The renal system, responsible for filtering waste and maintaining fluid balance, undergoes structural and functional modifications with advancing age. These transformations include a decrease in kidney size, reduced blood flow to the kidneys, and a decline in the number of functioning nephrons (filtering units). Glomerular filtration rate (GFR), a key measure of kidney function, also progressively declines. These physiological alterations can manifest as reduced ability to concentrate urine, maintain electrolyte balance, and clear medications from the body. For instance, older adults may be more susceptible to dehydration and adverse drug reactions.
Understanding the impact of aging on kidney function is crucial for promoting healthy aging and preventing age-associated kidney diseases. Early detection and management of declining renal function can significantly improve quality of life and reduce the risk of complications such as chronic kidney disease, cardiovascular disease, and acute kidney injury. Historically, these changes were often considered an inevitable consequence of aging. However, current research focuses on identifying modifiable risk factors and developing interventions to mitigate the decline in kidney function and maintain renal health throughout life.