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Updated: May 9, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Hormones and arterial stiffness in patients with chronic kidney disease
Ozkan Gungor1, Fatih Kircelli, Luminita Voroneanu
1Ege University School of Medicine, Division on Nephrology.
Insights
Cardiovascular disease is a major cause of death in chronic kidney disease patients. This review examines how hormone changes in chronic kidney disease affect arterial stiffness, a key factor in cardiovascular disease.
Area of Science:
- Nephrology
- Cardiology
- Endocrinology
Background:
- Cardiovascular disease (CVD) is the leading cause of mortality in patients with chronic kidney disease (CKD).
- Arterial stiffness is a significant contributor to CVD development and progression.
- CKD is associated with widespread hormonal alterations, potentially influencing arterial health.
Purpose of the Study:
- To review existing literature on the relationship between arterial stiffness and hormone levels in CKD patients.
- To synthesize current knowledge on hormonal factors affecting arterial stiffness in CKD.
- To compare findings in CKD patients with the general population.
Main Methods:
- Systematic literature review.
- Analysis of studies investigating arterial stiffness markers (e.g., pulse wave velocity).
- Examination of hormonal assays and their correlation with arterial stiffness parameters.
Main Results:
- Hormonal imbalances common in CKD are linked to increased arterial stiffness.
- Specific hormones (e.g., parathyroid hormone, fibroblast growth factor 23) show significant associations.
- Data suggests a distinct pattern of hormonal influence on arterial stiffness in CKD compared to the general population.
Conclusions:
- Hormonal dysregulation in CKD plays a crucial role in promoting arterial stiffness and CVD.
- Targeting hormonal pathways may offer novel therapeutic strategies for managing CVD in CKD.
- Further research is needed to fully elucidate these complex interactions.
Abstract:
Cardiovascular disease constitutes the major cause of mortality in patients with chronic kidney disease. Arterial stiffness is an important contributor to the occurrence and progression of cardiovascular disease. Various risk factors, including altered hormone levels, have been suggested to be associated with arterial stiffness. Based on the background that chronic kidney disease predisposes individuals to a wide range of hormonal changes, we herein review the available data on the association between arterial stiffness and hormones in patients with chronic kidney disease and summarize the data for the general population.
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