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The Rising Kidney Disease Risk in Youth: Expert Insights

February 12 / 2026

Kidney Disease

 

 

     Chronic Kidney Disease (CKD) is like a "silent threat" that gradually destroys your health without you even realizing it, until it reaches a severe stage requiring dialysis. Losing kidney function can significantly impact your quality of life, affecting work, daily activities, and even relationships. Today, changing lifestyles and self-neglect have caused the average onset of kidney disease to shift more toward younger adults. If you are part of the new generation concerned about kidney health, Nephrologists (Kidney Specialists) will help you understand why young people are at higher risk and provide initial guidance on kidney care for a healthier, longer life.

 

Why the New Generation is at Higher Risk of Kidney Disease

     The fast-paced life of working-age adults leads many to neglect their health, facing the silent threat of kidney disease that gradually erodes well-being. That daily favorite iced coffee or frequent fast food after work may be overworking your kidneys, causing them to deteriorate faster than expected. Did you know that chronic kidney disease is increasingly prevalent among working professionals? The primary cause is often unhealthy lifestyle habits.

 

 

Kidney Disease

 

 

Risk Factors for Kidney Disease

The kidneys act like a body's filtration system. When the filter is damaged, waste accumulates, leading to various complications. These risk factors can be divided into 5 main categories:

 

1. Dietary Choices Affecting Kidney Health

     Many mistakenly believe that only very salty food harms the kidneys. In reality, high sodium is hidden in many forms, including seasonings like ketchup, chili sauce, or processed foods like ham, bacon, and canned goods. Regular consumption forces the kidneys to work harder to flush out excess sodium from the body.

 

2. Lifestyle Habits Affecting Kidney Health

     Daily lifestyle plays a crucial role in kidney health. A lack of regular exercise weakens the body and increases the risk of chronic conditions like obesity and hypertension, which directly impact kidney function. Additionally, dehydration is a major risk; kidneys need water to flush out waste. Insufficient water intake causes the kidneys to work harder and increases the risk of kidney stones.

 

 

 

Kidney Health

 

 

3. Underlying Conditions as Risk Factors

     Diseases such as diabetes and hypertension are primary risk factors for chronic kidney disease. High blood sugar and excessive blood pressure damage the small blood vessels in the kidneys, hindering their ability to filter waste and eventually leading to kidney failure.

 

4. Genetics and Kidney Disease

     Genetic factors also play a significant role. Some individuals may have hereditary conditions present from birth, such as Polycystic Kidney Disease (PKD), where small cysts develop in the kidneys, causing abnormal function.

 

5. Warning Signs and Prevention

     If you experience swelling (especially in the legs and feet), unusual fatigue, back pain, or abnormal urination (such as blood in urine or persistent foam), these may be signs of kidney dysfunction. You should consult a doctor for a kidney check-up immediately.

     Caring for your kidneys is essential, as they are the body’s blood purifiers. Regular health screenings and lifestyle adjustments, such as diet control and exercise, will help maintain healthy kidneys. Do not ignore your body's warning signs, as early detection allows for more effective treatment.

 

 

 

Kidney Disease Care

 

 

 

Impact of Kidney Disease

     Kidney disease is a silent threat. If left untreated, it can lead to numerous serious complications. Kidney failure is primarily divided into 2 types:

 

1. Acute Kidney Injury (AKI)

     Acute Kidney Injury can be caused by infection, drug allergies, or severe dehydration. If treated promptly, kidney function may return to normal. However, if neglected, it can lead to severe complications such as hypertension, heart failure, metabolic acidosis, and may progress to chronic kidney failure.

 

Complications in "Acute Kidney Injury" Patients

1) Mild Complications

     Mild complications include hyperphosphatemia, hypocalcemia, hypermagnesemia, or anemia due to the lack of erythropoietin hormone, which impairs red blood cell production.

 

2) Severe Complications

Because the kidneys cannot excrete water, fluid overload occurs in the bloodstream, leading to hypertension and potentially heart failure.

 

  • Metabolic acidosis can occur, which may lead to arrhythmia or cardiac arrest.
  • Neurological complications may cause seizures or loss of consciousness. Weakened immune systems increase the risk of severe infections, and delayed treatment can result in permanent kidney damage.

 

2. Chronic Kidney Disease (CKD)

     Chronic Kidney Disease results from continuous kidney damage over a long period, commonly found in patients with diabetes, hypertension, and chronic nephritis. Common complications include anemia, osteoporosis, itching, and neurological issues.

 

 

 

Prevention

 

 

 

Kidney Disease Prevention for All Ages

Nephrologists recommend the following practices for everyone:

 

  • Annual Health Check-ups: Especially for those over 60 or with conditions like diabetes and hypertension.
  • Balanced Nutrition: Eat a complete diet from the 5 food groups to ensure adequate nutrients.
  • Regular Exercise: At least 3-4 times per week, 30-40 minutes per session.
  • Stay Hydrated: Drink approximately 2-3 liters of water per day.
  • Avoid Smoking and Alcohol: These substances are harmful to kidney health.
  • Don't Hold Your Urine: Frequently holding urine can lead to urinary tract infections.
  • Avoid Nephrotoxic Drugs: This includes non-standardized supplements and herbal medicines.

 

 

Kidney Disease Treatment Methods

Kidney disease can be treated through several methods, categorized into 2 main approaches:

 

Treatment to Delay Kidney Deterioration

1) Controlling Underlying Conditions

  • Dietary Management: Consuming appropriate protein levels and maintaining sufficient energy intake.
  • Medication: Using phosphate binders, diuretics, erythropoiesis-stimulating agents, antihypertensives, lipid-lowering drugs, and acid-base balancers.
  • Behavioral Modification: Weight loss, smoking cessation, exercise, and avoiding drugs that harm the kidneys.

 

 

 

Kidney Transplantation

 

Image Credit: The Nephrology Society of Thailand (Pongsathorn Kochaseni, Renal Replacement Therapy)

 

 

2) Renal Replacement Therapy (RRT)

  • Hemodialysis: Filtering blood through an artificial kidney machine to remove waste and excess water before returning it to the body.
  • Peritoneal Dialysis: Using the abdominal lining as a filter by infusing dialysis fluid into the abdominal cavity to remove waste.
  • Kidney Transplantation: Surgical replacement of a failed kidney with a healthy one from a donor. Recipients must take immunosuppressants consistently.

 

 

Dialysis

 

 

Conventional Hemodialysis vs. Hemodiafiltration

1. Conventional Hemodialysis

Conventional Hemodialysis removes blood via a vascular access (arm or neck) into an artificial kidney to filter out waste and fluid.

 

  • Pros: Effective at removing basic waste.
  • Limitations: Cannot remove all types of waste, leading to residue that may cause skin darkening over time and potentially dangerous complications.

 

2. Hemodiafiltration (HDF)

Hemodiafiltration is an advanced dialysis technique more efficient than Conventional Hemodialysis, particularly in removing larger waste molecules.

 

Benefits of Hemodiafiltration

  • Less skin darkening due to more efficient waste removal.
  • Improved sleep and better appetite.
  • Reduction in anemia issues.
  • Lower risk of infection.
  • Decreased chance of complications such as Cardiovascular Disease.

 

 

 

Kidney Health Care

 

 

Health requires care: Prevention is the best medicine.

     Doctors emphasize regular exercise and maintaining a healthy weight as key preventive measures against kidney disease. Additionally, avoiding unnecessary medications that impact kidney function is another way to lower your risk.

 

 


If we start caring and protecting today, it will help our kidneys function well and keep us healthy for years to come.

 

 

 

References

Pongsathorn Kochaseni. (n.d.). Current Renal Replacement Therapy. Retrieved October 2, 2024,

From https://bit.ly/3ZOBpUy