Early Identification of Kidney Disease Important for Bone Health

by Jennifer Bunn, RN

A study by Canadian researchers illustrates the importance of monitoring bone density in patients who have decreased kidney function. Decreased bone density can predispose people to bone fractures, which can be deadly in the elderly population.

The study followed 635 people aged 50 and above for a total of five years. Kidney function and bone density were measured at the beginning and end of the study. Results showed that people with impaired kidney function lost bone density at a faster rate than those with healthy kidneys. Bone loss occurred even in those who had mild kidney impairment.

Many people with kidney disease are not aware they have a problem. Screening for kidney disease in older individuals might prevent bone loss from occurring, thus decreasing the risk of fractures and death in the older population. Screening for kidney disease could involve simple measures such as checking blood pressure and obtaining a serum creatinine level, GFR (glomerular filtration rate) and urine protein. These tests are often done yearly as part of an annual physical. People who have high blood pressure, diabetes and a family history of kidney disease are at increased risk for kidney disease.

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