What groups are at risk for kidney failure related to high blood pressure?
All racial groups have some risk of developing kidney failure from high blood pressure. African Americans, American Indians, and Alaska Natives, however, are more likely than whites to have high blood pressure and to develop kidney problems from it–even when their blood pressure is only mildly elevated. In fact, African Americans ages 25 to 44 are 20 times more likely than whites in the same age group to develop hypertension-related kidney failure. People with diabetes also have a substantially increased risk for developing kidney failure. People who are at risk both because of their race and because of diabetes should have early management of high blood pressure. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), also part of NIH, is sponsoring a study to find effective ways to prevent high blood pressure and kidney failure in African Americans.