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Recommending exercise for children with a single kidney

Nature Reviews Urology volume 19, pages 65–66 (2022)Cite this article

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Recommendations for children and adolescents with single kidneys (like most survivors of Wilms tumour) for taking part in contact sporting activities are not aligned worldwide. This discrepancy can create misunderstandings regarding the perceived and real risk of abdominal impact and trauma when practising some sports.

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References

  1. Papagiannopoulos, D. & Gong, E. Revisiting sports precautions in children with solitary kidneys and congenital anomalies of the kidney and urinary tract. Urology 101, 9–14 (2017).

    Article  Google Scholar 

  2. Wurz, A. et al. Advancing the field of pediatric exercise oncology: research and innovation needs. Curr. Oncol. 28, 619–629 (2021).

    Article  Google Scholar 

  3. Scott, J. M. et al. Association of exercise with mortality in adult survivors of childhood cancer. JAMA Oncol. 4, 1352–1358 (2018).

    Article  Google Scholar 

  4. Psooy, K., Franc-Guimond, J., Kiddoo, D., Lorenzo, A. & MacLellan, D. Canadian Urological Association best practice report: sports and the solitary kidney — what primary caregivers of a young child with a single kidney should know (2019 update). Can. Urol. Assoc. J. 13, 315–317 (2019).

    Article  Google Scholar 

  5. Spreafico, F. et al. Why should survivors of childhood renal tumor and others with only one kidney be denied the chance to play contact sports? Expert Rev. Anticancer Ther. 14, 363–366 (2014).

    Article  CAS  Google Scholar 

  6. Committee on Sports Medicine and Fitness. American Academy of Pediatrics: medical conditions affecting sports participation. Pediatrics 107, 1205–1209 (2001).

    Article  Google Scholar 

  7. Kim, J. K. et al. A systematic review of genitourinary injuries arising from rugby and football. J. Pediatr. Urol. 16, 130–148 (2020).

    Article  Google Scholar 

  8. Terrier, J.-E. et al. Genitourinary injuries after traffic accidents: analysis of a registry of 162,690 victims. J. Trauma Acute Care Surg. 82, 1087–1093 (2017).

    Article  Google Scholar 

  9. Wilkinson, T. J. & Smith, A. C. Physical activity and living well with kidney disease. Nat. Rev. Nephrol. 17, 145–146 (2021).

    Article  Google Scholar 

  10. Tu, H. et al. Cancer risk associated with chronic diseases and disease markers: prospective cohort study. BMJ 360, k134 (2018).

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Medical Oncology and Hematology, Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

    Filippo Spreafico, Giovanna Gattuso, Olga Nigro, Monica Terenziani & Maura Massimino

Authors
  1. Filippo Spreafico
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  2. Giovanna Gattuso
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  3. Olga Nigro
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  4. Monica Terenziani
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  5. Maura Massimino
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Corresponding author

Correspondence to Filippo Spreafico.

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The authors declare no competing interests.

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Spreafico, F., Gattuso, G., Nigro, O. et al. Recommending exercise for children with a single kidney. Nat Rev Urol 19, 65–66 (2022). https://doi.org/10.1038/s41585-021-00533-6

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  • DOI: https://doi.org/10.1038/s41585-021-00533-6

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