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Kidney Function in Health and Disease

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Nutrition in Kidney Disease

Part of the book series: Nutrition and Health ((NH))

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Abstract

The kidneys perform three major functions. As regulatory organs, the kidneys precisely control the composition and volume of the body fluids and maintain acid-base balance as well as blood pressure by varying the excretion of water and solutes. As excretory organs, the kidneys remove various nitrogenous metabolic end products in the urine. In general, the kidneys filter plasma in the glomerulus to form a protein-free ultrafiltrate. This ultrafiltrate passes through the various tubular segments where reabsorption of essential constituents and secretion of unwanted products occur. As endocrine organs, the kidneys produce important hormones, such as renin, erythropoietin, and active vitamin D3 (calcitriol). In addition, the kidneys participate in the degradation of various endogenous and exogenous compounds. In order to understand these functions, it is essential to examine the gross and microscopic structure of the kidneys.

The editors acknowledge Kishore Kuppasani’s contribution to this chapter in Nutrition in Kidney Disease, Second Edition, Nutrition and Health, DOI https://doi.org/10.1007/978-1-62,703-685-6_1, © Springer Science+Business Media New York 2014

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References

  1. Reddi AS. Structure and function of the kidney. In: Reddi AS, editor. Essentials of renal physiology. New Jersey: College Book Publishers; 1999. p. 21–43.

    Google Scholar 

  2. Kriz W, Elgar M. Renal anatomy. In: Feehally J, Floege J, Tonelli M, Johnson RJ, editors. Comprehensive clinical nephrology. 6th ed. Edinburgh: Elsevier; 2019. p. 3–14.

    Google Scholar 

  3. Fenton RA, Praetorious J. Anatomy of the kidney. In: Skorecki K, Taal MW, Chertow GM, Marsden PA, Taal MW, Yu ASL, editors. Brenner and Rector’s The Kidney, vol. 1. 10th ed. Philadelphia: Elsevier; 2016. p. 42–82.e8.

    Google Scholar 

  4. Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl. 2012;2:1–138.

    Article  Google Scholar 

  5. Hoste EAJ, Kellum JA. Definitions, classifications, epidemiology, and risk factors of acute kidney injury. In: Turner N, Lameire N, Goldsmith DJ, et al., editors. Oxford textbook of clinical nephrology. 4th ed. Oxford, UK: Oxford University Press; 2016. p. 1831–43.

    Google Scholar 

  6. Chertow GM, Burdick E, Honour M, Bonventre JV, Bates DW. Acute kidney injury, mortality, length of stay, and costs in hospitalized patients. J Am Soc Nephrol. 2005;16:3365–70.

    Article  Google Scholar 

  7. Levey AS, Coresh J, Balk E, Kausz T, Levin A, Steffes MW, et al. National Kidney Foundation guidelines for chronic kidney disease: evaluation, classification, and stratification. Ann Intern Med. 2003;139:137–47.

    Article  Google Scholar 

  8. Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int Suppl. 2013;3:1–150.

    Article  Google Scholar 

  9. Upadhyay A, Inker LA, Levey AS. Chronic kidney disease: definition, classification, and approach to management. In: Turner N, Lameire N, Goldsmith DJ, et al., editors. Oxford textbook of clinical nephrology. 4th ed. Oxford: Oxford University Press; 2016. p. 743–154.

    Google Scholar 

  10. Saran R, Robinson B, Abbott KC, Agodoa LYC, Bragg-Gresham J, Balkrishnan R, et al. US Renal Data System 2018 Annual Data Report: epidemiology of kidney disease in the United States. Am J Kidney Dis. 2019;73(3 Suppl 1):Svii–Sxxii, S1–S772.

    Google Scholar 

  11. Carrero JJ, Hecking M, Chesnaye NC, Jager KJ. Sex and gender disparities in the epidemiology and outcomes of chronic kidney disease. Nature Rev Nephrol. 2018;14:151–64.

    Article  Google Scholar 

  12. Kelly CJ, Neilson EG. Tubulointerstitial diseases. In: Skorecki K, Taal MW, Chertow GM, Marsden PA, Taal MW, Yu ASL, editors. Brenner and Rector’s The Kidney, vol. 1. 10th ed. Philadelphia: Elsevier; 2016. p. 1209–1230.e7.

    Google Scholar 

  13. Singh L, Singh G, Dinda AK. Understanding podocytopathy and its relevance to clinical nephrology. Indian J Nephrol. 2015;25:1–7.

    Article  CAS  Google Scholar 

  14. Lin JS, Susztak K. Podocytes: the weakest link in diabetic kidney disease? Curr Diab Rep. 2016;16(5):25.

    Article  Google Scholar 

  15. Cornell LD. IgG4-related kidney disease. Curr Opin Nephrol Hypertens. 2011;21:279–88.

    Article  Google Scholar 

  16. Salvadori M, Tsalouchos A. Immunoglobulin G4-related kidney diseases: an updated review. World J Nephrol. 2018;7:29–40.

    Article  Google Scholar 

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Correspondence to Alluru S. Reddi .

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Reddi, A.S. (2020). Kidney Function in Health and Disease. In: Burrowes, J., Kovesdy, C., Byham-Gray, L. (eds) Nutrition in Kidney Disease. Nutrition and Health. Humana, Cham. https://doi.org/10.1007/978-3-030-44858-5_3

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  • DOI: https://doi.org/10.1007/978-3-030-44858-5_3

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  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-44857-8

  • Online ISBN: 978-3-030-44858-5

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