Prevalence of Chronic Kidney Disease in Korea: the Korean National Health and Nutritional Examination Survey 2011-2013.
10.3346/jkms.2016.31.6.915
- Author:
Ji In PARK
1
;
Hyunjeong BAEK
;
Hae Hyuk JUNG
Author Information
1. Division of Nephrology, Department of Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea. haehyuk@kangwon.ac.kr
- Publication Type:Original Article
- Keywords:
Renal Insufficiency, Chronic;
Prevalence;
Republic of Korea;
Albuminuria;
Glomerular Filtration Rate
- MeSH:
Adult;
Aged;
Albuminuria/complications;
Creatine/urine;
Female;
Glomerular Filtration Rate;
Humans;
Kidney/physiology;
Male;
Middle Aged;
*Nutrition Surveys;
Prevalence;
Renal Insufficiency, Chronic/*epidemiology/pathology;
Republic of Korea/epidemiology;
Risk Factors;
Severity of Illness Index
- From:Journal of Korean Medical Science
2016;31(6):915-923
- CountryRepublic of Korea
- Language:English
-
Abstract:
Chronic kidney disease is a leading public health problem related to poor quality of life and premature death. As a resource for evidence-informed health policy-making, we evaluated the prevalence of chronic kidney disease using the data of non-institutionalized adults aged ≥ 20 years (n = 15,319) from the Korean National Health and Nutrition Examination Survey in 2011-2013. Chronic kidney disease was defined as a urine albumin-to-creatinine ratio ≥ 30 mg/g or an estimated glomerular filtration rate < 60 mL/min/1.73 m2 using the Chronic Kidney Disease-Epidemiology Collaboration equation. The total prevalence estimate of chronic kidney disease for adults aged ≥ 20 years in Korea was 8.2%. By disease stage, the prevalence of chronic kidney disease was as follows: stage 1, 3.0%; stage 2, 2.7%; stage 3a, 1.9%; stage 3b, 0.4%; and stages 4-5, 0.2%. When grouped into three risk categories according to the 2012 Kidney Disease: Improving Global Outcomes guidelines, the proportions for the moderately increased risk, high risk, and very high risk categories were 6.5%, 1.2%, and 0.5%, respectively. Factors including older age, diabetes, hypertension, cardiovascular disease, body mass indexes of ≥ 25 kg/m2 and < 18.5 kg/m2, and rural residential area were independently associated with chronic kidney disease. Based on this comprehensive analysis, evidence-based screening strategies for chronic kidney disease in the Korean population should be developed to optimize prevention and early intervention of chronic kidney disease and its associated risk factors.
