The recent global increase in kidney disease is cause of worry for many countries especially in Asia. Some of the facts include
1. The incidence kidney failure (or chronic Kidney disease) has doubled the last 15 years.
2. Diabetes is an important cause of kidney failure and diabetes is five times more common in the Asians when compared to the white population
3. Another lifestyle related disorder - hypertension or blood pressure is an important cause of kidney failure and it too has seen a global increase in its incidence. Asians again are twice more prone to develop this condition in comparison to the white population.
4. There are approximately 7.85 million people suffering from chronic kidney failure in India.
5. In the United States the cost of treating patients with renal replacement therapy will be US $28 billion by the year 2010. It is estimated that over 600 000 patients will require treatment. High BP & CKD-The Link
Almost 80% of patients with CKD have elevated BP. On the other hand , increased blood pressure can be the consequence CKD.
High BP stresses the blood vessels in the kidneys and reduces their ability to filter wastes from the blood.
Therefore normalizing high BP is the main tenet of managing CKD and patients with high BP need to be closely monitored. Proper lifestyle changes and medications can help to control BP, which in turn will help to reduce the need for dialysis and decrease the risk for heart attack and stroke.
Controlling Blood Pressure
Some of the steps to control blood pressure include lifestyle changes and these have a profound impact in normalizing BP. They are-
• Regular exercise
for 30-40 minutes, 5-6 days /week
• Balanced low fat, low salt diet-
A healthy diet with salt consumption less than five grams helps to lower BP substantially
helps to calm an agitated mind
• Abstinence from smoking and alcohol
is an integral part of BP control
normal weight is absolutely vital in controlling BP
• Periodic BP monitoring
is necessary to monitor the body's progress
• BP medications
must be taken as prescribed by your physician
Blood Pressure Facts
Transplant vs. Dialysis
• Aging is the most common risk factor for diabetes, high BP, and CKD.
• Nearly one billion people all over the world have high BP.
• By 2025, the number is expected to rise to 1.56 billion.
• The prevalence of high blood pressure is predicted to escalate by 24 percent in developed countries and by 80 percent in developing regions.
• 333 million adults in North America and Europe had high blood pressure in the year 2000, while there were 639 million affected people in the developing countries.
• High blood pressure must be treated as a global problem as it affects people in the developed and developing nations.
According to long-term Scottish data, a successful kidney transplant has been shown to triple the life expectancy in patients suffering end-stage renal failure in comparison with the life expectancy in patients who continued with dialysis.
The life expectancy in patients who received a kidney donation from a cadaver was 17.19 years while those who continued on dialysis had a life expectancy of 5.84 years.
Irrespective of age the risk of death reduced remarkably following transplantation in comparison to dialysis.
This revelation based on solid research should encourage people to donate their kidneys .The fact that their kidneys would be put to good use should enable them to truly 'rest in peace'!
Dr Reeja Tharu/S