Effects of fluoridation of community water supplies for people with chronic kidney disease

On the basis of the available evidence, Kidney Health Australia has developed the following position statement regarding fluoridation of community water supplies:

There is no evidence that consumption of optimally fluoridated drinking water increases the risk of developing CKD, although only limited studies addressing this issue are available

There is consistent evidence that impairment of kidney function results in changes to the way in which fluoride is metabolized and eliminated from the body, resulting in an increased burden of fluoride

There is no evidence that consumption of optimally fluoridated drinking water poses any health risks for people with CKD, although only limited studies addressing this issue are available

There is limited evidence that people with stage 4 or 5 CKD who ingest substances with a high concentration of fluoride may be at risk of fluorosis

Monitoring of fluoride intake and avoidance of fluoride-rich substances would be prudent for people with stage 4 or 5 CKD, in addition to regular investigations for possible signs of fluorosis

Fluoride concentrations in the final feed water to the dialysis machine must comply with established water quality guidelines.

Effects of fluoridation of community water supplies for people with chronic kidney disease                                   Marie Ludlow, Grant Luxton, and Timothy Mathew                                                                                                 Nephrology Dialysis Transplantation

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