Masoud Amiri
*1 Department of Epidemiology and Biostatistics, Shahrekord University of Medical Sciences, Shahrekord, Iran
Abstract
In the 13th anniversary of World Kidney Day campaign in 2018, the focus is on kidney
diseases and chronic kidney disease (CKD) among women. The relatively higher rates of
hypertension, diabetes, overweight and obesity among women could make them vulnerable
to progress CKD more than men. In addition, pregnant women and their fetuses with CKD
are indeed prone to higher morbidity and mortality. One of the best methods to prevent
adverse maternal and fetal outcomes would be pre-pregnancy counselling for women with
CKD to aware them about the risks of their potential pregnancy and related factors such
as proteinuria, hypertension and teratogenic medication. The control of hypertension might
also be the best intervention for these patients.
Implication for health policy/practice/research/medical education:
Primary prevention of chronic kidney disease (CKD) in women, especially during pregnancy, results in the control of obesity,
type 2 diabetes and hypertension as well as lifestyle corrections like reduction of weight, sporting and a healthy diet. In fact,
the control of hypertension, proteinuria, hyperlipidemia and smoking are the most important current interventions. Early case
finding of CKD among women, especially pregnant ones, is also very important. One of the best methods to prevent adverse
maternal and fetal outcomes would be pre-pregnancy counselling for women with CKD to aware them about the risks of their
potential pregnancy and related factors such as proteinuria, hypertension and teratogenic medication. For secondary prevention,
it seems that the control of hypertension is the best intervention. There are also some methods to predict CKD among people such
as algorithms that have been designed to predict the individual’s five-year risk of being diagnosed.
Please cite this paper as: Amiri M. World kidney day 2018; chronic kidney disease and women’s health. J Renal Inj Prev.
2018;7(3):136-138. doi: 10.15171/jrip.2018.34.