Fatores de risco cardiovascular em pacientes pediátricos após um ano de transplante renal* Cardiovascular risk factors in pediatric patients after one year of renal transplant Factores de riesgo cardiovascular en pacientes pediátricos después de un año de trasplante renal

Objective: To identify the prevalence of diabetes mellitus and the presence of cardiovascular risk factors in pediatric patients after one year of renal transplant. Methods: This was an exploratory retrospective study. Data were collected from 111 medical records of pediatric patients (aged 0 to incomplete 18 year old) who underwent renal transplant at both the “Hospital do Rim and Hypertension (Renal and High Blood Pressure Hospital) and the Sao Paulo Hospital of the Federal University of Sao Paulo between January 2000 and January 2006. Results: A half of patients (50.5%) used high blood pressure medications prior to undergoing renal transplant. A year after renal transplant the use of high blood pressure medications by the pediatric patients was reduced by 28%. Before transplant, 13.5% of the patients were overweighed and did not have any significant changes in their weight after the transplant (12.6%). There was an increase in the number of overweight patients after a year of renal transplant by 50.0%. Approximately 1.0% of the patients developed diabetes mellitus after the renal transplant. Conclusion: Obesity, high blood pressure, and diabetes mellitus were common conditions among pediatric patients after renal transplant.