In the general population, approximately 38% of adults aged 70 or older have an estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73 m2, with most having moderate reductions in eGFR in the 30-59 ml/min/1.73 m2 range (1).
However, we know that GFR physiologically decreases with age, and in adults older than 70 years, values below 60 mL/min/1.73 m2 could be considered normal.
A normal GFR in a young adult is greater than 90 mL/min/1.73m2. eGFR results of 90 or greater may be shown on a pathology report as the actual value or as eGFR ≥ 90 mL/min/1.73m2, depending on the preference of the pathology laboratory. If your eGFR is less than 90, the actual value will be shown.
gFR gets lower with age, even in people without kidney disease. the older you are, the lower your gFR. the gFR calculation accounts for age. at any age, a gFR below 60 for three months or more indicates kidney disease.
Some studies have shown that GFR may increase over time in people at all stages of kidney disease by: Controlling blood pressure. You can manage high blood pressure through exercise, diet, stress reduction, and limiting alcohol, among other lifestyle choices.
Conclusion. Exercise therapy could benefit non-dialysis CKD patients by increasing eGFR while reducing SBP, DBP and BMI. Additionally, short-term intervention of exercise could decrease TG.
In the general population, approximately 38% of adults aged 70 or older have an estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73 m2, with most having moderate reductions in eGFR in the 30-59 ml/min/1.73 m2 range (1).
The estimated glomerular filtration rate (eGFR) is variable and it relies on a blood test, which may have day to day variations and it is an "estimation". Hence, the more times you do the test, the more accurate will be the estimate. It can depend on some food that you eat.
A decrease or decline in the GFR implies progression of underlying kidney disease or the occurrence of a superimposed insult to the kidneys. This is most commonly due to problems such as dehydration and volume loss. An improvement in the GFR may indicate that the kidneys are recovering some of their function.
If you have CKD, your kidneys can't filter blood as well as they should, and this can lead to other health problems, such as heart disease and stroke. While it's not possible to reverse kidney damage, you can take steps to slow it down. Taking prescribed medicine, being physically active, and eating well will help.
If the decrease in the estimated glomerular filtration rate (eGFR) is due to acute kidney injury with a sudden decrease in kidney function, this can commonly be reversed. If the kidney disease is due to chronic kidney disease (CKD), the recovery of eGFR is usually not possible.
A low eGFR in an older person does not always mean CKD, even if the eGFR is less than 60. When you get an eGFR test, a simple urine test called the uACR will also be done to check for blood or albumin (a type of protein) in the urine.
What should I do? An estimated glomerular filtration rate (eGFR) of 56 milliliters per minute per 1.73 meters squared is very mild chronic kidney disease (CKD). It is early Stage 3 CKD. I suggest that you continue to consult with your physician.
As you age, your kidneys and bladder change. This can affect their function. Changes in the kidneys that occur with age: Amount of kidney tissue decreases and kidney function diminishes.
GFR is most sensitive to hydrostatic pressure changes within the glomerulus. A notable body-wide example is blood volume. Due to Starling's law of the heart, increased blood volume will increase blood pressure throughout the body.
The good news is that the right treatment and early detection can increase the function of your kidneys. One of the most common causes of decreased kidney function in elderly patients is diabetes. Diabetes can cause damage to the kidney's nerves and blood vessels even if your diabetes is well controlled.
A low GFR means your kidneys aren't filtering your blood as well as they should. A GFR under 60 means you have kidney disease. If the number is below 15, you have kidney failure and will need dialysis or a kidney transplant.
Dialysis should be instituted whenever the glomerular filtration rate (GFR) is <15 mL/min and there is one or more of the following: symptoms or signs of uraemia, inability to control hydration status or blood pressure or a progressive deterioration in nutritional status.
Choose continuous activity such as walking, swimming, bicycling (indoors or out), skiing, aerobic dancing or any other activities in which you need to move large muscle groups continuously. Low-level strengthening exercises may also be beneficial as part of your program.
Consuming multiple cups of coffee a day is likely to be safe for the kidneys in the general population, and is associated with an increase in estimated glomerular filtration rate (eGFR), according to findings of a study from the Netherlands.
Avoid processed foods and choose fresh fruits and vegetables instead. Follow a low-salt diet. Salt should be limited especially if you have high blood pressure, protein in your urine, or swelling, or difficulty breathing. Eating less than 2000 mg a day of sodium is recommended.