Strategies to mitigate acute kidney injury risk during physical work in the heat

被引:7
|
作者
Masoud, Abdulaziz [1 ,2 ]
Mckenna, Zachary J. [3 ,4 ]
Li, Zidong [5 ]
Deyhle, Michael R. [1 ,7 ]
Mermier, Christine M. [1 ]
Schlader, Zachary J. [6 ]
Amorim, Fabiano T. [1 ]
机构
[1] Univ New Mexico, Dept Hlth Exercise & Sports Sci, Albuquerque, NM 87131 USA
[2] Jazan Univ, Dept Phys Educ, Jazan, Saudi Arabia
[3] Texas Hlth Presbyterian Hosp Dallas, Inst Exercise & Environm Med, Dallas, TX USA
[4] Univ Texas Southwestern Med Ctr, Dept Internal Med, Dallas, TX USA
[5] Christopher Newport Univ, Dept Mol Biol & Chem, Newport News, VA USA
[6] Indiana Univ Sch Publ Hlth, Dept Kinesiol, Bloomington, IN USA
[7] Univ New Mexico, Sch Med, Dept Cell Biol & Physiol, Albuquerque, NM USA
关键词
chronic kidney disease; heat exposure; kidney health; occupational workers; RENAL BLOOD-FLOW; PROLONGED EXERCISE; OXIDATIVE STRESS; ANGIOTENSIN-II; CLIMATE-CHANGE; HOT WEATHER; DEHYDRATION; DISEASE; HEALTH; METABOLISM;
D O I
10.1152/ajprenal.00350.2023
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Prolonged physical work in the heat can reduce renal function and increase the risk of acute kidney injury (AKI). This is concerning given that the latest climate change projections forecast a rise in global temperature as well as the frequency, intensity, and duration of heatwaves. This means that outdoor and indoor workers in the agriculture or construction industries will be exposed to higher heat stress in the years ahead. Several studies indicate a higher incidence of chronic kidney disease from nontraditional origins (CKDnt) in individuals exposed to high temperatures, intense physical work, and/or recurrent dehydration. It has been proposed that prolonged physical work in the heat accompanied by dehydration results in recurrent episodes of AKI that ultimately lead to permanent kidney damage and the development of CKDnt. Thus, there is a need to identify and test strategies that can alleviate AKI risk during physical work in the heat. The purpose of this review is to present strategies that might prevent and mitigate the risk of AKI induced by physical work in the heat.
引用
收藏
页码:F499 / F510
页数:12
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