Interfaces between cardiovascular and kidney disease among Aboriginal Australians

Stephen McDonald, Wendy E. Hoy

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Rates of kidney disease among several indigenous groups have been shown to be substantially higher than corresponding non-indigenous groups. This excess has been clearly shown among Aboriginal Australians with respect to both end-stage kidney disease and early kidney disease. Rates of cardiovascular disease among Aboriginal Australians are also very high, as are rates of diabetes, smoking, and possibly overweight and obesity. These factors have been traditionally linked with cardiovascular and renal disease as part of a broader "metabolic syndrome." However, the links and interfaces between cardiovascular and kidney disease in this environment extend beyond these "traditional" factors. The factors associated with atherosclerosis have expanded in recent years to include markers of inflammation, some infection, antioxidants, and other "non-traditional" risk factors. Given the high rates of acute infection and poor living conditions endured by many indigenous people, one might expect these "non-traditional" risk factors to be highly prevalent. In this review, we explore the relationships between markers of inflammation, some serological markers of infection, and other selected markers and both cardiovascular and renal disease. In doing so, we demonstrate links between kidney and cardiovascular disease at a number of levels, beyond the "traditional" cardiovascular/renal risk factors. Many of these factors are beyond the control of the individual or even community; addressing these issues a broader focus and biopsychosocial model.

Original languageEnglish
Pages (from-to)39-48
Number of pages10
JournalAdvances in Chronic Kidney Disease
Volume12
Issue number1
DOIs
Publication statusPublished - 1 Jan 2005
Externally publishedYes

Keywords

  • Aboriginal Australia
  • Kidney disease
  • albuminuria
  • cardiovascular disease
  • indigenous

ASJC Scopus subject areas

  • Nephrology

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