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Birth weight predicts both proteinuria and overweight/obesity in a rural population of Aboriginal and non-Aboriginal Canadians

Published online by Cambridge University Press:  21 December 2012

R. T. Oster ,
V. A. Luyckx  and
E. L. Toth
R. T. Oster
Affiliation:
Division of Endocrinology, University of Alberta, Edmonton, Alberta, Canada
V. A. Luyckx
Affiliation:
Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada
E. L. Toth*
Affiliation:
Division of Endocrinology, University of Alberta, Edmonton, Alberta, Canada
*
Address for correspondence: Dr E. L. Toth, Department of Medicine, University of Alberta, 362 Heritage Medical Research Centre, Edmonton, Alberta, Canada T6G 2S2. Email [email protected]
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Abstract

The risk for many chronic diseases appears to be mediated in part by birth weight. Among Aboriginal Canadians, the prevalence of end-stage renal disease and cardiovascular disease risk is disproportionately high, largely because of elevated diabetes prevalence. The relationships between birth weight (and other potential risk factors) and diabetes, hypertension, proteinuria and overweight/obesity were explored in 1439 rural Albertans (Canada), of whom 67.3% were Aboriginal. At voluntary outreach screening programs, demographic and clinical data were measured and recalled birth weights recorded. Statistical modeling using logistic regression was used to evaluate the relationships. In the final adjusted models, associations remained for low birth weight and proteinuria [odds ratio (OR) 2.36; 95% CI 1.24–4.49], as well as for high birth weight and overweight/obesity (OR 1.58; 95% CI 1.00–2.53). These findings emphasize the need to strive for healthy pregnancies, with appropriate weight gains in these and other disadvantaged populations around the world.

Keywords

aboriginal healthbirth weightprogrammingrenaltype 2 diabetes
Type
Brief Report
Information
Journal of Developmental Origins of Health and Disease , Volume 4 , Issue 2 , April 2013 , pp. 139 - 145
Copyright
Copyright © Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2012 

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