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• W2007102660 abstract "We appreciate Dr Schreuder's1Schreuder M.F. Interpretation of birth weight data: A note of caution.Am J Kidney Dis. 2008; 52: 807Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar comments regarding our recent investigation.2Franco M.C. Nishida S.K. Sesso R. GFR estimated from cystatin C versus creatinine in children born small for gestational age.Am J Kidney Dis. 2008; 51: 925-932Abstract Full Text Full Text PDF PubMed Scopus (35) Google Scholar The issue raised is interesting and may be important depending on the research question. We believe that lack of this particular adjustment has not influenced our results because sex distribution and mean gestational age (39 weeks) were similar among the birth-weight quartiles in our study. Furthermore, differences in birth weight between the lowest and highest quartiles are not “only 500 g,” as he suggested, but the difference of mean values between these quartiles (fourth quartile [3,220 g] − first quartile [2,328 g] = 892 g), which corresponds to an increase of 38% in the lowest quartile value. Clinical studies have shown that birth weight is related to renal mass (nephron number) independent of the adjustment for sex and gestational age.3Spencer J. Wang Z. Hoy W. Low birth weight and reduced renal volume in aboriginal children.Am J Kidney Dis. 2001; 37: 915-920Abstract Full Text PDF PubMed Scopus (106) Google Scholar, 4Hughson M. Farris A.B. Douglas-Denton R. et al.Glomerular number and size in autopsy kidneys: The relationship to birth weight.Kidney Int. 2003; 63: 2113-2122Crossref PubMed Scopus (581) Google Scholar In addition, most studies that established the relationship between birth weight and later cardiovascular and renal disease analyzed birth weight without the proposed adjustment.3Spencer J. Wang Z. Hoy W. Low birth weight and reduced renal volume in aboriginal children.Am J Kidney Dis. 2001; 37: 915-920Abstract Full Text PDF PubMed Scopus (106) Google Scholar, 4Hughson M. Farris A.B. Douglas-Denton R. et al.Glomerular number and size in autopsy kidneys: The relationship to birth weight.Kidney Int. 2003; 63: 2113-2122Crossref PubMed Scopus (581) Google Scholar, 5Whincup P. Cook D. Papacosta O. et al.Birth weight and blood pressure: Cross sectional and longitudinal relations in childhood.BMJ. 1995; 311: 773-776Crossref PubMed Scopus (156) Google Scholar, 6Law C.M. Egger P. Dada O. et al.Body size at birth and blood pressure among children in developing countries.Int J Epidemiol. 2001; 30: 52-57Crossref PubMed Scopus (86) Google Scholar, 7Li S. Chen S.C. Shlipak M. et al.Low birth weight is associated with chronic kidney disease only in men.Kidney Int. 2008; 73: 637-642Crossref PubMed Scopus (93) Google Scholar, 8Leeson C.P. Kattenhorn M. Morley R. et al.Impact of low birth weight and cardiovascular risk factors on endothelial function in early adult life.Circulation. 2001; 103: 1264-1268Crossref PubMed Scopus (300) Google Scholar, 9Liew G. Wang J.J. Duncan B.B. et al.Low birth weight is associated with narrower arterioles in adults.Hypertension. 2008; 51: 933-938Crossref PubMed Scopus (59) Google Scholar Finally, despite the small sample size of our study, the strength of the association of birth weight and estimated glomerular filtration rate using cystatin C level (eGFRcys) was evident in our results when we observe the magnitude of the mean eGFRcys difference between the lowest and highest quartiles (16.7 mL/min/1.73 m2; 20.3%) and the graded manner of the association among birth weight quartiles. We do not believe that lack of the proposed adjustment has biased our findings. Support: FAPESP - N°. 04/10342-7 and 04/01672-3. Financial Disclosure: None." @default.
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• W2007102660 title "In Reply to ‘Interpretation of Birth Weight Data: A Note of Caution’" @default.
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