Treatable conditions are the main contributors to kidney disease.
Diabetes, hypertension, obesity main causes of kidney diseases
Staff Reporter / 14 April 2014
Diseases like diabetes, hypertension and obesity have long been identified as the main causes of kidney diseases, said Prof Dr Mona Al Rukhaimi, president of Emirates Medical Association Nephrology Society.
A high incidence of lifestyle diseases in the UAE is the main cause of kidney diseases, a medical expert has opined.
Diseases like diabetes, hypertension and obesity have long been identified as the main causes of kidney diseases, said Prof Dr Mona Al Rukhaimi, president of Emirates Medical Association Nephrology Society (Eman).
Chronic kidney disease is a state in which the pair of kidneys in a person’s body gradually loses its ability to filter wastes and excess fluids from their blood, often leading to kidney failure.
These wastes and excess fluids, which normally get excreted, start building up in a patient’s body leading to serious complications like swelling of arms and legs due to fluid retention, fluid retention in lungs, anemia, cardiovascular diseases, damage to central nervous system and kidney failure.
“The high incidence of lifestyle diseases is proving to be life-threatening for people in this region, with an alarming increase in the number of patients with kidney failure who are enrolling for treatment, regular dialysis and transplant every year,” she said.
“Fortunately with current medical advances in the UAE, treatment is available to control kidney diseases effectively, even if diagnosed at a late stage. However, early detection is the best to prevent and delay the progression to end stage kidney disease,” added the doctor.
Over a period of time, high blood pressure damages the arteries and filtering units of kidneys (nephrons) leading to irreparable kidney damage.
Diabetes accounts for high blood sugar levels (hyperglycemia), damaging blood ves sels in the kidneys. Obesity increases diabetes and blood pressure complications. All these elements form a vicious circle of one complication leading to another, resulting in life-threatening complication of kidney and heart failure.
Accurate treatment process has to be undertaken to treat the complications and prevent further damage.
“Medical innovations have eased the treatment options available for patients with end stage kidney disease, allowing them to go to hospital just once a month if they are on home type of dialysis. It makes a patient’s life easier and comfortable as they can live their regular life, work and spend time with family. It makes treatment more convenient and the patient more compliant,” added Dr Mona.
Controlling diabetes, high blood pressure, obesity and cholesterol in its early stages while maintaining an active lifestyle is highly essential for prevention of kidney diseases.
PHOSPHATES ADDITIVES IN OUR FOOD SUPPLY FOUND HARMFUL!
Tufts Nutrition and Health Letter March 2014 Issue
Does Your Diet Deliver Too Much Phosphorus?
One-third of Americans may be getting more than the recommended amount.
Phosphorus, a mineral found in foods such as meat and milk, is important for forming bones and teeth, making proteins for healthy cells, and transporting cellular energy. But too much of a good thing can be harmful among people with kidney disease, and a new study suggests excess phosphorus consumption is associated with increased mortality risk, even in people with normal kidney function.
The danger of too much dietary phosphorus may be on the rise because of the growing popularity of phosphorus-based additives in packaged foods. These phosphate compounds are employed as preservatives, anti-caking agents, stabilizers, leavening agents and acidifiers. A second study (see box) recently reported that nearly half of the best-selling grocery products in the United States contain phosphorus additives. In an analysis of dietary data, more than one-third of American adults were found to consume in excess of 1,400 milligrams of phosphorus daily—double the RDA and apparently enough to increase their mortality risk.
“When intake of phosphorus chronically exceeds nutrient needs, there is a disruption in the endocrine regulation of phosphorus balance,” explains Madhumathi Rao, MD, an assistant professor at Tufts University School of Medicine. “A ‘trade-off’ takes place, with the elevation of hormones that force the excretion of phosphorus by the kidney, but at the expense of the effects of these hormones on tissues. The consequences are calcium deposition in the blood vessels, enlargement of the heart, bone loss and progression of kidney disease. While these consequences are readily apparent in individuals with kidney disease often in the setting of abnormally elevated serum phosphorus, they are also seen in healthy individuals without an overt elevation of serum phosphorus.”
ADDITIVES ADD UP: The latest study, published in the American Journal of Clinical Nutrition, looked at data on 9,686 healthy US adults, ages 20 to 80, who participated in a national nutrition survey (NHANES III). Over a followup period of 12 to 18 years, those whose diets meant they consumed more than 1,400 milligrams of phosphorus daily were at increased risk of dying from any cause.
“Because of the prevalence of high phosphorus intake in healthy adults and the widespread use of inorganic phosphorus additives in processed food, our findings may have… public health implications,” concluded Alex R. Chang, MD, of Geisinger Health System, and colleagues.
Some experts believe that even those high levels of phosphorus consumption are understated, because it’s difficult for calculations to account for all food additives. Food manufacturers do not always supply complete information on such additives. On food labels, these appear as ingredients with the word phosphate or ending in –phosphate, as well as phosphoric acid.
“People are not generally aware of the importance of avoiding phosphorus overload or of the need to inspect food labels more carefully,” says Tufts’ Dr. Rao. “Poor quality foods and fast foods, often consumed by individuals with lower socioeconomic status, have the highest phosphorus content from food additives.”
MARCH IN NATIONAL KIDNEY MONTH!!! LEARN HOW TO PRIOTECT YOUR KIDNEYS
What Your Pee Says about Your Health
Your next bathroom break may expose more than you realize. Before you flush valuable health information down the drain, get better acquainted with your urine -- a byproduct of the kidneys' complex filtration system. These are the top 5 ways urine can reveal important information about your kidneys as well as your overall health, according to the National Kidney Foundation.
Whether you're hydrated. If your urine is dark yellow, you could be dehydrated. Each day the kidneys filter 200 liters of blood, removing toxins, waste products and excess fluid. This process creates approximately 1-2 quarts of urine. Hydration status affects the concentration of wastes in the urine. Aim for clear urine. When dehydrated, urine is likely to be more yellow, "or darker," and the body isn't going to produce as much of it. Dehydration can also cause kidney stones, because it allows for stone-causing minerals to concentrate and settle in the kidneys and urinary tract. One of the best measures you can take to avoid kidney stones is to drink plenty of water, requiring you to urinate a lot.
If you have an early marker of kidney damage. Protein in the urine is one of the earliest signs of kidney damage, especially in people with diabetes. At your annual physical, be sure to ask your health care provider for a urinalysis, especially if you're at increased risk for kidney disease due to diabetes, high blood pressure or a family history of kidney failure.
If you have diabetes. If your urine has a "sweet" smell, it may indicate the presence of sugar. When there is too much sugar in the bloodstream and the body isn't processing it effectively, the kidneys work overtime to try and remove it from the body. Sugar in the urine can indicate diabetes or pre-diabetes, so it's important to get additional blood testing for diabetes. Diabetes is the leading cause of kidney disease and even pre-diabetes can damage the kidneys making it important to receive a diagnosis and treatment.
Presence of a urinary tract infection (UTI). A UTI occurs when bacteria (germs) get in the urinary tract and multiply. The urinary tract is made up of the bladder, urethra, ureters and kidneys. Bacteria usually enter the urinary tract through the urethra, the tube that carries urine out of the body. If a UTI is not treated promptly, bacteria can move up to the kidneys and cause a more serious type of infection. Symptoms of UTIs include an urgent need to urinate (often with only a few drops of urine to pass), a burning feeling when urinating, cloudy or blood-tinged urine and a strong odor to the urine.
If you have blood in your urine. Does your urine have a pink hue? If you recently ate beets or foods with beet-based dyes, your diet could be the culprit. A funny smell? Diet may also be to blame. Certain foods, such as asparagus, can impact the appearance and scent of your urine. The same holds true for medications and supplements, so pay attention to whether urinary changes coincide with any dietary changes. The presence of red blood cells can also make your urine appear more pink or red, so it's important to recognize your body's normal reactions to different foods and medications. Urine can offer clues into your health, but it's critical to know when to follow up with your healthcare provider so that in the event of a more serious condition, such as blood in the urine, you obtain the necessary testing and diagnosis.