Built environment and chronic kidney disease: current state and future directions.

Autor:	Kim B; Department of Surgery, New York University Grossman School of Medicine.; Department of Population Health, New York University Grossman School of Medicine., Kanchi R; Department of Population Health, New York University Grossman School of Medicine., Titus AR; Department of Population Health, New York University Grossman School of Medicine., Grams ME; Department of Population Health, New York University Grossman School of Medicine.; Department of Medicine, New York University Grossman School of Medicine, New York, New York, USA., McAdams-DeMarco MA; Department of Surgery, New York University Grossman School of Medicine.; Department of Population Health, New York University Grossman School of Medicine., Thorpe LE; Department of Population Health, New York University Grossman School of Medicine.
Jazyk:	angličtina
Zdroj:	Current opinion in nephrology and hypertension [Curr Opin Nephrol Hypertens] 2024 Nov 22. Date of Electronic Publication: 2024 Nov 22.
DOI:	10.1097/MNH.0000000000001048
Abstrakt:	Purpose of Review: Despite emerging studies on neighborhood-level risk factors for chronic kidney disease (CKD), our understanding of the causal links between neighborhood characteristics and CKD is limited. In particular, there is a gap in identifying modifiable neighborhood factors, such as the built environment, in preventing CKD, that could be targets for feasible place-based interventions. Recent Findings: Most published studies on neighborhood factors and CKD have focused on a single social attribute, such as neighborhood disadvantage, while research on the role of the built environment is more nascent. Early studies on this topic have yielded inconsistent results, particularly regarding whether food deserts are an environmental risk factor for CKD onset. International studies have shown that walkable neighborhoods - characterized by features such as urban design, park access, and green spaces - can be protective against both the onset and progression of CKD. However, these findings are inconclusive and understudied in the context of United States, where neighborhood environments differ from those in other countries. Summary: Future research on modifiable neighborhood factors and CKD using advanced study designs and population-representative datasets can yield stronger evidence on potential causal associations and suggest feasible place-based interventions as strategies for preventing CKD. As an example, we demonstrated the potential of electronic health record-based studies to advance research in this area. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu