Risks for CKD in African Americans

Did you know African Americans are at increased risk of developing chronic kidney disease
leading to dialysis and transplant? Compared to other ethnic groups, the African American
population has higher rates of diabetes and high blood pressure, which are the two leading
causes of kidney disease.

Almost one in every three African Americans has high blood pressure. Out of one million
people, 777 African Americans compared with 269 white Americans experienced kidney failure
in 2002. African Americans make up only about 13% of the U.S. population, yet constitute 35%
of patients treated for kidney failure, and are seven times more likely to get kidney disease
compared to white Americans. African Americans develop kidney failure approximately seven
years younger than white Americans (57 vs. 64 years of age).

Diabetes, the number one cause of kidney disease, is more prevalent in African Americans with
18.2 percent compared to 11.2 percent for white Americans aged 40 to 74. The National survey
suggests that over the past 35 years, the occurrence of diabetes has doubled in African
Americans.

One-third of the African Americans with diabetes are unaware they have the disease.

African Americans make up 34 percent of newly diagnosed high blood pressure cases each year,
High blood pressure is the second leading cause of kidney disease.

Approximately one in every three African Americans has high blood pressure.

In the 25 to 44 year old age group, the rate of African Americans who get kidney failure caused
by high blood pressure is 20 times higher than white Americans



Some research indicates that African Americans may have a particular gene that makes them
more sensitive to salt, which may be a factor is the increased occurrence of high blood pressure.
Many African Americans may be unaware of the connection between high blood pressure and
chronic kidney disease.  Reports indicate that about 43 percent of African Americans who are
on dialysis were not aware they had kidney failure until about one week before starting dialysis.


Risk factors of Diabetes

Type-2 diabetes is the most common type of diabetes in 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


Symptoms of Diabetes

Below are some common symptoms, however, you can feel fine and still have diabetes, so get
checked regularly.


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


Risk Factors for High Blood Pressure

High blood pressure is 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
  •         Using too much salt


Symptoms of Kidney Disease:


  •        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

You can feel fine and still have kidney disease, so get checked regularly
More than half of the Americans waiting for kidney transplants are minorities, but they spend
more time on the list because they are less likely than white Americans to find a good genetic
match. Better rejection prevention medication has helped lessen the emphasis on matching
which paved the way for the change in policy

                      
KIDNEY STATISTICS
        BY ETHNIC GROUPS

                                                            COLORADO       2007

Ethnic Groups (1,132)                 Waiting List                    Transplant                   Percent      

WHITES                                             648                            147                                 23

BLACKS                                            141                              11                                   8

HISPANIC                                         269                              39                                  14

ASIAN                                                38                                5                                  13

AMERICAN INDIAN                           34                                6                                  18

PACIFIC ISLANDER                            0                                0                                   0

MULTI RACIAL                                   2                                1                                  50

                                                             GROUP 8 (ROCKY MTN REGION)



ETHNIC GROUP (3,344)                  Waiting List                  Transplant                 Percent

WHITES                                             2,048                                     704                         34

BLACKS                                               762                                     148                         19

HISPANIC                                             369                                      78                         21           

ASIAN                                                    88                                       24                         27

AMERICAN INDIAN                               55                                        8                         15

PACIFIC ISLANDER                               9                                         1                         11

MULTI RACIAL                                     13                                         4                        31

                                                             USA (NATIONAL)             



ETHNIC GROUP (3,344)                  Waiting List                     Transplant                 Percent

WHITES                                             31,710                                   17,603                        55

BLACKS                                            28,219                                     5,459                        19

HISPANIC                                         14,101                                     3,679                        26  

ASIAN                                                5,406                                      1,227                        23

AMERICAN INDIAN                             860                                        180                         21

PACIFIC ISLANDER                            460                                          76                         16

MULTI RACIAL                                   434                                          133                       31



                                             USA POPULATION VS. KIDNEY DISEASE POPULATION

                                                                                          Percent of         Percent on

ETHNIC GROUP (3,344)                Population                        Population         Waiting       

WHITES                                         221,300,000                    74.00                         39                

BLACKS                                          40,900,000                     13.40                        35

HISPANIC                                       44,300,000                     14.80                        39      

ASIAN                                            13, 000, 00                       4.40                          7              

AMERICAN INDIAN                        2,00,0000                         .68                          1

PACIFIC ISLANDER                          430,000                         .14                         .5

MULTI RACIAL                             25,100,000                       8.50                         .5
Copyright 2008 divinejourneyinc.org
Site design by NVMD 720-628-3822
Previous
News Letter