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Review Article Volume 8 Issue 5
Prevention of pediatric chronic kidney disease
Rejane de Paula Bernardes, Nilzete Liberato Bresolin, Maria Goretti Moreira Guimarães Penido
Received: September 30, 2020 | Published: October 23, 2020
Citation: Bernardes RDP, Bresolin NL, Penido MGMG. Prevention of pediatric chronic kidney disease. Urol Nephrol Open Access J. 2020;8(5):139-146. DOI: 10.15406/unoaj.2020.08.00293
Abstract
Prevention of kidney disease must begin before a woman becomes pregnant. For this prevention, it is necessary to act with doctors, health professionals, parents, schools and the community. This early prevention is important because the pathophysiology of chronic noncommunicable diseases in adults would be related to events that occur during the prenatal period and in the first year of life. In an unfavorable intrauterine environment, the embryo/fetus undergoes adaptations resulting from epigenetics and intrinsic factors that could cause a renal maturation compromised. This is what we call fetal and perinatal programming of kidney diseases in adults. There are three types of prevention: the primary that aims to eliminate or reduce exposure to risk factors for chronic kidney disease, the secondary that eliminates or reduces exposure to risk factors and the tertiary that reduces or postpones long-term disease complications. However, the best and most effective prevention is the primary one with actions to control the future mother, the pregnant woman, the infant and older children until adolescence. The main primary prevention agents for kidney disease include the community, doctors and other health professionals, parents and caregivers, schools and day care centers. In this way, it will be possible to control the explosion of chronic kidney disease worldwide.
Keywords: chronic kidney diseases, primary prevention, fetus, embryo,infants
©2020 Bernardes, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.