Gender disparity in pediatrics: a review of the current literature

Paola Piccini1, Carlotta Montagnani2, Maurizio de Martino3

  • 1Post Graduate Pediatric School, University of Florence, Anna Meyer Children's University Hospital, viale Gaetano Pieraccini 24, I-50139, Florence, Italy.

Insights

Pediatric gender medicine research is limited, with few studies exploring the reasons for observed differences in children. More investigation into pharmacokinetic and pharmacodynamic variations between boys and girls is needed.

Area of Science:

  • Biomedical Research
  • Pediatric Medicine
  • Gender-Based Medicine

Background:

  • Gender-based medicine offers a novel perspective for health research.
  • Extensive research exists on adult gender medicine, but pediatric data is scarce.
  • Understanding sex-based differences is crucial for advancing child health.

Purpose of the Study:

  • To review existing literature on gender differences in pediatric medicine.
  • To identify research gaps in pediatric gender-based medicine.
  • To highlight the need for further investigation into sex-based variations in children's health.

Main Methods:

  • A comprehensive literature search was conducted on the PubMed database.
  • Articles published between July 2006 and February 2017 were reviewed.
  • The search focused on pediatric disorders across various medical fields, including endocrine, neurological, and immunological conditions.

Main Results:

  • Most studies focused on gender disparities in endocrine and neuro-psychiatric disorders in children.
  • Limited research exists on gender differences in gastrointestinal, immunological, oncological, rheumatic, and pneumological conditions.
  • Data on pharmacokinetic and pharmacodynamic differences between genders in children is notably absent.

Conclusions:

  • While pediatric gender differences are documented, the underlying reasons remain largely unexplored.
  • There is a significant lack of data regarding pharmacokinetic and pharmacodynamic variations between boys and girls.
  • Further research is essential to investigate these sex-based differences in childhood to advance personalized medicine.
Abstract

Related Concept Videos

Socioemotional Experience and Gender Development01:30

Socioemotional Experience and Gender Development

Social-emotional experiences and cultural influences play significant roles in shaping gender development. During middle childhood, from ages 6 to 11, peer groups become dominant in reinforcing gender norms. Children in this age group often align with same-gender peer groups, which actively encourage behaviors that conform to traditional gender roles. For instance, boys may be discouraged from engaging in activities perceived as feminine, reinforcing culturally dictated norms about masculinity...
342
Review and Preview01:10

Review and Preview

In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview01:13

Review and Preview

Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.6K
Electrical Current01:10

Electrical Current

Electrical current is defined as the rate at which charge flows. When there is a large current present, such as that used to run a refrigerator, a large amount of charge moves through the wire in a small amount of time. If the current is small, such as that used to operate a handheld calculator, a small amount of charge moves through the circuit over a long period of time. The SI unit for current is the ampere (A), named for the French physicist André-Marie Ampère (1775–1836).
7.2K
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
281
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
334