Undernutrition when young and the risk of poor renal function in adulthood in women with diabetes in Shanghai, China

Objective To evaluate the effect of undernutrition when young on the risk of poor renal function in adulthood in women with diabetes mellitus. Methods We studied diabetic women born between 1921 and 1958 who were exposed to the 1959-to-1962 Chinese famine when they were 0 to 37 years old. Exposure a...

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Main Authors: Qiaojing Qin, Kaili Chang, Qing Wu, Weifeng Fan, Yong Gu, Jianying Niu, Xueguang Liu
Format: Article
Language:English
Published: SAGE Publishing 2021-05-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605211016671
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author Qiaojing Qin
Kaili Chang
Qing Wu
Weifeng Fan
Yong Gu
Jianying Niu
Xueguang Liu
author_facet Qiaojing Qin
Kaili Chang
Qing Wu
Weifeng Fan
Yong Gu
Jianying Niu
Xueguang Liu
author_sort Qiaojing Qin
collection DOAJ
description Objective To evaluate the effect of undernutrition when young on the risk of poor renal function in adulthood in women with diabetes mellitus. Methods We studied diabetic women born between 1921 and 1958 who were exposed to the 1959-to-1962 Chinese famine when they were 0 to 37 years old. Exposure age was classified as young adulthood (18 to 37 years), adolescence (10 to 17 years), or childhood (0 to 9 years). The Adolescence group, which was provided with the largest amount of food during the famine, was used as the control group, and variance and binary logistic regression analyses were performed. Results The prevalences of low estimated glomerular filtration rate (eGFR) in the Childhood, Adolescence, and Young adulthood groups were 5.26%, 22.39%, and 79.24%, respectively. The risk of low eGFR for the Young adulthood group (odds ratio [OR] 1.65, 95% confidence interval [CI] 1.10, 2.48), but not for the Childhood group (OR 1.10, 95% CI 0.68, 1.78), was higher than that for the Adolescence group after adjustment for potential confounders. Conclusions Undernutrition during young adulthood significantly increases the risk of renal dysfunction in adult women with diabetes. Therefore, the nutrition of less affluent young women should be improved.
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spelling doaj.art-6a01bbf206654ff5850ccb26718b46e02022-12-21T22:40:35ZengSAGE PublishingJournal of International Medical Research1473-23002021-05-014910.1177/03000605211016671Undernutrition when young and the risk of poor renal function in adulthood in women with diabetes in Shanghai, ChinaQiaojing QinKaili ChangQing WuWeifeng FanYong GuJianying NiuXueguang LiuObjective To evaluate the effect of undernutrition when young on the risk of poor renal function in adulthood in women with diabetes mellitus. Methods We studied diabetic women born between 1921 and 1958 who were exposed to the 1959-to-1962 Chinese famine when they were 0 to 37 years old. Exposure age was classified as young adulthood (18 to 37 years), adolescence (10 to 17 years), or childhood (0 to 9 years). The Adolescence group, which was provided with the largest amount of food during the famine, was used as the control group, and variance and binary logistic regression analyses were performed. Results The prevalences of low estimated glomerular filtration rate (eGFR) in the Childhood, Adolescence, and Young adulthood groups were 5.26%, 22.39%, and 79.24%, respectively. The risk of low eGFR for the Young adulthood group (odds ratio [OR] 1.65, 95% confidence interval [CI] 1.10, 2.48), but not for the Childhood group (OR 1.10, 95% CI 0.68, 1.78), was higher than that for the Adolescence group after adjustment for potential confounders. Conclusions Undernutrition during young adulthood significantly increases the risk of renal dysfunction in adult women with diabetes. Therefore, the nutrition of less affluent young women should be improved.https://doi.org/10.1177/03000605211016671
spellingShingle Qiaojing Qin
Kaili Chang
Qing Wu
Weifeng Fan
Yong Gu
Jianying Niu
Xueguang Liu
Undernutrition when young and the risk of poor renal function in adulthood in women with diabetes in Shanghai, China
Journal of International Medical Research
title Undernutrition when young and the risk of poor renal function in adulthood in women with diabetes in Shanghai, China
title_full Undernutrition when young and the risk of poor renal function in adulthood in women with diabetes in Shanghai, China
title_fullStr Undernutrition when young and the risk of poor renal function in adulthood in women with diabetes in Shanghai, China
title_full_unstemmed Undernutrition when young and the risk of poor renal function in adulthood in women with diabetes in Shanghai, China
title_short Undernutrition when young and the risk of poor renal function in adulthood in women with diabetes in Shanghai, China
title_sort undernutrition when young and the risk of poor renal function in adulthood in women with diabetes in shanghai china
url https://doi.org/10.1177/03000605211016671
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