Why are kidneys important for bone health?
Healthy kidneys do many important jobs. They remove wastes and extra fluid from
your body, help make red blood cells, and help keep bones strong. They also help
to keep the right amount of minerals in your blood. Minerals are nutrients that
your body needs to stay healthy.
When you have kidney disease or kidney failure, your kidneys cannot do these imp
ortant jobs well. As a result, you may develop mineral and bone disorder. It is
a common problem in people with kidney disease, and it affects almost everyone w
ith kidney failure.
What is mineral and bone disorder?
Mineral and bone disorder related to kidney disease happens when there is an imb
alance in your blood levels of calcium and phosphorus. This mineral imbalance ca
n affect your bones, heart and blood vessels.
How does kidney disease and kidney failure lead to bone and heart disease?
When too much kidney function is lost, your kidneys can no longer filter out ext
ra phosphorus and remove it from the body in the urine. Over time, phosphorus fr
om the foods you eat can build up to high levels in your blood.
Healthy kidneys also change vitamin D from sunlight and the foods you eat into a
ctive vitamin D that your body can use. When kidneys fail there is a short suppl
y of active vitamin D. This causes calcium and phosphorus to get out of balance.
When the blood phosphorus level goes up and blood vitamin D level goes down, you
r body makes too much parathyroid hormone (PTH). High PTH levels cause calcium t
o move from your bones into your blood. As calcium leaves your bones they become
weaker, more brittle, and are more likely to break. Some calcium may also end u
p in the heart and blood vessels. This may cause or worsen heart disease.
What are the signs and symptoms of mineral and bone disorder?
Mineral and bone disorder can cause you to have:
Itchy skin
Bone pain
Weak bones that break easily
Blocked blood vessels
Heart problems
Nerve problems
Difficulty fighting off germs
How do I know if I have mineral and bone disorder?
You will have blood tests to check your blood levels of calcium, phosphorus, PTH
and vitamin D.
Some people may need to have a bone biopsy. A bone biopsy is a sample of bone ta
ken for study.
Your healthcare provider may order an x-ray of your abdomen, or an echocardiogra
m of your heart to check if mineral imbalance has affected your heart and blood
How do you treat mineral and bone disorder?
Many people with kidney disease or kidney failure need treatment for high blood
phosphorus or PTH levels. Your healthcare provider will order the treatment that
is right for you.
Lower phosphorus diet
Eating a lower phosphorus diet helps to keep your blood phosphorus in the right

Exercise The exercises that may be most helpful are called strengthening and weight-beari ng exercise. 2014 If you would like more information. Please c onsult a physician for specific treatment recommendations. It is intended for informational purposes only. © 2015 National Kidney Foundation. Reviewed June. All rights reserved. Calcium supplements Speak to your healthcare provider before taking a calcium supplement. Vitamin D Your body needs the active form of vitamin D. The result s of your blood tests will help show if you need to take extra calcium. . Phosphate binders Phosphate binders are medicines that help to keep blood phosphorus levels under control. Your healthcare provider will deci de which type of vitamin D medicine is right for you Calcimimetics Calcimimetcs are medicines often used when blood PTH. Surgery Some people with high PTH levels need surgery to remove some or all of the parat hyroid gland. To read more about mineral and bone disorder. calcium and phosphorus lev els are too high. please contact us. click here.range. This material does not con stitute medical advice. Check with your healthcare provider before starting an exercise pro gram.