Female Adolescents with Chronic or End-Stage Kidney Disease and Strategies for their Care.

Abstract:

:The prevalence of chronic or end-stage kidney disease in pediatric girls is lower than in boys, however, girls have unique morbidities that can have great effect on their quality of life. For female adolescents, creatinine excretion peaks at approximately 14 years of age and is significantly less than males, owing to lower muscle mass. Females have higher nitric oxide activity, and estrogens may contribute to lower blood pressure. Females excrete less growth hormone during the prepubertal and pubertal years. Females between the ages of 8 and 10 years show increased levels of parathyroid hormone and vitamin D, however, female adolescents with chronic kidney disease have less estrogen and loss of the luteinizing hormone pulsatile pattern. These biological, hormonal, and physical changes affect the psychosocial aspects of female adolescents with chronic kidney disease/end-stage kidney disease, and they must learn to manage their health to achieve good outcomes. Patients and their parents must learn disease management through a customized health care transition preparation in both the pediatric- and adult-focused settings. Clinical strategies are suggested for the care of these special patients.

journal_name

Semin Nephrol

journal_title

Seminars in nephrology

authors

Diaz-Gonzalez De Ferris ME,Alvarez-Elías AC,Ferris MT,Medeiros M

doi

10.1016/j.semnephrol.2017.05.003

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

320-326

issue

4

eissn

0270-9295

issn

1558-4488

pii

S0270-9295(17)30032-3

journal_volume

37

pub_type

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