Evidence map›Paper›PMID 38828720›Full record

ArticleJournal of pediatric gastroenterology and nutrition2024

Renal impairment is prevalent in pediatric NAFLD/MASLD and associated with disease severity.

Marialena Mouzaki, Katherine P Yates, Ana Catalina Arce-Clachar, Cindy Behling, Niviann M Blondet, Mark H Fishbein, Francisco Flores, Kathryn Harlow Adams, Paula Hertel, Ajay K Jain and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. Article
  3. MASLD In Children - A Distinct Phenotype?Current obesity reports · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Identification of pediatric MASLD using insulin resistance indices.JHEP reports : innovation in hepatology · 2025
    Article
  8. Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Marialena MouzakiCincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID http://orcid.org/0000-0002-9809-6199
Katherine P YatesJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Ana Catalina Arce-ClacharCincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Cindy BehlingRady Children's Hospital, University of California San Diego School of Medicine, San Diego, California, USA.
Niviann M BlondetSeattle Children's Hospital, University of Washington, Seattle, Washington, USA.
Mark H FishbeinLurie Children's Hospital, Feinberg School of Medicine, Chicago, Illinois, USA.
Francisco FloresCincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Kathryn Harlow AdamsRiley Hospital for Children, Indiana University School of Medicine, Riley, Indiana, USA.
Paula HertelTexas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA.
Ajay K JainDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Saint Louis University, Saint Louis, Missouri, USA.
Jean P MollestonRiley Hospital for Children, Indiana University School of Medicine, Riley, Indiana, USA.
Jeffrey B SchwimmerRady Children's Hospital, University of California San Diego School of Medicine, San Diego, California, USA.
Miriam B VosEmory University and Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
Stavra A XanthakosCincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
NASH Clinical Research Network

Funding

Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Pediatric Trials in Non-Alcoholic Steatohepatitis (NASH)U01DK061734 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ROHIT LOOMBA · 2002 to 2026
$24.4M
Continuation of the Non-Alcoholic Steatohepatitis Clinical Research Network (NASHU01DK061730 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI TONASCIA, JAMES A · 2002 to 2018
$23.2M
San Diego Clinical and Translational Research InstituteUL1TR000100 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S · 2012 to 2015
$19.7M
Non Alcoholic Steatohepatitis Clinical Research NetworkU01DK061732 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI Srinivasan Dasarathy · 2002 to 2026
$12.2M
The Saint Louis University Component of the NASH CRNU01DK061718 · NIDDK · SAINT LOUIS UNIVERSITY · PI BRENT A NEUSCHWANDER-TETRI · 2002 to 2026
$12.0M
VEDS Year2-Continuation of the Nonalcoholic Steatohepatitis Clinical Research Network (NASH CRN) Data Coordinating CenterU24DK061730 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI JEANNE M CLARK, David M Shade · 2019 to 2026
$11.3M
Pathogenesis, prognosis, and treatment of NAFLD patientsU01DK061713 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI ANNA MAE ELIZABETH DIEHL · 2002 to 2026
$10.3M
National Center for Advancing Translational Sciences (NCATS) UL1TR000004National Center for Advancing Translational Sciences (NCATS) UL1TR000006National Center for Advancing Translational Sciences (NCATS) UL1TR000040National Center for Advancing Translational Sciences (NCATS) UL1TR000077National Center for Advancing Translational Sciences (NCATS) UL1TR000100National Center for Advancing Translational Sciences (NCATS) UL1TR000150National Center for Advancing Translational Sciences (NCATS) UL1TR000423National Center for Advancing Translational Sciences (NCATS) UL1TR000424National Center for Advancing Translational Sciences (NCATS) UL1TR000448National Center for Advancing Translational Sciences (NCATS) UL1TR000454National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) U01DK061713National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) U01DK061718National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) U01DK061728National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) U01DK061730National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) U01DK061732National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) U01DK061734National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) U01DK061737National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) U01DK061738National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) U24DK061730NCATS NIH HHS UL1 TR000004NCATS NIH HHS UL1 TR000006NCATS NIH HHS UL1 TR000040NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR000100NCATS NIH HHS UL1 TR000150NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR000424NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR000454NIDDK NIH HHS U01 DK061713NIDDK NIH HHS U01 DK061718NIDDK NIH HHS U01 DK061728NIDDK NIH HHS U01 DK061730NIDDK NIH HHS U01 DK061732NIDDK NIH HHS U01 DK061734NIDDK NIH HHS U01 DK061737NIDDK NIH HHS U01 DK061738NIDDK NIH HHS U24 DK061730
6 · The paper itself

Abstract

objectivesRenal impairment is prevalent in adults with nonalcoholic fatty liver disease (NAFLD/metabolic dysfunction associated steatotic liver disease [MASLD]) and is associated with increased mortality. Pediatric data are limited. Our objective was to determine the prevalence of hyperfiltration or chronic kidney disease (CKD) in children with NAFLD/MASLD and determine links with liver disease severity.

methodsData from children who had previously participated in prospective, multicenter, pediatric studies by the Nonalcoholic Steatohepatitis Clinical Research Network (NASH-CRN) were collected. Renal function was determined using the calculated glomerular filtration rate (cGFR). Hyperfiltration was defined as cGFR > 135 mL/min/1.73m

resultsThe study included 1164 children (age 13 ± 3 years, 72% male, 71% Hispanic). The median cGFR was 121 mL/min/1.73 m

conclusionsRenal impairment is prevalent in children with NAFLD/MASLD and hyperfiltration is independently associated with significant liver fibrosis. Almost 1/5 children have evidence of progression in renal dysfunction over 2 years, not associated with change in liver disease severity. Future assessments including additional renal impairment biomarkers are needed.

Indexed as

Non-alcoholic Fatty Liver DiseaseRenal Insufficiency, ChronicAdolescentChildDisease ProgressionFemaleGlomerular Filtration RateHumansMalePrevalenceProspective StudiesSeverity of Illness Indexchildrenfatty liverkidney functionMASLD

Identifiers

PMID38828720
PMCPMC11956019

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.