Certain lifestyle changes can help slow the progression of chronic kidney disease. These changes can also prevent complications of the disease. Depending on the stage of your disease and other medical conditions you have, your doctor may ask you to:
Hypertension , also known as high blood pressure, is a common cause of chronic kidney disease. See your doctor to find out if you have high blood pressure. If you do, take the blood pressure medications your doctor prescribes.
High blood glucose levels make chronic kidney disease worse. Simple tests can tell if you have diabetes. If you do, take the diabetes medications your doctor prescribes.
Smoking makes chronic kidney disease worse. Ask your doctor for help quitting .
Table salt and dietary protein make chronic kidney disease progress more quickly. Phosphorus, a mineral found in some foods, builds up in the blood when the kidneys are not functioning properly. Phosphorus can make your bones lose calcium and become weak. Chronic kidney disease can also increase the amount of lipids in your blood. High lipids can lead to heart attacks and stroke.
Your doctor may recommend cutting down on salt, protein, dairy products, peas, cola, nuts, and high-fat foods. A dietitian can help you select healthy foods for your condition. If you lose your appetite due to chronic kidney disease, a dietitian can help you choose tastier foods.
An exercise training program can help you get into or maintain your physical fitness. This, in combination with other lifestyle changes, will also help to reduce your risk of coronary artery disease and depression . Both of these are common complications for people with chronic kidney disease.
Are you at increased risk for chronic kidney disease? National Kidney Foundation website. Available at: http://www.kidney.org/atoz/pdf/11-10-1814.pdf. Published 2010. Accessed July 2, 2013.
Chronic kidney disease. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 22, 2013. Accessed July 2, 2013.
Chronic kidney disease: patient information handout. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/online/famdocen/home/common/kidney/832.html. Updated November 2010. Accessed July 2, 2013.
Kidney disease basics. National Kidney Disease Education Program website. Available at: http://www.nkdep.nih.gov/patients/kidney_disease_information.htm. March 1, 2012. Accessed July 2, 2013.
National Kidney Foundation. Kidney Disease Outcomes Quality Initiative (K/DOQI) clinical practice guidelines for bone metabolism and disease in chronic kidney disease. Am J Kidney Dis. 2003; 42:S1-201.
National Kidney Foundation. Kidney Disease Outcomes Quality Initiative (K/DOQI) clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis. 2002;39:S1-266.
National Kidney Foundation. Kidney Disease Outcomes Quality Initiative (K/DOQI) clinical practice guidelines on hypertension and antihypertensive agents in chronic kidney disease. Am J Kidney Dis. 2004; 43:S1-S29.
Snyder S, Pendergraph B. Detection and evaluation of chronic kidney disease. Am Fam Physicians. 2005;72:723-732.
8/26/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Heiwe S, Jacobson SH. Exercise training in adults with CKD: A systematic review and meta-analysis. Am J Kidney Dis. 2014;64(3):383-393.
Last reviewed May 2014 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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