The Role of Gender in Chronic Kidney Disease

Chronic kidney disease (CKD) is a common disease worldwide and is associated with high rates of morbidity and mortality. This review discusses several aspects of the relationship between gender and CKD. While the prevalence of CKD tends to be higher in women, the disease is more severe in men, who a...

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Main Authors: Idan Goldberg, Ilan Krause
Format: Article
Language:English
Published: European Medical Journal 2016-04-01
Series:European Medical Journal
Subjects:
Online Access:https://emj.emg-health.com/wp-content/uploads/sites/2/2017/12/The-Role-of-Gender-in-Chronic-Kidney-Disease.pdf
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author Idan Goldberg
Ilan Krause
author_facet Idan Goldberg
Ilan Krause
author_sort Idan Goldberg
collection DOAJ
description Chronic kidney disease (CKD) is a common disease worldwide and is associated with high rates of morbidity and mortality. This review discusses several aspects of the relationship between gender and CKD. While the prevalence of CKD tends to be higher in women, the disease is more severe in men, who also have a higher prevalence of end-stage renal disease. Most of the evidence in the current literature suggests a higher progression rate and mortality risk of CKD in men compared with women, except in post-menopausal women and diabetic patients. However, the decrease in glomerular filtration rate and the increase in the level of albuminuria are more prominent mortality risk factors among women. Sex hormones are thought to play a major role in the biological mechanisms associated with variability in CKD prevalence and characteristics between men and women. Animal studies have demonstrated the harmful influence of testosterone and protective influence of oestrogen on several biological processes that are involved in kidney injury. However, the role of sex hormones in explaining gender-related differences in CKD in humans has not yet been established. In summary, gender has an important influence on several aspects of CKD. Further research is needed to find additional gender-related characteristics in CKD and to identify the mechanisms of sexual dimorphism in CKD.
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spelling doaj.art-82d65132e169415dad2a760f8af09b072022-12-21T17:50:11ZengEuropean Medical JournalEuropean Medical Journal2397-67642016-04-01125864The Role of Gender in Chronic Kidney DiseaseIdan Goldberg0Ilan Krause1Rabin Medical Center, Beilinson Campus, Petah Tikva, IsraelRabin Medical Center, Beilinson Campus, Petah Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, IsraelChronic kidney disease (CKD) is a common disease worldwide and is associated with high rates of morbidity and mortality. This review discusses several aspects of the relationship between gender and CKD. While the prevalence of CKD tends to be higher in women, the disease is more severe in men, who also have a higher prevalence of end-stage renal disease. Most of the evidence in the current literature suggests a higher progression rate and mortality risk of CKD in men compared with women, except in post-menopausal women and diabetic patients. However, the decrease in glomerular filtration rate and the increase in the level of albuminuria are more prominent mortality risk factors among women. Sex hormones are thought to play a major role in the biological mechanisms associated with variability in CKD prevalence and characteristics between men and women. Animal studies have demonstrated the harmful influence of testosterone and protective influence of oestrogen on several biological processes that are involved in kidney injury. However, the role of sex hormones in explaining gender-related differences in CKD in humans has not yet been established. In summary, gender has an important influence on several aspects of CKD. Further research is needed to find additional gender-related characteristics in CKD and to identify the mechanisms of sexual dimorphism in CKD.https://emj.emg-health.com/wp-content/uploads/sites/2/2017/12/The-Role-of-Gender-in-Chronic-Kidney-Disease.pdfrenal failureglomerular filtration rate (gfr)sex hormonesend-stage renal disease (esrd)
spellingShingle Idan Goldberg
Ilan Krause
The Role of Gender in Chronic Kidney Disease
European Medical Journal
renal failure
glomerular filtration rate (gfr)
sex hormones
end-stage renal disease (esrd)
title The Role of Gender in Chronic Kidney Disease
title_full The Role of Gender in Chronic Kidney Disease
title_fullStr The Role of Gender in Chronic Kidney Disease
title_full_unstemmed The Role of Gender in Chronic Kidney Disease
title_short The Role of Gender in Chronic Kidney Disease
title_sort role of gender in chronic kidney disease
topic renal failure
glomerular filtration rate (gfr)
sex hormones
end-stage renal disease (esrd)
url https://emj.emg-health.com/wp-content/uploads/sites/2/2017/12/The-Role-of-Gender-in-Chronic-Kidney-Disease.pdf
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