Can childhood obesity influence later chronic kidney disease?

  • Lyda Jadresic
  • Richard J. Silverwood
  • Sanjay Kinra
  • Dorothea Nitsch
Part of the following topical collections:
  1. What’s New in Chronic Kidney Disease


Childhood overweight and obesity affects more and more children. Whilst associations of childhood overweight with later outcomes such as hypertension, diabetes and cardiovascular disease have been well documented, less is known about the association of childhood overweight and obesity with kidney disease. We review the existing evidence for the association of childhood obesity with markers of childhood and adult kidney disease. Whilst there is some evidence for an association, studies have not been able to distinguish between childhood being a sensitive time to develop later kidney problems, or whether observed associations of childhood obesity with poor outcomes are driven by greater lifelong exposure to obesity.


Body mass index Childhood Obesity Overweight Kidney disease Review 


Compliance with ethical standards

Support and financial disclosure declaration

This work was supported by Kidney Research UK (grant number RP34/2009) to RJS and DN.

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    de Onis M, Blossner M, Borghi E (2010) Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr 92:1257–1264CrossRefGoogle Scholar
  2. 2.
    Wang Y, Lobstein T (2006) Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 1:11–25CrossRefGoogle Scholar
  3. 3.
    Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, Mullany EC, Biryukov S, Abbafati C, Abera SF, Abraham JP, Abu-Rmeileh NME, Achoki T, AlBuhairan FS, Alemu ZA, Alfonso R, Ali MK, Ali R, Guzman NA, Ammar W, Anwari P, Banerjee A, Barquera S, Basu S, Bennett DA, Bhutta Z, Blore J, Cabral N, Nonato IC, Chang J-C, Chowdhury R, Courville KJ, Criqui MH, Cundiff DK, Dabhadkar KC, Dandona L, Davis A, Dayama A, Dharmaratne SD, Ding EL, Durrani AM, Esteghamati A, Farzadfar F, Fay DFJ, Feigin VL, Flaxman A, Forouzanfar MH, Goto A, Green MA, Gupta R, Hafezi-Nejad N, Hankey GJ, Harewood HC, Havmoeller R, Hay S, Hernandez L, Husseini A, Idrisov BT, Ikeda N, Islami F, Jahangir E, Jassal SK, Jee SH, Jeffreys M, Jonas JB, Kabagambe EK, Khalifa SEAH, Kengne AP, Khader YS, Khang Y-H, Kim D, Kimokoti RW, Kinge JM, Kokubo Y, Kosen S, Kwan G, Lai T, Leinsalu M, Li Y, Liang X, Liu S, Logroscino G, Lotufo PA, Lu Y, Ma J, Mainoo NK, Mensah GA, Merriman TR, Mokdad AH, Moschandreas J, Naghavi M, Naheed A, Nand D, Narayan KMV, Nelson EL, Neuhouser ML, Nisar MI, Ohkubo T, Oti SO, Pedroza A, Prabhakaran D, Roy N, Sampson U, Seo H, Sepanlou SG, Shibuya K, Shiri R, Shiue I, Singh GM, Singh JA, Skirbekk V, Stapelberg NJC, Sturua L, Sykes BL, Tobias M, Tran BX, Trasande L, Toyoshima H, van de Vijver S, Vasankari TJ, Veerman JL, Velasquez-Melendez G, Vlassov VV, Vollset SE, Vos T, Wang C, Wang X, Weiderpass E, Werdecker A, Wright JL, Yang YC, Yatsuya H, Yoon J, Yoon S-J, Zhao Y, Zhou M, Zhu S, Lopez AD, Murray CJL, Gakidou E (2014) Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013;2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 384:766–781CrossRefGoogle Scholar
  4. 4.
    World Health Organization (2018) Facts and figures on childhood obesity. Accessed 4th February 2018
  5. 5.
    Prospective Studies Collaboration (2009) Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet 373:1083–1096CrossRefGoogle Scholar
  6. 6.
    Lewington S, Whitlock G, Clarke R, Sherliker P, Emberson J, Halsey J, Qizilbash N, Peto R, Collins R (2007) Blood cholesterol and vascular mortality by age, sex, and blood pressure: a meta-analysis of individual data from 61 prospective studies with 55,000 vascular deaths. Lancet 370:1829–1839CrossRefGoogle Scholar
  7. 7.
    Singh AS, Mulder C, Twisk JW, van Mechelen W, Chinapaw MJ (2008) Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev 9:474–488CrossRefGoogle Scholar
  8. 8.
    Park MH, Falconer C, Viner RM, Kinra S (2012) The impact of childhood obesity on morbidity and mortality in adulthood: a systematic review. Obes Rev 13:985–1000CrossRefGoogle Scholar
  9. 9.
    Reilly JJ, Kelly J (2011) Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes 35:891–898CrossRefGoogle Scholar
  10. 10.
    Wang Y, Chen X, Song Y, Caballero B, Cheskin LJ (2008) Association between obesity and kidney disease: a systematic review and meta-analysis. Kidney Int 73:19–33CrossRefGoogle Scholar
  11. 11.
    Garofalo C, Borrelli S, Minutolo R, Chiodini P, De Nicola L, Conte G (2017) A systematic review and meta-analysis suggests obesity predicts onset of chronic kidney disease in the general population. Kidney Int 91:1224–1235CrossRefGoogle Scholar
  12. 12.
    Neff KJ, Frankel AH, Tam FW, Sadlier DM, Godson C, le Roux CW (2013) The effect of bariatric surgery on renal function and disease: a focus on outcomes and inflammation. Nephrol Dial Transplant 28(Suppl 4):iv73–iv82CrossRefGoogle Scholar
  13. 13.
    Li K, Zou J, Ye Z, Di J, Han X, Zhang H, Liu W, Ren Q, Zhang P (2016) Effects of bariatric surgery on renal function in obese patients: a systematic review and meta analysis. PLoS One 11:e0163907CrossRefGoogle Scholar
  14. 14.
    Lee AM, Charlton JR, Carmody JB, Gurka MJ, Deboer MD (2017) Metabolic risk factors in nondiabetic adolescents with glomerular hyperfiltration. Nephrol Dial Transplant 32:1517–1524PubMedGoogle Scholar
  15. 15.
    Tajbakhsh R, Heshmat R, Safiri S, Vafaeenia M, Motlagh ME, Mansourian M, Beshtar S, Safari O, Asayesh H, Ansari H, Qorbani M, Kelishadi R (2017) Association of glomerular filtration rate with cardiometabolic risk factors in Iranian adolescents CASPIAN III study. Iran J Kidney Dis 11:345–351PubMedGoogle Scholar
  16. 16.
    Marmarinos A, Garoufi A, Panagoulia A, Dimou S, Drakatos A, Paraskakis I, Gourgiotis D (2016) Cystatin-C levels in healthy children and adolescents: influence of age, gender, body mass index and blood pressure. Clin Biochem 49:150–153CrossRefGoogle Scholar
  17. 17.
    Correia-Costa L, Afonso AC, Schaefer F, Guimaraes JT, Bustorff M, Guerra A, Barros H, Azevedo A (2015) Decreased renal function in overweight and obese prepubertal children. Pediatr Res 78:436–444CrossRefGoogle Scholar
  18. 18.
    Di Bonito P, Sanguigno E, Forziato C, Di Fraia T, Moio N, Cavuto L, Sibilio G, Iardino MR, Di Carluccio C, Capaldo B (2014) Glomerular filtration rate and cardiometabolic risk in an outpatient pediatric population with high prevalence of obesity. Obesity 22:585–589CrossRefGoogle Scholar
  19. 19.
    Ma YT, Xie X, Yang YN, Li XM, Zheng YY (2014) Relationship between serum creatinine and obesity in children in Xinjiang, China. Genet Mol Res 13:2409–2416CrossRefGoogle Scholar
  20. 20.
    Soylemezoglu O, Duzova A, Yalcinkaya F, Arinsoy T, Suleymanlar G (2012) Chronic renal disease in children aged 5-18 years: a population-based survey in Turkey, the CREDIT-C study. Nephrol Dial Transplant 27(Suppl 3):46–51CrossRefGoogle Scholar
  21. 21.
    Maitland K, Kiguli S, Opoka RO, Engoru C, Olupot-Olupot P, Akech SO, Nyeko R, Mtove G, Reyburn H, Lang T, Brent B, Evans JA, Tibenderana JK, Crawley J, Russell EC, Levin M, Babiker AG, Gibb DM, Group FT (2011) Mortality after fluid bolus in African children with severe infection. N Engl J Med 364:2483–2495CrossRefGoogle Scholar
  22. 22.
    Koulouridis E, Georgalidis K, Kostimpa I, Koulouridis I, Krokida A, Houliara D (2010) Metabolic syndrome risk factors and estimated glomerular filtration rate among children and adolescents. Pediatr Nephrol 25:491–498CrossRefGoogle Scholar
  23. 23.
    Cindik N, Baskin E, Agras PI, Kinik ST, Turan M, Saatci U (2005) Effect of obesity on inflammatory markers and renal functions. Acta Paediatrica 94:1732–1737CrossRefGoogle Scholar
  24. 24.
    Hammer LD, Kraemer HC, Wilson DM, Ritter PL, Dornbusch SM (1991) Standardized percentile curves of body-mass index for children and adolescents. Am J Dis Child 145:259–263PubMedGoogle Scholar
  25. 25.
    Pacifico L, Bonci E, Andreoli GM, Di Martino M, Gallozzi A, De Luca E, Chiesa C (2016) The impact of nonalcoholic fatty liver disease on renal function in children with overweight/obesity. Int J Mol Sci. CrossRefGoogle Scholar
  26. 26.
    Bartz SK, Caldas MC, Tomsa A, Krishnamurthy R, Bacha F (2015) Urine albumin-to-creatinine ratio: a marker of early endothelial dysfunction in youth. J Clin Endocrinol Metab 100:3393–3399CrossRefGoogle Scholar
  27. 27.
    Franchini S, Savino A, Marcovecchio ML, Tumini S, Chiarelli F, Mohn A (2015) The effect of obesity and type 1 diabetes on renal function in children and adolescents. Pediatr Diabetes 16:427–433CrossRefGoogle Scholar
  28. 28.
    Falakaflaki B, Mazloomzadeh S, Moradzade A (2012) Comparison of renal function between normal-weight and overweight children. Indian J Nephrol 22:193–195CrossRefGoogle Scholar
  29. 29.
    Savino A, Pelliccia P, Giannini C, de Giorgis T, Cataldo I, Chiarelli F, Mohn A (2011) Implications for kidney disease in obese children and adolescents. Pediatr Nephrol 26:749–758CrossRefGoogle Scholar
  30. 30.
    Xiao N, Jenkins TM, Nehus E, Inge TH, Michalsky MP, Harmon CM, Helmrath MA, Brandt ML, Courcoulas A, Moxey-Mims M, Mitsnefes MM (2014) Kidney function in severely obese adolescents undergoing bariatric surgery. Obesity 22:2319–2325CrossRefGoogle Scholar
  31. 31.
    Larkins N, Teixeira-Pinto A, Craig J (2017) The population-based prevalence of albuminuria in children. Pediatr Nephrol 32:2303–2309CrossRefGoogle Scholar
  32. 32.
    Cho H, Kim JH (2017) Prevalence of microalbuminuria and its associated cardiometabolic risk factors in Korean youth: data from the Korea National Health and Nutrition Examination Survey. PLoS One 12:e0178716CrossRefGoogle Scholar
  33. 33.
    Machluf Y, Fink D, Farkash R, Rotkopf R, Pirogovsky A, Tal O, Shohat T, Weisz G, Ringler E, Dagan D, Chaiter Y (2016) Adolescent BMI at Northern Israel: from trends, to associated variables and comorbidities, and to medical signatures. Medicine. CrossRefGoogle Scholar
  34. 34.
    Gracchi V, Van Den Belt SM, Küpers LK, Corpeleijn E, De Zeeuw D, Heerspink HJL (2016) Prevalence and distribution of (micro)albuminuria in toddlers. Nephrol Dial Transplant 31:1686–1692CrossRefGoogle Scholar
  35. 35.
    Gurecka R, Koborova I, Sebek J, Sebekova K (2015) Presence of cardiometabolic risk factors is not associated with microalbuminuria in 14-to-20-years old Slovak adolescents: a cross-sectional, population study. PLoS One 10:e0129311CrossRefGoogle Scholar
  36. 36.
    Rutkowski B, Czarniak P, Krol E, Szczeoniak P, Zdrojewski T (2013) Overweight, obesity, hypertension and albuminuria in polish adolescents-results of the sopkard 15 study. Nephrol Dial Transplant 28:iv204–iv211CrossRefGoogle Scholar
  37. 37.
    Okpere AN, Anochie IC, Eke FU (2012) Prevalence of microalbuminuria among secondary school children. Afr Health Sci 12:140–147PubMedPubMedCentralGoogle Scholar
  38. 38.
    Hirschler V, Molinari C, Maccallini G, Aranda C (2010) Is albuminuria associated with obesity in school children? Pediatr Diabetes 11:322–330CrossRefGoogle Scholar
  39. 39.
    Haysom L, Williams RE, Hodson EM, Lopez-Vargas P, Roy LP, Lyle DM, Craig JC (2009) Cardiovascular risk factors in Australian indigenous and non-indigenous children: a population-based study. J Paediatr Child Health 45:20–27CrossRefGoogle Scholar
  40. 40.
    Haysom L, Williams R, Hodson E, Lopez-Vargas P, Roy LP, Lyle D, Craig JC (2009) Risk of CKD in Australian indigenous and nonindigenous children: a population-based cohort study. Am J Kidney Dis 53:229–237CrossRefGoogle Scholar
  41. 41.
    Haysom L, Williams R, Hodson EM, Lopez-Vargas PA, Roy LP, Lyle DM, Craig JC (2009) Natural history of chronic kidney disease in Australian indigenous and non-indigenous children: a 4-year population-based follow-up study. Med J Aust 190:303–306PubMedGoogle Scholar
  42. 42.
    Nguyen S, McCulloch C, Brakeman P, Portale A, Hsu CY (2008) Being overweight modifies the association between cardiovascular risk factors and microalbuminuria in adolescents. Pediatrics 121:37–45CrossRefGoogle Scholar
  43. 43.
    Jafar TH, Chaturvedi N, Hatcher J, Khan I, Rabbani A, Khan AQ, Portman R, Schmid CH, Levey AS (2005) Proteinuria in South Asian children: prevalence and determinants. Pediatr Nephrol 20:1458–1465CrossRefGoogle Scholar
  44. 44.
    Csernus K, Lanyi E, Erhardt E, Molnar D (2005) Effect of childhood obesity and obesity-related cardiovascular risk factors on glomerular and tubular protein excretion. Eur J Pediatr 164:44–49CrossRefGoogle Scholar
  45. 45.
    Radhakishun NNE, Van Vliet M, Von Rosenstiel IA, Beijnen JH, Diamant M (2013) Limited value of routine microalbuminuria assessment in multi-ethnic obese children. Pediatr Nephrol 28:1145–1149CrossRefGoogle Scholar
  46. 46.
    Lurbe E, Torro MI, Alvarez J, Aguilar F, Fernandez-Formoso JA, Redon J (2013) Prevalence and factors related to urinary albumin excretion in obese youths. J Hypertens 31:2230–2236CrossRefGoogle Scholar
  47. 47.
    Sanad M, Gharib A (2011) Evaluation of microalbuminuria in obese children and its relation to metabolic syndrome. Pediatr Nephrol 26:2193–2199CrossRefGoogle Scholar
  48. 48.
    Burgert TS, Dziura J, Yeckel C, Taksali SE, Weiss R, Tamborlane W, Caprio S (2006) Microalbuminuria in pediatric obesity: prevalence and relation to other cardiovascular risk factors. Int J Obes 30:273–280CrossRefGoogle Scholar
  49. 49.
    Levey AS, Becker C, Inker LA (2015) Glomerular filtration rate and albuminuria for detection and staging of acute and chronic kidney disease in adults: a systematic review. JAMA 313:837–846CrossRefGoogle Scholar
  50. 50.
    Roos JF, Doust J, Tett SE, Kirkpatrick CM (2007) Diagnostic accuracy of cystatin C compared to serum creatinine for the estimation of renal dysfunction in adults and children—a meta-analysis. Clin Biochem 40:383–391CrossRefGoogle Scholar
  51. 51.
    Miliku K, Bakker H, Dorresteijn EM, Cransberg K, Franco OH, Felix JF, Jaddoe VW (2017) Childhood estimates of glomerular filtration rate based on creatinine and cystatin C: importance of body composition. Am J Nephrol 45:320–326CrossRefGoogle Scholar
  52. 52.
    Plumb LA, Pitcher D, Tse Y, Shield JP, Inward C, Sinha MD (2014) Longitudinal changes in body mass index following renal transplantation in UK children. Nephrol Dial Transplant 29:196–203CrossRefGoogle Scholar
  53. 53.
    Boschetti SB, Nogueira PC, Pereira AM, Fisberg M, Pestana JO (2013) Prevalence, risk factors, and consequences of overweight in children and adolescents who underwent renal transplantation—short- and medium-term analysis. Pediatr Transplant 17:41–47CrossRefGoogle Scholar
  54. 54.
    Mitsnefes MM, Khoury P, McEnery PT (2002) Body mass index and allograft function in pediatric renal transplantation. Pediatr Nephrol 17:535–539CrossRefGoogle Scholar
  55. 55.
    Hanevold CD, Ho PL, Talley L, Mitsnefes MM (2005) Obesity and renal transplant outcome: a report of the North American Pediatric Renal Transplant Cooperative Study. Pediatrics 115:352–356CrossRefGoogle Scholar
  56. 56.
    Ladhani M, Lade S, Alexander SI, Baur LA, Clayton PA, McDonald S, Craig JC, Wong G (2017) Obesity in pediatric kidney transplant recipients and the risks of acute rejection, graft loss and death. Pediatr Nephrol 32:1443–1450CrossRefGoogle Scholar
  57. 57.
    Fowler SM, Kon V, Ma L, Richards WO, Fogo AB, Hunley TE (2009) Obesity-related focal and segmental glomerulosclerosis: normalization of proteinuria in an adolescent after bariatric surgery. Pediatr Nephrol 24:851–855CrossRefGoogle Scholar
  58. 58.
    Nehus EJ, Khoury JC, Inge TH, Xiao N, Jenkins TM, Moxey-Mims MM, Mitsnefes MM (2017) Kidney outcomes three years after bariatric surgery in severely obese adolescents. Kidney Int 91:451–458CrossRefGoogle Scholar
  59. 59.
    Patel HP, Saland JM, Ng DK, Jiang S, Warady BA, Furth SL, Flynn JT (2017) Waist circumference and body mass index in children with chronic kidney disease and metabolic, cardiovascular, and renal outcomes. J Pediatr 191:133–139CrossRefGoogle Scholar
  60. 60.
    Muntner P, Arshad A, Morse SA, Patel DA, Manapatra PD, Reisin E, Aguilar EA, Chen W, Srinivasan S, Berenson GS (2009) End-stage renal disease in young black males in a black-white population: longitudinal analysis of the Bogalusa Heart Study. BMC Nephrol 10:40CrossRefGoogle Scholar
  61. 61.
    Vivante A, Golan E, Tzur D, Leiba A, Tirosh A, Skorecki K, Calderon-Margalit R (2012) Body mass index in 1.2 million adolescents and risk for end-stage renal disease. Arch Intern Med 172:1644–1650CrossRefGoogle Scholar
  62. 62.
    Sundin PO, Udumyan R, Sjostrom P, Montgomery S (2014) Predictors in adolescence of ESRD in middle-aged men. Am J Kidney Dis 64:723–729CrossRefGoogle Scholar
  63. 63.
    Ejerblad E, Fored CM, Lindblad P, Fryzek J, McLaughlin JK, Nyren O (2006) Obesity and risk for chronic renal failure. J Am Soc Nephrol 17:1695–1702CrossRefGoogle Scholar
  64. 64.
    Silverwood RJ, Pierce M, Thomas C, Hardy R, Ferro C, Sattar N, Whincup P, Savage C, Kuh D, Nitsch D, National Survey of Health and Development Scientific and Data Collection Teams (2013) Association between younger age when first overweight and increased risk for CKD. J Am Soc Nephrol 24:813–821CrossRefGoogle Scholar
  65. 65.
    Silverwood RJ, Pierce M, Hardy R, Thomas C, Ferro C, Savage C, Sattar N, Kuh D, Nitsch D (2013) Early-life overweight trajectory and CKD in the 1946 British birth cohort study. Am J Kidney Dis 62:276–284CrossRefGoogle Scholar
  66. 66.
    Stevens PE, Levin A (2013) Evaluation and management of chronic kidney disease: synopsis of the kidney disease: improving global outcomes 2012 clinical practice guideline. Ann Intern Med 158:825–830CrossRefGoogle Scholar
  67. 67.
    Yim HE, Yoo KH (2015) Early life obesity and chronic kidney disease in later life. Pediatr Nephrol 30:1255–1263CrossRefGoogle Scholar
  68. 68.
    Wahba IM, Mak RH (2007) Obesity and obesity-initiated metabolic syndrome: mechanistic links to chronic kidney disease. Clin J Am Soc Nephrol 2:550–562CrossRefGoogle Scholar
  69. 69.
    Helal I, Fick-Brosnahan GM, Reed-Gitomer B, Schrier RW (2012) Glomerular hyperfiltration: definitions, mechanisms and clinical implications. Nat Rev Nephrol 8:293–300CrossRefGoogle Scholar
  70. 70.
    Henegar JR, Bigler SA, Henegar LK, Tyagi SC, Hall JE (2001) Functional and structural changes in the kidney in the early stages of obesity. J Am Soc Nephrol 12:1211–1217PubMedGoogle Scholar
  71. 71.
    Wolf G, Chen S, Han DC, Ziyadeh FN (2002) Leptin and renal disease. Am J Kidney Dis 39:1–11CrossRefGoogle Scholar
  72. 72.
    Tomaszewski M, Charchar FJ, Maric C, McClure J, Crawford L, Grzeszczak W, Sattar N, Zukowska-Szczechowska E, Dominiczak AF (2007) Glomerular hyperfiltration: a new marker of metabolic risk. Kidney Int 71:816–821CrossRefGoogle Scholar
  73. 73.
    Marlais M, Coward RJ (2015) Paediatrics, insulin resistance and the kidney. Pediatr Nephrol 30:1217–1224CrossRefGoogle Scholar
  74. 74.
    Gunta SS, Mak RH (2013) Is obesity a risk factor for chronic kidney disease in children? Pediatr Nephrol 28:1949–1956CrossRefGoogle Scholar
  75. 75.
    Savino A, Pelliccia P, Chiarelli F, Mohn A (2010) Obesity-related renal injury in childhood. Horm Res Paediatr 73:303–311CrossRefGoogle Scholar
  76. 76.
    Silverwood RJ, Pierce M, Hardy R, Sattar N, Whincup P, Ferro C, Savage C, Kuh D, Nitsch D (2013) Low birth weight, later renal function, and the roles of adulthood blood pressure, diabetes, and obesity in a British birth cohort. Kidney Int 84:1262–1270CrossRefGoogle Scholar
  77. 77.
    Kuh D, Ben-Shlomo Y, Lynch J, Hallqvist J, Power C (2003) Life course epidemiology. J Epidemiol Community Health 57:778–783CrossRefGoogle Scholar
  78. 78.
    Abdullah A, Wolfe R, Stoelwinder JU, de Courten M, Stevenson C, Walls HL, Peeters A (2011) The number of years lived with obesity and the risk of all-cause and cause-specific mortality. Int J Epidemiol 40:985–996CrossRefGoogle Scholar
  79. 79.
    de Koning L, Hu FB (2011) Commentary: obesity-years—a new metric to measure health effects of obesity. Int J Epidemiol 40:996–997CrossRefGoogle Scholar
  80. 80.
    WHO (2010) Global status report on noncommunicable disease. World Health Organization, Geneva Google Scholar
  81. 81.
    Bailey PK, Tomson CR, Kinra S, Ebrahim S, Radhakrishna KV, Kuper H, Nitsch D, Ben-Shlomo Y (2013) The effect of rural-to-urban migration on renal function in an Indian population: cross-sectional data from the Hyderabad arm of the Indian migration study. BMC Nephrol 14:240CrossRefGoogle Scholar

Copyright information

© IPNA 2018

Authors and Affiliations

  1. 1.Department of PaediatricsGloucestershire Royal HospitalGloucesterUK
  2. 2.Department of Medical Statistics, Faculty of Epidemiology and Population HealthLondon School of Hygiene and Tropical MedicineLondonUK
  3. 3.Department of Non-Communicable Disease Epidemiology, Faculty of Epidemiology and Population HealthLondon School of Hygiene and Tropical MedicineLondonUK

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