Chronic kidney disease (CKD) is a progressive condition in which the kidneys gradually lose their ability to filter waste and excess fluids from the blood. Often described as a “silent killer,” CKD usually shows no noticeable symptoms in its early stages. By the time warning signs appear, many patients already have irreversible kidney damage and may require dialysis to manage the disease.
In the Philippines, CKD cases rose to 35.94 percent in 2022, significantly higher than the global average of 9.1 to 13.4 percent. People with hypertension and Type 2 diabetes are the most at risk, with one in three affected. These figures underscore the need for early testing and awareness to allow timely detection and intervention.
One of the most effective tools for early detection is the Urine Albumin-to-Creatinine Ratio (UACR) test, which measures the presence of albumin, a protein, in the urine. Healthy kidneys keep essential protein in the bloodstream, while damaged kidneys allow it to leak into the urine. Detecting even trace amounts of albumin can signal early kidney stress before symptoms appear. In hospitals, UACR testing typically costs between P2,000 and P3,500.
To encourage Filipinos to take proactive steps toward kidney health, Mercury Drug Inc., in partnership with AstraZeneca Philippines and Diabetes Philippines, is offering free UACR testing at four selected Mercury Drug branches: EDSA Pavilion and EDSA Shangri-La Plaza in Mandaluyong City, Trinoma Mall in Quezon City, and Noveleta Magdiwang in Cavite. The tests are available year-round, from Wednesdays to Sundays, during each branch’s operating hours.
The UACR test is simple, painless, and non-invasive. It uses portable machines comparable to hospital equipment, capable of detecting microalbuminuria that routine urinalysis often misses. Results are generated in under a minute. The free screening also includes body mass index (BMI) measurement, blood pressure checks, and blood sugar testing.
According to Dr. Cyril Tolosa of AstraZeneca Philippines, the program aims to reach at least 10,000 patients, noting that standard annual physical exams usually rely on ordinary urinalysis, which often fails to detect micro levels of albumin unless concentrations are already high. From 2024 to 2025, the CKD screening program screened more than 44,000 Filipinos who may be at risk. The four participating branches were selected after assessing nationwide foot traffic to maximize reach.
Dr. Rey Rosales of Diabetes Philippines explained that individuals who show early warning signs of CKD are not immediately prescribed medication. Instead, diet and lifestyle changes play a critical role in delaying or preventing disease progression. Without intervention, a person with microalbuminuria may develop CKD within 10 years. With sustained lifestyle changes, the risk timeline may extend to 20 years, or the disease may be prevented entirely.
Dr. Rosales also identified factors that increase the likelihood of developing CKD, including being 50 years and older, being female, having diabetes, hypertension, or heart disease, a family history of CKD, and smoking or tobacco use.
While BMI is included in the screening process, Dr. Rosales emphasized that it is not a definitive measure of kidney disease risk. BMI is based only on height and weight and does not account for body composition. Some individuals classified as overweight or obese may still have normal blood sugar levels, blood pressure, and UACR results. Body weight can be influenced by both muscle and fat mass, with excess fat posing greater health risks.
He also cautioned individuals who regularly consume protein supplements, particularly gym enthusiasts, as excessive supplementation may lead to abnormal UACR results. Protein intake is encouraged through natural food sources and lean meats rather than red meat. The Pinggang Pinoy model was cited as a practical guide for balanced meal portions, adjustable to individual needs.
Healthy eating, Dr. Rosales noted, does not require abandoning Filipino cuisine. Moderation and mindful preparation can preserve food culture while improving nutritional value. Common dishes such as kare-kare and adobo can be prepared in healthier ways without eliminating them entirely from the diet.
Organizers view the free CKD screening initiative as a step toward strengthening health awareness nationwide. Preventive care and lifestyle changes are framed as long-term investments in quality of life, allowing individuals to spend more years with their families and loved ones.