Epidemiological investigation on chronic kidney disease in hypertension and diabetes mellitus patients in Kunming urban community |
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Authors: | Zeng Huijuan Jiang Runsheng Zhou Mei Wu Linxiong Chang Wei Qu Fanwei Tian Bo Zhang Yao Song Jumin Mao Yiqing. |
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Affiliation: | School of Public Health, Kunming Medical University, Kunming 650031, ChinaCorresponding author: Jiang Runsheng, Email: jrunsheng@sina.cn |
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Abstract: | Objective To investigate the epidemiology of chronic kidney disease (CKD) in patients with hypertension and diabetes mellitus in Kunming urban area. Methods A multistage cluster randomized sampling method was used to collect 400 randomly selected patients (community managed hypertension and diabetes mellitus) in community service centers in the 4 main urban districts of Kunming, Yunnan province. The subjects were screened for CKD by questionnaires, physical examinations, and microalbuminuria tests. Results A total of 343 people were surveyed. The prevalence of albuminuria, proteinuria by routine urinalysis, decreased glomerular filtration rate, and CKD prevalence were respectively 37.3%, 12.2%, 5.0% and 39.1%.A total of 134 patients with CKD (134/343) were screened. Logistic regression analysis showed male (OR=2.312, 95%CI 1.325-4.037, P=0.003), hyperuricemia (OR=1.751, 95%CI 1.109-2.765, P=0.016) and obesity (OR=2.150, 95%CI 1.115-4.146, P=0.022) were related to CKD. Conclusions The prevalences of CKD and albuminuria are 39.1% and 37.3% in patients with chronic diseases (hypertension and diabetes) in the main urban community of Kunming, Yunnan. Hyperuricemia, male and obesity are independent risk factors for CKD. |
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Keywords: | Renal insufficiency chronic Community medicine Epidemiology Albuminuria Hypertension Diabetes mellitus |
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