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尼日利亚巴耶尔萨州公务员慢性肾脏病的患病率及其相关因素

Prevalence and correlates of chronic kidney disease among civil servants in Bayelsa state, Nigeria.

作者信息

Egbi O G, Okafor U H, Miebodei K E, Kasia B E, Kunle-Olowu O E, Unuigbe E I

机构信息

Department of Medicine, Niger Delta University Teaching Hospital, Okolobiri, Yenagoa, Bayelsa State, Nigeria.

出版信息

Niger J Clin Pract. 2014 Sep-Oct;17(5):602-7. doi: 10.4103/1119-3077.141426.

Abstract

INTRODUCTION

Chronic kidney disease (CKD) has become a public health problem with rising incidence and prevalence world-wide. Despite the fact that Sub-Saharan Africa, including Nigeria appears to be badly hit by this epidemic, there is a paucity of data on CKD prevalence in these regions and where data exists, they are mostly hospital-based.

OBJECTIVES

The present study was carried out to determine the prevalence and correlates of CKD in an urban civil service population in Bayelsa State, Nigeria.

MATERIALS AND METHODS

A total of 179 civil servants in the Bayelsa State secretariat were screened for CKD during the World Kidney Day on March 2012. CKD was defined as estimated glomerular filtration rate <60 ml/min/1.73 m 2 body surface area and/or proteinuria. Socio-demographic data was obtained using interviewer-administered semi-structured questionnaire while anthropometric measurements were taken. Blood pressure (BP), urinalysis, serum urea and creatinine were also assessed.

RESULTS

The prevalence of CKD in the study was 7.8%. Age >50 years was associated with CKD in univariate analysis but none of age, gender, body mass index, BP or hyperglycemia independently predicted it.

CONCLUSION

The prevalence of CKD among Nigerian civil servants was fairly high and was associated with advancing age. Routine screening for CKD in this population is recommended.

摘要

引言

慢性肾脏病(CKD)已成为一个全球性公共卫生问题,其发病率和患病率不断上升。尽管包括尼日利亚在内的撒哈拉以南非洲似乎受这一流行病影响严重,但这些地区关于CKD患病率的数据匮乏,即便有数据,大多也是基于医院的。

目的

本研究旨在确定尼日利亚巴耶尔萨州城市公务员群体中CKD的患病率及其相关因素。

材料与方法

2012年3月世界肾脏日期间,对巴耶尔萨州秘书处的179名公务员进行了CKD筛查。CKD定义为估算肾小球滤过率<60 ml/min/1.73 m²体表面积和/或蛋白尿。通过访谈员管理的半结构化问卷获取社会人口学数据,并进行人体测量。还评估了血压(BP)、尿液分析、血清尿素和肌酐。

结果

本研究中CKD的患病率为7.8%。单因素分析显示年龄>50岁与CKD相关,但年龄、性别、体重指数、血压或高血糖均不能独立预测CKD。

结论

尼日利亚公务员中CKD的患病率相当高,且与年龄增长有关。建议对该人群进行CKD常规筛查。

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