The burden of kidney disease in Indigenous children of Australia and New Zealand, epidemiology, antecedent factors and progression to chronic kidney disease

Andrew White, William Wong, Premala Sureshkumur, Gurmeet Singh

Research output: Contribution to journalArticleResearch

Abstract

Aims: To review and present the most important issues related to kidney disease in Aboriginal, Torres Strait Islander, Maori and Pacific Islander children from Australia and New Zealand.

Methods: A review of medical literature about: 1. incidence of kidney disease in Indigenous children in Australia and New Zealand, especially where rates are different from the general populations, 2. factors in early life which increase risk for chronic kidney disease in adult life, and 3. early identification and primary and secondary interventions in childhood which may prevent chronic kidney disease in adults.

Results: Kidney diseases, both acute and chronic are more common in Maori, Pacific Islander, Australian Aboriginal and Torres Strait Islander people. The reasons are multiple and include genetic, environmental and socio-economic factors. In childhood post streptococcal glomerulonephritis, haemolytic uraemic syndrome, renal stones and acute kidney injury all occur at higher frequency in at least some of the Indigenous populations. Chronic kidney disease CKD occurs more commonly, and at a younger age in Indigenous than non Indigenous people. Factors involved may include reduced nephron endowment at birth, and subsequent insults including nephritis, obesity, and early onset type 2 diabetes, as well as underlying socioeconomic and environmental determinants.

Conclusion: A lifecourse understanding allows one to conceptualise multiple risk factors and target interventions.

Original languageEnglish
Pages (from-to)504-509
Number of pages6
JournalJournal of Paediatrics and Child Health
Volume46
Issue number9
DOIs
Publication statusPublished - 20 Sep 2010

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Kidney Diseases
Chronic Renal Insufficiency
New Zealand
Epidemiology
Hemolytic-Uremic Syndrome
Nephritis
Nephrons
Financial Management
Glomerulonephritis
Population Groups
Acute Kidney Injury
Type 2 Diabetes Mellitus
Obesity
Economics
Parturition
Kidney
Incidence
Population

Cite this

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abstract = "Aims: To review and present the most important issues related to kidney disease in Aboriginal, Torres Strait Islander, Maori and Pacific Islander children from Australia and New Zealand. Methods: A review of medical literature about: 1. incidence of kidney disease in Indigenous children in Australia and New Zealand, especially where rates are different from the general populations, 2. factors in early life which increase risk for chronic kidney disease in adult life, and 3. early identification and primary and secondary interventions in childhood which may prevent chronic kidney disease in adults. Results: Kidney diseases, both acute and chronic are more common in Maori, Pacific Islander, Australian Aboriginal and Torres Strait Islander people. The reasons are multiple and include genetic, environmental and socio-economic factors. In childhood post streptococcal glomerulonephritis, haemolytic uraemic syndrome, renal stones and acute kidney injury all occur at higher frequency in at least some of the Indigenous populations. Chronic kidney disease CKD occurs more commonly, and at a younger age in Indigenous than non Indigenous people. Factors involved may include reduced nephron endowment at birth, and subsequent insults including nephritis, obesity, and early onset type 2 diabetes, as well as underlying socioeconomic and environmental determinants. Conclusion: A lifecourse understanding allows one to conceptualise multiple risk factors and target interventions.",
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The burden of kidney disease in Indigenous children of Australia and New Zealand, epidemiology, antecedent factors and progression to chronic kidney disease. / White, Andrew; Wong, William; Sureshkumur, Premala; Singh, Gurmeet.

In: Journal of Paediatrics and Child Health, Vol. 46, No. 9, 20.09.2010, p. 504-509.

Research output: Contribution to journalArticleResearch

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