Prevalence of chronic kidney disease in a middle and old-aged population of Beijing

Li, Zhiyan; Xu, Guobing; Xia, Tian; Wang, Haiyan

doi:10.1016/j.cca.2005.10.011

Cited by 29 publications

(30 citation statements)

References 11 publications

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“…In this study, the CKD prevalence in our elderly population was 31.2%, that is roughly in line with data from other studies with the same definition and method [1, 2, 4, 10]. Also in this study like other same surveys [2, 5, 20], the increase in CKD prevalence with increasing age was observed in both sexes; therefore, the subjects with CKD stages III–V were significantly older than those with stages 0-II. The growing prevalence of decreased renal function in older persons can be due to an increase in age-related risk factors for progression to the CKD [20].…”

Section: Discussionsupporting

confidence: 92%

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Prevalence of Chronic Kidney Disease and Its Related Risk Factors in Elderly of Southern Iran: A Population-Based Study

et al. 2013

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Aim. The prevalence of chronic kidney disease (CKD) as a serious public health problem is growing in the elderly. This study aimed to assess CKD prevalence and its related risk factors in elderly population of Fars province. Methods. In this cross sectional study a total of 1190 elderly people are enrolled, and demographic and medical data were obtained. Data were analyzed by SPSS, and P of less than 0.05 was considered as statistically significant. Results. Prevalence of CKD stages III–V was 27.5% in the 60–69 years age group, 36.5% in the 70–79 years age group, and 40% in the ≥80 years age group. The prevalence of CKD increased with ageing in both men and women. Female gender was the strongest risk factor for CKD. Conclusions. Prevalence of CKD in elderly is high in Southern Iran, which has become an important health problem while it can be prevented or delayed in progression.

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Section: Discussionsupporting

confidence: 92%

“…CKD is associated with end-stage renal disease (ESRD) and increases morbidity and mortality and cost of the health care system [3–5]. …”

Section: Introductionmentioning

confidence: 99%

Prevalence of Chronic Kidney Disease and Its Related Risk Factors in Elderly of Southern Iran: A Population-Based Study

et al. 2013

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“…Chen et al [42] showed the prevalence of reduced eGFR to be 2.5% among Chinese participants aged 35 to 74 years in 2000 to 2004. Li et al [11] studied 2310 middle- and old-aged adults in Beijing and reported CKD and reduced eGFR in 12.9 and 4.9% of the population, respectively. Shan et al [43] studied CKD in 4156 participants aged 40 years or older living in four major cities in Henan, finding reduced eGFR in 1.53% of the participants.…”

Section: Discussionmentioning

confidence: 99%

“…Individuals in low- and middle-income countries were disproportionally affected [6] perhaps due to increases in non-communicable disease and exposure to environmental toxins along with urbanization [7]. In addition, older age [3, 8–14], being a woman [3, 8, 10, 11, 14, 15], having metabolic syndromes [3, 8–14, 16–18], smoking [9, 10, 17–19] or lower socioeconomic status (SES) [3, 20] have been shown to be associated with development and progression of CKD.…”

Section: Introductionmentioning

confidence: 99%

The association between urbanization and reduced renal function: findings from the China Health and Nutrition Survey

et al. 2017

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BackgroundWhile chronic kidney disease (CKD) is a growing public health concern in low- and middle-income countries, such as China, few studies have investigated the association between urbanization and the occurrence of CKD in those countries.MethodsWe investigated the association between urbanization and estimated glomerular filtration rate (eGFR), an important CKD risk marker. Data came from the China Health and Nutrition Survey wave 2009, in which we collected fasting serum, individual and household data along with community level urbanization data, which was used to derive a study-specific urbanization measure, in 218 communities across nine provinces. A total of 3644 men and 4154 women participants aged 18 years or older were included in the analysis. Reduced renal function was defined as eGFR of less than 60 mL/min/1.73 m2 measured using serum creatinine concentration (mg/dL).ResultsAfter adjusting for socio-demographic (e.g., age, education and household income), a sex-stratified multilevel logistic model revealed that living in a more urbanized community was associated with higher odds of reduced eGFR (odds ratio [OR] = 1.38 per one-standard deviation [SD] increase in the CHNS specific urbanization index, 95% confidence interval [CI] = 1.11–1.73 for men; OR = 1.35, 95% CI = 1.11–1.62 for women). After adjusting for behavioral variables (i.e., alcohol consumption, smoking, physical activity and diet), as well as obesity and cardiometabolic risk factors, the association was attenuated in men (OR = 1.25, 95% CI = 0.98–1.59), but remained statistically significant in women (OR = 1.24, 95% CI = 1.01–1.52).ConclusionOur findings suggest that living in an urban environment is linked with higher odds of reduced renal function independently of behavioral and cardiometabolic risk factors, which have been shown to increase along with urbanization.Electronic supplementary materialThe online version of this article (doi:10.1186/s12882-017-0577-7) contains supplementary material, which is available to authorized users.

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“…Li and colleagues from China found that the prevalence of proteinuria and reduced GFR were 4.7% and 0.8%, respectively, among the middle-and old-aged population of Beijing Shijingshan district. [7] Whatever the level of hospital or community, the great number of CKD population should raise much concern. Similar results were found in other studies.…”

Section: Discussionmentioning

confidence: 99%

A Survey of Chronic Kidney Disease in a Large Hospital in China

Cheng

2008

Renal Failure

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Background. Chronic kidney disease (CKD) has emerged as a serious public health problem worldwide. How a CKD program should be organized, though, is still unknown. Therefore, we conducted a study to investigate the burden of CKD in a large university hospital and explore the possible approaches to care CKD appropriately in China. Methods. This is a retrospective cohort study of all new cases of CKD in a large hospital determined by a persistently increased serum creatinine (SCr) level (>1.47 mg/dL, >130 umol/L for more than three months) measured in the hospital laboratory. An abbreviate MDRD equation was used to estimate GFR from initial SCr values. Results. There was a large CKD population in the hospital. In all, 1,006 cases had definite chronic kidney disease. Excepting the nephrology department, CKD patients were distributed in 18 disciplines and departments, with the focus on outpatient department and emergency department. In total, 1,257 cases were suspicious of CKD, who had only one or two tests of serum creatinine without detailed follow-up data. Furthermore, when SCr level is higher than 442 umol/L, there were 129 cases with only one test result. Conclusion. CKD is a great burden in the hospital. Multidiscipline cooperation based on outpatient, emergency department, and good follow-up system establishments are necessary for appropriate CKD care. Future work is needed to explore how to organize a good CKD management program to advance the care of patients with CKD.

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Prevalence of chronic kidney disease in a middle and old-aged population of Beijing

Cited by 29 publications

References 11 publications

Prevalence of Chronic Kidney Disease and Its Related Risk Factors in Elderly of Southern Iran: A Population-Based Study

Prevalence of Chronic Kidney Disease and Its Related Risk Factors in Elderly of Southern Iran: A Population-Based Study

The association between urbanization and reduced renal function: findings from the China Health and Nutrition Survey

A Survey of Chronic Kidney Disease in a Large Hospital in China

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