Malla Hilal Ahmad, Bhat Ashraf M, Shazia Bashir, Rather Fayaz A, Najar Saleem M, Wani Imtiyaz A
Department of Nephrology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
Department of Pathology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
Saudi J Kidney Dis Transpl. 2016 Sep-Oct;27(5):1006-1010. doi: 10.4103/1319-2442.190877.
Screening for kidney diseases by urinalysis in school children is being conducted in many parts of the world with inexpensive tools such as urinary dipsticks. We conducted this study to know the prevalence of asymptomatic proteinuria in school children (age group 12-14 years) in Kashmir valley as no previous study is available. After applying exclusion criteria, 2068 children were screened for proteinuria by dipstick method. Another test was performed in the children with abnormal findings in the first sample with dipstick of the same brand, after a period of one-month. These children were also assessed by timed urine collection (i.e., 24 h urinary protein). In the first dipstick test, the prevalence of proteinuria in the studied population was 6.2% which persisted in 2.17% after second dipstick examination. No child in the studied group was found to have glycosuria. In our study, no statistically significant association was found between proteinuria and gender, body mass index, or hypertension. In our study, the prevalence of persistent proteinuria in school children (age group 12-14 years) in Kashmir valley was almost similar to the studies conducted in different parts of the world.
世界许多地区都在使用尿试纸等廉价工具对学童进行尿液分析以筛查肾脏疾病。我们开展这项研究是为了了解克什米尔山谷地区12至14岁学童无症状蛋白尿的患病率,因为此前尚无相关研究。在应用排除标准后,采用试纸法对2068名儿童进行了蛋白尿筛查。一个月后,对首次试纸检测结果异常的儿童使用同一品牌的试纸进行了再次检测。还通过定时尿液收集(即24小时尿蛋白)对这些儿童进行了评估。在首次试纸检测中,研究人群中蛋白尿的患病率为6.2%,再次检测后仍为2.17%。研究组中未发现有儿童出现糖尿。在我们的研究中,蛋白尿与性别、体重指数或高血压之间未发现有统计学意义的关联。在我们的研究中,克什米尔山谷地区12至14岁学童持续性蛋白尿的患病率与世界其他地区开展的研究结果几乎相似。