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Kidney Damage in Pediatric Obesity: Insights from an Emerging Perspective
Gianmario Forcina1, Margherita Luciano1, Vittoria Frattolillo1
1Department of Woman, Child, and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Insights
Childhood obesity significantly increases the risk of kidney damage (KD), leading to chronic kidney disease (CKD). Early detection and intervention are crucial for at-risk children to prevent long-term kidney health issues.
Area of Science:
- Pediatric Nephrology
- Metabolic Disorders
- Public Health
Background:
- Obesity is a well-established risk factor for chronic kidney disease (CKD) in adults.
- Kidney damage (KD) is increasingly recognized as a significant consequence of childhood obesity.
- Metabolic factors like insulin resistance, hypertension, and inflammation contribute to renal hemodynamics and KD in youth.
Purpose of the Study:
- To provide a comprehensive overview of kidney damage (KD) in pediatric obesity.
- To review recent literature on the mechanisms linking obesity and KD in children.
- To highlight the importance of early intervention and monitoring for kidney health in obese children.
Main Methods:
- Literature review of recent studies on pediatric obesity and kidney damage.
- Analysis of the interplay between metabolic factors and renal health.
- Synthesis of current understanding of KD mechanisms in obese children.
Main Results:
- Childhood obesity presents a complex interplay of metabolic factors affecting renal hemodynamics.
- Early detection of KD in obese children is critical for timely intervention.
- Long-term impacts of obesity on pediatric kidney health require further research.
Conclusions:
- Monitoring kidney function in obese children is essential for early KD detection.
- A multidisciplinary approach is vital for managing kidney health in pediatric obesity.
- Further research is needed to understand KD mechanisms and develop preventive strategies.
Abstract:
The role of obesity as a risk factor for chronic kidney disease (CKD) in adulthood has been well established. Over the last years, kidney damage (KD) has emerged as a significant consequence of obesity since childhood. Indeed, a complex interplay of metabolic factors, including insulin resistance (IR), hypertension, oxidative stress, adipose tissue dysfunction, and systemic inflammation, might affect renal hemodynamics, contributing to CKD development over time in at-risk young patients. As the prevalence of pediatric obesity continues to rise globally, understanding the implications for kidney health in terms of early intervention is of paramount importance. Careful monitoring of kidney function within a multidisciplinary approach in children with obesity is crucial for detecting early KD, allowing for timely lifestyle modifications and treatment. In this framework, continued research is essential to further elucidate mechanisms linking obesity and KD and to explore not only effective preventive strategies but also the long-term impact of obesity on kidney health in children with obesity. Given the intimate link of KD with the metabolic milieu in children with obesity, we aimed to provide a comprehensive and insightful overview on KD and its implications in pediatric obesity by reviewing the most recent literature in the field.
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