Latent Metabolic Acidosis: Complications

The following are the major conditions or complications that may be contributed to by latent metabolic (metabolic-related) acidosis:

Certain conditions originating in the perinatal period (P00-P96).

  • Growth impairment of premature infants

Blood, hematopoietic organs – immune system (D50-D90).

  • Loss of activity of NK cells (natural killer cell; natural killer cells).
  • Inhibition of lymphocyte proliferation (infection defense).

Endocrine, nutritional and metabolic diseases (E00-E90).

  • Diabetes mellitus type 2
    • Wg. insulin resistance ↑
    • Net endogenous acid production (NEAP), potential renal acid load (PRAL), and animal protein-to-potassium ratio (A:P) are positively associated with diabetes mellitus type 2
  • Insulin resistance ↑
  • Increase in extracellular potassium (hyperkalemia).

Factors affecting health status leading to health care utilization (Z00-Z99).

  • Stress-in children, higher secretion of the stress hormone cortisol and the specific cellular cortisol remodeling products (eg, 6-beta-hydroxycortisol) was measured in the presence of increased renal acid excretion (net acid excretion, NAE)

Cardiovascular System (I00-I99).

  • Hypertension risk ↑ – due to a slight shift in acid-base metabolism in childhood toward a higher acid load (acidification), regardless of salt intake.

Musculoskeletal system and connective tissue (M00-M99).

  • Arthralgia (joint pain)
  • Myalgia (muscle pain)
  • Osteopenia (reduction in bone density; precursor to osteoporosis).
  • Osteoporosis

Symptoms and abnormal clinical and laboratory parameters, not elsewhere classified (R00-R99).

  • Poor performance

Complex disorders of acid-base metabolism are more common in early childhood than in other age groups. According to one study, even mild acidosis from food leads to impaired growth.

Other consequences

  • Decrease in enzyme activities
  • Diffusion disorders and thus reduced supply of tissues with nutrients and vital substances (macro- and micronutrients).
  • Osmotic change (swelling and deformation) of cells.
  • Deterioration of oxygen utilization and thus deterioration of organ functions (heart, kidneys, etc.)
  • Decrease in vascular muscle response to catecholamines.