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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.
Background:
Gender-based medicine is an innovative branch of biomedical research and represents a new perspective for the future of health research. Many studies have been published on gender medicine in adults but very few data regarding children are available.
Literature Search And Results:
A literature search covering articles published between 1stJuly, 2006 and 1st February, 2017 and concerning children only was conducted using multiple keywords and standardized terminology in Pubmed database. The search was limited to English-language publications. All relevant articles on endocrines, neurological, psychiatric, gastrointestinal, immunological, oncological, rheumatic, pneumological disorders, infectious diseases and analgesia were evaluated and pertinent articles were included in this review. Most of the available studies on gender disparity in childhood are about endocrine and neuro-psychiatric disorders, while there are few data in other areas of medicine.
Conclusions:
Even if several studies on pediatric gender differences can be found on literature, few of them move forwards to analyze the reasons of the observed diversity. No data on pharmacokinetic and pharmacodynamic differences between boys and girls can be found. Hence, more efforts should be directed to investigate these topics in childhood.
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