• Kidney functions falter at 40


    People with hypertension and diabetes, ages 40 and above are at risk of kidney ailments and ought to have regular check-ups, an expert said.

    Dr. Susan de la Rama, president of the Philippine Society of Nephrology, said that diabetes and high blood pressure are key risk factors for kidney disease, especially chronic kidney disease (CKD).

    Dela Rama addressed a health forum Tuesday at Annabel’s Quezon City in celebration of the World Kidney Day on March 3. She said that people with high risk factors—those with diabetes mellitus, hypertension, obesity, and family members with kidney disease—need to undergo kidney routine screening.

    “Kidney functions start to deteriorate at age 40 and will diminish by age 70 because of aging,” de la Rama said, as she noted that the early phase of kidney disease show no signs or symptoms.

    The reduced kidney function in the elderly makes them susceptible to develop acute kidney injury that can stem from dehydration, infection, medications and toxins, de la Rama explained.

    The three simple test to screen for kidney disease includes—blood pressure measurement, urinalysis, and serum creatinine.

    Too, investing in further screening should be made considering the heavy burden of CKD on the families of the patients, de la Rama said.

    The 2008 National Nutrition Survey conducted by the Food and Nutrition Research Institute–Department of Science and Technology showed there were approximately six million Filipino adults suffering from kidney damage, approximately 3.6 times greater than the prevailing rate in 2003,” de la Rama said.

    She said that around 25 percent of Filipinos have hypertension and about five percent of Filipino adults have diabetes mellitus.

    As part of the prevention, de la Rama said there are eight golden rules in preventing kidney diseases—keeping fit and active, control blood sugar level, control blood pressure level, eat healthy and keep your weight in check, and adequate fluid intake.

    Do not smoke, avoid intake of unnecessary drugs, supplements, toxins, and kidney function check-ups for those at risk.



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