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There is a paucity of research on the relationship between adverse childhood events (ACEs) and chronic kidney disease. The effect of ACEs on the long-term health outcomes of cardiovascular disease, cancer, and chronic lung disease first emerged in a paper published in 1998. The National Institutes of Health sponsored the ACE Study, which Kaiser Permanente carried out in California. The study used a 17-question survey addressing seven exposures: psychological, physical, contact-sexual abuse, substance abuse, mental illness, mother being treated violently, and criminal behavior in the household. The results revealed a strong relationship between childhood exposure to ACEs and health outcomes. When individuals experienced four or more such exposures, the odds ratio ranged from 1.6 to 3.9 for ischemic heart disease, cancer, stroke, chronic bronchitis or emphysema, and diabetes (Vincent et al., 1998). This monumental analysis remains a focal point in research more than twenty years after the initial publication of its results. Since then, numerous studies have investigated how childhood exposures can increase disease risk. Surprisingly, chronic kidney disease (CKD) has received little attention in terms of the influence of ACEs in the pediatric and adult populations. Objective Specific Aim #1: Characterize the prevalence of ACEs in the CKiD cohort. Specific Aim #2: Characterize disease progression among those who experienced ACEs compared to those who have not.


Nephrology | Pediatrics


Presented at the 2024 Pediatric Academic Societies (PAS) Annual Meeting; Toronto, Canada; May 2-6, 2024.

The Role of Adverse Childhood Events on the Progression of Chronic Kidney Disease in Children: A CKiD Study