HRB –KEDS funded Kidney Health Matters Fact sheet The healthy kidney Written by Danielle Nicholson The kidney is part of the excretory system whose main role is maintaining balance or homeostasis. Other organs in this system include the ureters, the bladder and the urethra. The main function of the kidney is to regulate body fluids. Filtration and reabsorption take place in distinct regions of the kidney. A person has two kidneys, one on each side of their body. Each kidney is roughly the size of a person’s fist. They are delicate organs and are placed well, protected by ribs, muscle, fat and skin. Did you know? Kidneys regulate blood pressure, stimulate the making of red blood cells and maintain the body's vitamin D and calcium levels. To stay healthy and perform their function, kidneys must have a constant flow of oxygen-rich blood. Blood arrives to the kidneys via the aorta and renal arteries (see the diagram below in red). The kidneys clean this blood of waste products and make urine. Urine travels from the kidneys to the bladder through the ureters and leaves the body through the urethra. Renal veins (diagram in blue) return the cleaned blood to the rest of the body. Nephrons are the filtering units of the kidney. b Urine formation in the nephrons a c d e f Blood flows through a tight knot of capillaries called the glomerulus (a) where water and chemicals flow with force into the Bowman’s capsule (b). Then the glomerular filtrate passes through the proximal convoluted tubule (c) where reabsorption of glucose, amino acids, some salts and water are reabsorbed into the blood (d) by osmosis, diffusion and active transport. More water is reabsorbed in the Loop of Henle (e) and the distal convoluted tubule (f). Urine passes into the pelvis (inner region) of the kidney then onto the bladder for storage. The healthy kidney Written by Danielle Nicholson HRB –KEDS funded Kidney Health Matters Fact sheet The kidneys are highly vascular, sensing organs that regulate blood pressure, red blood cell formation and vitamin D metabolism. When kidney function becomes impaired, complications arise. Blood pressure can become abnormal. In some instances of kidney disease, a lack of an essential hormone for the production of red blood cells, erythropoietin (EPO), causes anaemia. Bone disease may result if there is an imbalance of calcium and phosphorous in the blood. If too much phosphorous is present, calcium levels must also raise. Calcium will be pulled from the bones to strike the correct balance. Did you know? The key nutritional recommendations for kidney health include limiting sodium to 2500 mg per day and protein to 3-5 oz (85140 g) of high quality protein, avoiding nonnutritional sources of phosphorous (colas, beer and chocolate) and drinking fluids as thirst dictates. For more information about kidney health and disease, please consult the array of educational resources assembled on our Facebook page, Kidney Health Matters. The outer layer or region of the kidney is the cortex, the middle region is the medulla and the innermost region of the kidney is the pelvis.