The long-term effects of prematurity and XXXX on cardiovascular, renal, and metabolic function.

@entity1 @entity8 @entity101 @entity1592 @entity209 @entity413
Objective. To determine relative influences of @entity1592 ( @entity1592 ) and preterm birth on risks of @entity8 in adolescent @entity1 . Study Design. Retrospective cohort study. 71 periadolescent @entity1 were classified into four groups: premature small for gestational age (SGA), premature appropriate for gestational age (AGA), term SGA, and term AGA. Outcome Measures. Systolic blood pressure (SBP), augmentation index (Al), glomerular filtration rate (GFR) following protein load; plasma @entity413 and serum insulin levels. Results. SGA had higher SBP (average 4.6   mmHg) and lower GFR following protein load (average 28.5   mL/min/1.73   m(2)) than AGA. There was no effect of prematurity on SBP (P = .4) or GFR (P = .9). Both prematurity and SGA were associated with higher AI (average 9.7%) and higher serum insulin levels 2   hr after @entity413 load (average 15.5   mIU/L) than all other groups. Conclusion. @entity1592 is a more significant risk factor than preterm birth for later systolic @entity101 and @entity8 . Among @entity1 born preterm, those who are also SGA are at increased risk of @entity209 .
