1. Welcome to FitKidney Health Program
By: Dylan Duong and Malek Achouh

2. What we will do today
This workshop will only run for approximately 1 hour
In this introductory workshop we will give you a brief outline of what our program is about
Explain to you the prevalence of CKD and the importance of looking after your kidneys
How to prevent kidney disease (through diet ad exercise)
How to operate the Fitbit
Body Mass Index (BMI) is explained and each participant will calculate his/hers
What is Cardiovascular risk and what it is for each participant
Chronic Kidney Disease Risk is calculated for every participant to determine the initial risk factors
Discuss the point system used to track progress
Allocated time for a group discussion

3. About our Program
A fun and exciting program that tries to encourage Kidney health awareness and to reduce the chance of busy Australians developing chronic kidney disease (CKD) later in life.
We want to do this by helping ordinary Australians make healthier decisions about their meals and to increase their physical activity
This program is a competition between registered teams and is based on points (considers exercise, BMI, CV risk and CKD risk)
The team with the highest amount of points in each district wins a the grand prize
You will have 3 months to decrease your CKD risk, reduce your BMI and exercise more often
CKD risk will be calculated by an allocated expert that we send out to you

4. QUESTIONS?

5. Prevalence of CKD
CKD is a progressive chronic disease, which is caused by the declining function of the kidneys
1.3 million Australians are affected by CKD
It’s risk factors include; diabetes, high blood pressure, heart failure, family history, obesity and smoking
10% of people attending general practice have CKD and do not know it
BUT!!
Most importantly if detected early and managed appropriately, the inevitable deterioration of kidney health can be reduced as much as 50% and may even be reversible in some cases. Thus it is important to know and look after your kidneys
Reference: Kidney Health Australia,

6. Kidney Stories Link to real patient stories

7. Kidney Disease & Diabetes
Diabetes is a leading cause of kidney disease
High blood sugar levels  damage to small blood vessels in kidney  poor kidney health and chronic kidney disease
1 in 3 people who have diabetes will develop diabetic kidney disease
Lead to nerve or eye damage
Lead to kidney failure if not well managed
Approximately 250,000 Australians with diabetes have an early stage diabetic kidney disease.
Risk calculator: kAssessmentTool

8. Kidney disease & high blood pressure
Poor control of blood pressure  high tension in small blood vessels in the kidneys  poor kidney health and chronic kidney disease
Your kidneys also produce a hormone called renin and this hormone plays an important role in controlling your blood pressure
Up to 8 in 10 people with chronic kidney disease have high blood pressure

9. By maintain a health diet and exercising you can better manage your diabetes and high blood pressure which will significantly slow the progression of kidney damage and reduce your risk of kidney disease.

10. Signs of Kidney Disease
Kidney disease if often called a ‘silent disease’ as there are often no or very few symptoms or signs
If signs and symptoms are experienced they may include
Feeling tired
Changes in urine amount or colour
Swelling e.g in the legs and ankles (OEDEMA)

11. How to prevent Kidney disease? (discussion)
Reduce sodium in diet. Aim for foods that have only mg of sodium per serving
Choose fresh food over processed ones
Cook more often at home
Choose fresh cuts of meat
EAT MORE fruit and vegetables
Drink plenty of water
Exercise at least for half an hour a day (increase to an hour when possible)
Loose weight when necessary (especially if BMI is over 30) and maintain a good blood pressure reading (generally less than 130/80)
Have regular check ups

12. How to use the Fitbit? (demonstration and discussion)
10 min Approximately
Note: For every 100 calories you burn you earn your team point

13. Body Mass Index (BMI)
It is used to give you an idea if you’re underweight, overweight or have an ideal body weight.
As your weight increases so does your BMI
As your BMI increases then your health risks increase and one of them is the effect on your kidney health
Please calculate yours using the formula below (please ask for assistance if needed)
BMI over 30 is considered obese
18-25 is considered healthy
In 3 months time for every half a BMI unit you decrease yourself by, you earn your team 500 points. You must also remain within the healthy BMI range for the points to be valid
Reference: Better health channel,
(image)

14. Cardiovascular risk Modifiable risk factor (ones that you can change)
Smoking status – decreases exercise tolerance, increases blood pressure and increases risk of blood clots.
Blood pressure – most important risk factor for stroke
Serum lipids – can build up and increase risk of stroke
Will be measured by the Accutrend Plus Glucose/Cholesterol Monitor. Results will be a combination of total cholesterol and triglycerides
Waist circumference and BMI – increases risk of developing high blood pressure, diabetes
Nutrition – controlling this will impact on many other cardiovascular risk factors
Physical activity – can help to reduce some risk factors
Alcohol intake – can increase other risk of stroke and other factors such as blood pressure and BMI

15. Cardiovascular risk calculator

16. Chronic Kidney Disease Risk
Risk calculator:
Taken from

17. Points system to declare the winner
Each team will submit their results/have testing monthly, and the team with the highest points to person ratio wins!!!
Each point gained by an individual needs to be backed up with evidence
Criteria
Points earned
100 calories burnt (according to fitbit)
6 points
For every 0.1 BMI you lose
100 points
Reduce diabetes risk according to Ausdrisk calculator
30 points
Cardiovascular risk – low, moderate, high
20,10,0 points respectively
For every 0.5mmol/L cholesterol drops
10 points
Normal blood pressure (120/80 mmHg)
Normal – high blood pressure (120/80 – 140/90 mmHg)
20 points
high BP (140/90 – 180/110 mmHg)
very high BP (>180/110 mmHg)
0 points

18. Group Discussion (5-10 min)
I hope you all enjoyed our FitKidney health program introduction
See you in a months time
Take care of your kidneys!!
Any questions?
Feedback?