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Abstract Childhood obesity is a serious public health challenge. In 2010, 43 million children (35 million in developing countries) were estimated to be overweight and obese; 92 million were at risk of overweight. In Egypt, the prevalence of overweight among boys aged 5 – 19 years 35% and 10.5% for obesity while the prevalence of overweight among girls 36.4% and 9.5% for obesity. Obese children may be at risk for both short term health consequences and long term tracking of obesity to adulthood. A dramatic rise in the prevalence of ESRD was noticed in the past decade this is parallel with the obesity epidemic. Recent epidemiological data suggest that obesity is associated with increased risk of renal injury in children. The onset of obesity-associated renal disease is insidious and asymptomatic, so early markers will be extremely useful in its prevention and treatment. The aim of this work is to assess the utility of urinary. |