Chronic Kidney Disease

Every year in the UK, 13,000 people die from problems related to kidney disease. Around 3 million people suffer from Chronic Kidney Disease or CKD and people with a family history, high blood pressure (hypertension), diabetes and certain ethnic groups have a higher risk. In fact, Black African Caribbeans and South Asian groups are up to 5 times more likely to be at risk of CKD. Additionally, given that people with CKD have an increased risk of heart attacks and strokes, it is very important that anyone in a high risk group identifies whether they have CKD.

However, CKD is also treatable and there are many things that people with CKD can do to manage their condition through paying attention to food, drink and general lifestyle.

How Will I know?

In the early stages there may be an increase in the amount of urine that is passed, particularly at night and sufferers may experience tiredness, loss of appetite or shortness of breath. However, often people don’t know that there is anything wrong with them and may not experience any symptoms until the CKD is quite advanced.

Even though CKD may not be noticed by people affected, it is possible, through a simple test, for a doctor to detect the disease. Early detection can have a significant impact on patient outcomes because there are lifestyle changes and treatments that can slow down the progression of the disease, delaying the need for dialysis or transplantation.

Causes

CKD is how any loss of kidney function is described. The causes are many and varied and include: • Diabetes
• High Blood Pressure
• Genetic conditions and a family history of kidney disease
• Smoking
• Obesity


In this issue of ‘Your Health’ we look at Blood Pressure and what you can do to reduce your blood pressure.

Reducing Your Blood Pressure

Weight and Exercise

Keep to a healthy weight to avoid health problems through a low fat diet and exercise. Even moderate exercise for 30 minutes five times a week can keep your heart healthy, and can lower your blood pressure. Any activity that leaves you feeling warm and slightly out of breath is ideal.

Reduce Salt

Too much salt raises your blood pressure. Most of the salt you eat is not what you add to your food, but is in prepared foods like bread, breakfast cereals and ready meals. Don’t add salt to food when cooking or at the table. When shopping, check food labels and choose low-salt options when you can.

Fresh Fruit and Vegetables

Fresh fruit and vegetables are an excellent way to reduce blood pressure. Adults should eat at least five portions of fruit and vegetables every day. Try to eat a range of different fruits and vegetables. As an alternative, frozen or tinned will do, as long as there is no added salt, sugar or fat.

Alcohol

Too much alcohol will raise your blood pressure over time. Stick to the recommended limits which are 21 units a week for men, and 14 units a week for women. Medication

If you have been prescribed medication by your doctor for high blood pressure, it is important that you take it. Although you may not feel any symptoms not taking your medicine mat lead to problems later on.

Take Control

Early detection is critical, particularly in high risk groups. Anyone who has been told by their doctor that they have some form of kidney disease can with the support of their doctor and family look forward to a positive outlook. Treatments and changes in lifestyle can slow down the progression of the disease and lead to a better quality of life.