An estimated 55 percent of Black Americans have high blood pressure — and high blood pressure (hypertension) is one of the leading risk factors for kidney disease. As such, it’s important to monitor your blood pressure so you’re aware of your chances of developing kidney disease.
What is the role of the kidneys, and what happens if they don’t work well?
Healthy kidneys have the following functions:
Regulate body fluids
Filter toxins and waste
Help create red blood cells
Contribute to bone metabolism
If your kidneys are in decline, you may experience:
Swelling
Fatigue
A metallic taste in your mouth
Headaches/blurred vision if your blood pressure is elevated
Changes in your urine output
Increasing strain on other organs in the body, especially the heart
Is it possible to prevent kidney disease?
In order to prevent kidney disease, it’s important to maintain a healthy lifestyle. You can:
Monitor your weight
Limit your alcohol intake
Avoid or quit smoking
See your healthcare provider for regular checkups
In fact, Scherly Leon, MD, an Internist specializing in Nephrology in New York City, recommends that you treat your body like you would your car: by taking it to the shop each year for maintenance.
“People in general should see their doctor at least yearly if you're healthy… I always say do it around your birthday, like a gift to you,” she explains. “So you can have a long life. You can get your blood work checked and you can see where all your numbers stand.”
How does your environment affect your kidney disease risk?
However, try not to blame yourself if you’re diagnosed with high blood pressure or diabetes. There are many social and environmental factors that generally contribute to diseases, including:
Where you live
Access to healthcare
Access to nutritious foods
Air quality and pollution
Stress
Access to nature
Focus on areas that you can work on, such as your physical activity, establishing a therapeutic relationship with a medical care team, the foods that you eat, and following your treatment plan.
The bottom line
Black Americans are at higher risk for kidney disease than some other populations. Some of the best ways to watch out for kidney disease are to monitor your weight and alcohol intake, avoid smoking, and see your doctor each year. If you’re experiencing swelling, fatigue, or a metallic taste in your mouth, you should see a healthcare provider.
Why trust our experts?


Dr. Leon is a board-certified internist specializing in nephrology in New York City.
References
American Heart Association. (2024). High blood pressure among Black people.
National Institute of Diabetes and Digestive and Kidney Diseases. (2016). Managing chronic kidney disease.
National Institute of Diabetes and Digestive and Kidney Diseases. (2020). Race, ethnicity, and kidney disease.
National Institute of Diabetes and Digestive and Kidney Diseases. (2018). Your kidneys and how they work.
National Kidney Foundation. (2023). Race, ethnicity, and kidney disease.











