuresis, proteinuria and natriuresis in children with chronic glomerular disease |
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