Climate change and nephrology.
CKD of non-traditional cause
CKD of uncertain etiology
CKD of unknown etiology
Mesoamerican nephropathy
Sri Lankan nephropathy
dehydration
global warming
heat stress
heat stroke
nephrolithiasis
Journal
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
ISSN: 1460-2385
Titre abrégé: Nephrol Dial Transplant
Pays: England
ID NLM: 8706402
Informations de publication
Date de publication:
23 Jan 2023
23 Jan 2023
Historique:
received:
07
06
2021
pubmed:
3
9
2021
medline:
26
1
2023
entrez:
2
9
2021
Statut:
ppublish
Résumé
Climate change should be of special concern for the nephrologist, as the kidney has a critical role in protecting the host from dehydration, but it is also a favorite target of heat stress and dehydration. Here we discuss how rising temperatures and extreme heat events may affect the kidney. The most severe presentation of heat stress is heat stroke, which can result in severe electrolyte disturbance and both acute and chronic kidney disease (CKD). However, lesser levels of heat stress also have multiple effects, including exacerbating kidney disease and precipitating cardiovascular events in subjects with established kidney disease. Heat stress can also increase the risk for kidney stones, cause multiple electrolyte abnormalities and induce both acute and chronic kidney disease. Recently there have been multiple epidemics of CKD of uncertain etiology in various regions of the world, including Mesoamerica, Sri Lanka, India and Thailand. There is increasing evidence that climate change and heat stress may play a contributory role in these conditions, although other causes, including toxins, could also be involved. As climate change worsens, the nephrologist should prepare for an increase in diseases associated with heat stress and dehydration.
Identifiants
pubmed: 34473287
pii: 6362903
doi: 10.1093/ndt/gfab258
pmc: PMC9869860
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
41-48Subventions
Organisme : NIH HHS
ID : DK125351
Pays : United States
Organisme : La Isla Network
Informations de copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of ERA. All rights reserved.
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