<p>Chronic kidney disease (CKD) is a progressive condition that increases the risk of cardiovascular disease, end-stage kidney disease and premature death. Its prevalence is heightened among older adults, largely because major causes of CKD, including diabetes and hypertension, are common in this population. Preventing CKD and its complications in older adults involves a three-step approach. The first step focuses on modifying risk factors and managing comorbidities to help prevent the onset of CKD. The second emphasises regular screening and monitoring to support the early identification. The third involves initiating timely treatment once CKD is diagnosed to slow disease progression and manage associated complications. Together, these measures aim to enhance quality of life and help preserve functional status in older adults.</p>