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Risks for Chronic Kidney Disease in African Americans

September 6, 2023

A startling fact reveals that African Americans face an elevated risk of developing chronic kidney disease (CKD) that can ultimately necessitate dialysis or transplantation. When compared to other ethnic groups, African Americans exhibit higher rates of diabetes and high blood pressure, which stand as the primary culprits behind kidney disease.

Silent Health Threats

Nearly one in three African Americans lives with high blood pressure, a condition often devoid of warning signs. Consequently, individuals may have high blood pressure or kidney disease without realizing it. Even diabetes, at times, manifests no symptoms. Therefore, regular physicals or screenings for high blood pressure and diabetes become imperative. If you receive a clean bill of health, adopting a healthy lifestyle can aid in disease prevention. In case you are diagnosed with diabetes and/or high blood pressure, it is crucial to discuss your condition with a healthcare professional and adhere to prescribed medications.

Unveiling the Hidden Kidney Disease

Many African Americans are aware of their diabetes or high blood pressure but remain oblivious to the presence of kidney disease until kidney failure strikes suddenly. Factors contributing to kidney failure include drug abuse, HIV, and sickle cell disease.

Early diagnosis of diseases that may lead to kidney problems empowers individuals to take steps in preventing or delaying kidney failure and reducing the risks of severe complications. When kidney failure occurs, dialysis or kidney transplantation remains the only treatment recourse.

Promoting Awareness for Better Health

Increased awareness is the cornerstone of improved health. Consider making February the month when you assess your health risks related to kidney disease. Share these staggering statistics with African American family members and friends, and schedule an appointment for health checks to understand your numbers better.

Risk Factors and Symptoms for Diabetes in African Americans

Type-2 diabetes is the most prevalent form of diabetes among African Americans. Risk factors for type-2 diabetes include:

  • Family history
  • Impaired glucose tolerance
  • Diabetes during pregnancy
  • Hyperinsulinemia and insulin resistance
  • Obesity
  • Lack of physical activity

While some common symptoms exist, it’s possible to have diabetes without experiencing any. Thus, regular check-ups are essential.

  • Thirst
  • Increased urination
  • Hunger
  • Unintended weight loss
  • Fatigue

Prevention of Diabetes & High Blood Pressure in African Americans

Preventive measures against these diseases include:

  • Eating a low-fat, low-salt diet
  • Exercising regularly
  • Limiting alcohol consumption
  • Not smoking or quitting smoking

If already diagnosed with diabetes and/or high blood pressure, following these steps along with medication adherence and regular physician visits are vital.

Risk Factors and Symptoms for High Blood Pressure in African Americans

High blood pressure ranks as the second most common cause of kidney failure in African Americans. Risk factors for high blood pressure include:

  • Aging
  • Family history of heart disease
  • Smoking
  • Being overweight
  • Using birth control pills
  • Adding too much salt to food

High blood pressure typically presents no symptoms, underscoring the importance of regular blood pressure checks.

Risk Factors and Symptoms for Kidney Disease in African Americans

Risk factors for kidney disease include:

  • Diabetes
  • High blood pressure
  • A family member with kidney disease

Symptoms of kidney disease encompass:

  • Swelling, especially around the eyes or ankles
  • Pain in the lower back
  • Burning or unusual sensation during urination
  • Bloody or coffee-colored urine
  • Urinating more often, especially at night
  • Feeling tired
  • High blood pressure

Remember, kidney disease can be asymptomatic, making regular check-ups imperative.

How African Americans Can Improve Their Odds

To enhance their health prospects, African Americans can:

  • Be aware of risk factors for diabetes, high blood pressure, and kidney disease
  • Visit their doctors or clinics regularly for blood sugar, blood pressure, urine protein, and kidney function checks
  • Take steps to limit the risk of diabetes and high blood pressure through a healthy diet, salt reduction, weight management, and regular exercise
  • If diagnosed with diabetes, high blood pressure, or kidney disease, diligently manage these conditions to avoid complications

You can also consider attending a no-cost Kidney Smart education class held locally or online. Spreading awareness about kidney disease risks in African Americans is crucial for better health.

Sources:

  • U.S. Renal Data System 2005 Annual Data Report (www.usrds.org)
  • “Diabetes in African Americans,” from the National Kidney and Urologic Diseases Information Clearinghouse (www.niddk.nih.gov)
  • American Heart Association Meeting Report (www.americanheart.org)
  • “Early Identification of Renal Disease Among African Americans: A Continuing Problem,” M Thornhill Joynes and M. Moore, Nephrology News & Issues, November 1995, p.16-18.
  • Agodoa LY, Appel L, Bakris GL, Beck G, Bourgoignie J, Briggs JP et al. Effect of ramipril vs amlodipine on renal outcomes in hypertensive nephrosclerosis: a randomized controlled trial. JAMA. 2001; 285(21):2719-2728.
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