Aug 25, 2026 · 32 min · 9 segments
Chronic kidney disease can develop quietly, often before obvious symptoms appear. In this episode, we explore what the kidneys reveal about the **Living Terrain**, including the roles of blood…
Andrew WrenHost
One of the most revealing pictures of kidney health comes from the Health Survey for England, which assessed kidney health in adults aged thirty-five and over using blood and urine measurements rather than relying simply upon whether somebody had received a diagnosis.
Yet only two percent reported having been told by a doctor that they had kidney disease.
Even among people who reported no diagnosis, twenty-one percent had evidence of CKD based upon eGFR and urinary albumin measurements.
You can feel reasonably well while changes associated with kidney disease are already detectable.
The same Health Survey for England found that among people aged seventy-five and over, forty-eight percent had evidence of CKD stages one to five, including thirty-six percent with stages three to five.
Among adults aged thirty-five to forty-four, the corresponding figures were considerably lower at eight percent and one percent.
Aging does not mean that somebody will inevitably develop clinically significant kidney disease, but it clearly affects our predisposition.
Our underlying susceptibility may influence risk, while the physiological and metabolic environment experienced over many years may influence how that susceptibility is expressed.
One of the most revealing pictures of kidney health comes from the Health Survey for England, which assessed kidney health in adults aged thirty-five and over using blood and urine measurements rather than relying simply upon whether somebody had received a diagnosis.
Yet only two percent reported having been told by a doctor that they had kidney disease.
Even among people who reported no diagnosis, twenty-one percent had evidence of CKD based upon eGFR and urinary albumin measurements.
You can feel reasonably well while changes associated with kidney disease are already detectable.
The same Health Survey for England found that among people aged seventy-five and over, forty-eight percent had evidence of CKD stages one to five, including thirty-six percent with stages three to five.
Among adults aged thirty-five to forty-four, the corresponding figures were considerably lower at eight percent and one percent.
Aging does not mean that somebody will inevitably develop clinically significant kidney disease, but it clearly affects our predisposition.
Our underlying susceptibility may influence risk, while the physiological and metabolic environment experienced over many years may influence how that susceptibility is expressed.
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