Prevalence of chronic kidney disease among the elderly in prefectural communities
10.3969/j.issn.1006-2483.2022.05.035
- VernacularTitle:徐州地区社区老年人慢性肾脏病流行现况调查
- Author:
Na XYU
1
;
Zhao-yong ZHANG
1
;
Yi WEI
2
;
Rui WANG
2
;
Xin GENG
2
;
Hong-qi REN
2
Author Information
1. Department of Nephrology , Huaihai Hospital Affiliated to Xuzhou Medical University , Xuzhou , Jiangsu 221000 , China
2. Department of Critical Medicine , Xuzhou Cancer Hospital , Xuzhou , Jiangsu 221000 , China
- Publication Type:Journal Article
- Keywords:
Community elderly;
Chronic kidney disease;
End-stage renal disease
- From:
Journal of Public Health and Preventive Medicine
2022;33(5):148-150
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the prevalence of chronic kidney disease (CKD) in the elderly in xuzhou area and the main related factors, and to provide a theoretical basis for the prevention and treatment of CKD. Methods Xuzhou gulou, mountain springs, deals for the city select venture, peixian county rural countryside, deals with the community (village) as unit, adopt the method of stratified cluster sampling, a random sample of urban and rural community people aged 60 to 79, and residents living longer than six months as investigation object, obtain 482 valid data, chronic kidney disease (CKD) sampling investigation, All subjects underwent conventional questionnaires, including gender, age, occupation, chronic disease history, family history, etc. Laboratory tests included, UA, SCr, FBG, 2H PBG, TG and TC levels. EGFR was calculated based on SCr, and logistic regression was used to analyze the independent risk factors for CKD in the elderly in community. Results Among 482 elderly patients, 259 were males and 223 were females, with an average age of (45.73±6.14) years. 63 patients with CKD were diagnosed, with a prevalence rate of 13.07%. The prevalence of chronic diseases was 20.33%(98/482) for hypertension, 15.15%(73/482) for hyperuricemia, 11.00%(53/482) for overweight or obesity, 8.71%(42/482) for hyperlipidemia and 6.430%(31/482) for diabetes. The prevalence of CKD in 70-79 year olds was significantly higher than that in 60-69 year olds (χ2=6.621 , P<0.05). There were statistically significant differences in age, hypertension, diabetes and hyperuricemia between 2 groups (P<0.05). Logistic regression analysis showed that advanced age, hypertension, diabetes and hyperuricemia were independent risk factors for CKD in elderly population in Xuzhou area (P<0.05). Conclusion The prevalence of CKD in the elderly in Xuzhou community is high, and the main risk factors are advanced age, diabetes, hypertension and hyperuricemia. It is necessary to actively carry out early screening of CKD and take effective preventive measures to effectively delay the development of CKD and prevent the occurrence of end-stage renal disease.
