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Related Concept Videos

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion

In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
Diabetic Nephropathy01:28

Diabetic Nephropathy

Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...
Nephrons01:10

Nephrons

The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma happens...
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution

Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are not...

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Related Experiment Video

Updated: May 9, 2026

Estimation of Nephron Number in Whole Kidney using the Acid Maceration Method
08:15

Estimation of Nephron Number in Whole Kidney using the Acid Maceration Method

Published on: May 22, 2019

Anatomic and physiologic changes of the aging kidney.

Zeina Karam1, Jennifer Tuazon

  • 1Division of Nephrology and Hypertension, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.

Clinics in Geriatric Medicine
|July 16, 2013
PubMed
Summary

Kidney aging involves structural damage like glomerulosclerosis and functional decline, including reduced filtration rate and impaired urine concentration. These age-related kidney changes impact overall renal health and function over time.

Keywords:
Functional reserveGlomerular filtration rateGlomerulosclerosisOsmoregulationRenal blood flowRenal massRenin-angiotensin systemSenescence

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Last Updated: May 9, 2026

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Assessment of Vascular Function in Patients With Chronic Kidney Disease
08:50

Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

Area of Science:

  • Nephrology
  • Gerontology
  • Renal Physiology

Background:

  • Aging significantly impacts kidney structure and function.
  • Kidney aging is characterized by specific pathological and physiological alterations.

Purpose of the Study:

  • To outline the key structural and functional changes in the kidney associated with aging.
  • To describe the timeline of glomerular filtration rate decline and alterations in renal blood flow.

Main Methods:

  • Review of established literature on renal aging.
  • Analysis of structural and functional parameters in aging kidneys.

Main Results:

  • Age-related structural changes include glomerulosclerosis, basement membrane thickening, increased mesangial matrix, tubulointerstitial fibrosis, and arteriosclerosis.
  • Glomerular filtration rate declines after the fourth decade.
  • Renal blood flow decreases and redistributes from cortex to medulla.
  • Functional changes involve increased glomerular basement permeability and reduced urine concentrating/diluting ability.

Conclusions:

  • Kidney aging is a complex process involving progressive structural damage and functional impairment.
  • These age-associated renal changes affect kidney's ability to maintain homeostasis and excrete waste products.