Key result
Central obesity affects ~92% of children with CKD, alongside high rates of stage 2 hypertension.
Why the study?
Hypertension is a common complication in pediatric chronic kidney disease and central obesity may contribute to its development, but data on waist-to-hip ratio in pediatric chronic kidney disease are limited.
Cross-Sectional (n=77)
No
In a single-center Indonesian cohort of pediatric CKD patients, central obesity was highly prevalent (92.2%), whereas stage 2 hypertension was present in 15.6% of patients and was more frequent in advanced CKD stages.
Hypertension is a common complication in pediatric chronic kidney disease (CKD), and central obesity may contribute to its development. However, data on waist-to-hip ratio (WHR) in pediatric CKD are limited. This study aimed to describe the distribution of central obesity and hypertension in children with early- and late-stage CKD at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. A retrospective cross-sectional study was conducted using examination data collected between May 2024 and May 2025. Data on CKD stage, blood pressure, and WHR were obtained from examinations conducted between May 2024 and May 2025. 77 children were includeed. Results showed that most patients were between the age of 10–18 years old (77,9%). The ratio between male and female patients was 46:31. Most patients (92,2%) had central obesity. There were 12 (15,6%) patients with stage 2 hypertension and 65 (84,4%) patients were normotensive. Central obesity was highly prevalent among pediatric CKD patients, while hypertension was relatively uncommon but more frequent in advanced stages. Further analytical studies are needed to determine the relationship between WHR and hypertension.
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Mardhatillah et al. (2026) conducted a cross-sectional in Pediatric chronic kidney disease (n=77). Central obesity (waist-to-hip ratio) was evaluated on Prevalence of central obesity and stage 2 hypertension. Central obesity by waist-to-hip ratio was present in 92.2% of children with CKD, while stage 2 hypertension occurred in 15.6%.
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