World Kidney Day is celebrated annually on the second Thursday of March to raise awareness of kidney disease. Its goals are to encourage screening of at-risk populations like diabetics and hypertensives, educate about preventing chronic kidney disease through lifestyle changes and controlling its risk factors, and promote kidney health. Maintaining a healthy lifestyle including regular exercise, a healthy diet, and keeping blood pressure and blood sugar under control can help reduce the risk of kidney disease.

1. WORLD KIDNEY DAY
Celebrated on the second Thursday
in March 2014

2. WORLD KIDNEY DAY
1.World Kidney Day was established to increase
awareness of the need for detection programs for
CKD & to improve prevention & treatment of
CKD.
2.The motto of World Kidney Day: Kidney
Disease is Common, Harmful and
Treatable.

3. Objectives
• Raise awareness about our "amazing
kidneys"Highlight that diabetes and high blood
pressure are key risk factors for Chronic Kidney
Disease (CKD).
• Encourage systematic screening of all patients
with diabetes and hypertension for CKD.
• Encourage preventive behaviours.
• Educate all medical professionals about their
key role in detecting and reducing the risk of
CKD, particularly in high risk populations.

4. Objectives
• Stress the important role of local and national
health authorities in controlling the CKD
epidemic. Health authorities worldwide will have
to deal with high and escalating costs if no action
is taken to treat the growing number of people
with CKD. On World Kidney Day all governments
are encouraged to take action and invest in
further kidney screening.
• Encourage Transplantation as a best-outcome
option for kidney failure, and the act of organ
donation as a life-saving initiative.

5. Most People with CKD will Die
Prematurely from their Increased Risk of
Cardiovascular and Cerebrovascular
Disease Before they Develop End-Stage
Kidney Failure

6. Interconnections Between
Obesity, Diabetes Mellitus,
High Blood Pressure, and
Chronic Kidney Disease (CKD)

7. Diabetes Mellitus
• Diabetes is the most common cause of endstage CKD that requires chronic dialysis
treatments or renal transplantation
• Roughly one-third of people with Diabetes
will develop CKD
• Diabetes is easy to detect, can be prevented
in most cases, and can usually be treated
effectively in most cases.

8. Diabetes Mellitus
• Tight glucose control in DM appears to
reduce the risk for CKD.
• Blood pressure control reduces the harmful
complications of DM.
• DM is easy to detect, and in most cases, it
can be prevented and usually treated
effectively.

9. High blood pressure
• High blood pressure, like chronic kidney
disease (CKD), is often silent and dangerous.
• High blood pressure causes CKD.
• CKD causes High blood pressure.
• Both CKD and Hogh blood pressure are
common and treatable.
•

10. 4 diseases
• Together these 4 diseases (Obesity, Diabetes,
CKD and high blood pressure) cause a large
percentage of the illnesses and deaths in the
Developed and the Developing World.

11. •
•
•
•
•
Suggested Goals for CKD Patients esp. with
Diabetes and High Blood Pressure
Lifestyle modifications (no obesity, regular
exercise)
BP 130/80 mmHg or lower, esp in diabetes or
proteinuria)
Maximal reduction of proteinuria (<1 g/d)
Multiple BP lowering meds(3-4 meds or more, if
needed)
ACEIs, ARBs, Diuretics, Beta-Blockers, NonDihydropyridine-CCBs

12. •
•
•
•
Suggested Goals for CKD Patients esp. with
Diabetes and High Blood Pressure
HbA1c at <7% (in diabetics)
Dietary protein restriction (0.6 - 0.8 kg/d)
Dietary sodium restriction (<2-3 g/d sodium)
Lipid-lowering therapy (diet, statins)

13. Eight Golden Rules
•
•
•
•
•
•
•
Keeping fit and active
Keep regular control of your blood sugar level
Monitor your blood pressure
Eat healthily and keep your weight in check
Maintain a healthy fluid intake
Do not smoke
Do not take over-the-counter pills on a regular
basis
• Check your kidney function if you have one or
more of the ‘high risk’ factors

14. Maintaining a healthy fluid intake
• Consuming plenty of fluid helps the kidneys
to clear sodium, urea and toxins from the body
which, in turn, results in a “significantly lower
risk” of developing chronic kidney disease.
• Research findings do not advocate “aggressive
fluid loading”, which can cause side effects, but
provide evidence that moderately increased
water intake, around two litres daily, may reduce
the risk of decline in kidney function

15. Maintaining a healthy fluid intake
• It’s important to bear in mind that the correct
level of fluid intake for any individual depends
on many factors including
gender, exercise, climate, health
conditions, pregnancy and breast-feeding.
• In addition, people who have already had a
kidney stone are advised to drink two to three
litres of water daily to lessen the risk of
forming a new stone

16. • The goal is to use World Kidney Day as a
mechanism to stimulate people to work
together to improve the health care system
as it affects public health, preventative
medicine and acute and chronic medical
care in their locality with regard to acute
and chronic kidney disease .