What Causes Low eGFR? Understanding the Risk Factors


The estimated glomerular filtration rate (eGFR) is a key indicator of kidney function, measuring how effectively your kidneys filter waste from the blood. A low eGFR can signal impaired kidney function or chronic kidney disease (CKD). Understanding the factors that contribute to a decreased eGFR is essential for early intervention and management.

Common Causes of Low eGFR

  1. Diabetes MellitusChronic high blood sugar levels can damage the blood vessels in the kidneys, leading to diabetic nephropathy—a leading cause of reduced eGFR.
  2. Hypertension (High Blood Pressure)Elevated blood pressure can cause wear and tear on the blood vessels in the kidneys, impairing their filtering ability over time.
  3. GlomerulonephritisThis inflammation of the kidney’s filtering units (glomeruli) can result from infections or autoimmune diseases, leading to decreased kidney function.
  4. Polycystic Kidney DiseaseAn inherited disorder characterized by the growth of numerous cysts in the kidneys, which can enlarge and impair function, reducing eGFR.
  5. Age-Related DeclineeGFR naturally decreases with age, even in individuals without kidney disease. This decline is due to the gradual loss of nephrons, the kidney’s filtering units.
  6. Obstruction of the Urinary TractConditions such as kidney stones, enlarged prostate, or tumors can block urine flow, leading to back pressure and kidney damage, thereby lowering eGFR.
  7. Certain MedicationsLong-term use of nephrotoxic drugs, including some nonsteroidal anti-inflammatory drugs (NSAIDs) and certain antibiotics, can harm kidney tissue and reduce eGFR.
  8. DehydrationSevere dehydration can lead to kidney injury and a lower GFR. However, it isn’t a typical cause of chronic kidney disease and low GFR.

Natural Ways to Increase eGFR Levels

Addressing the underlying causes of a low eGFR can help improve kidney function. For comprehensive, step-by-step methods to enhance your eGFR naturally, explore our guide on how to increase eGFR levels naturally.

Note: Always consult with a healthcare professional before making significant lifestyle or dietary changes, especially if you have existing health conditions.