Amaral Thatiana Lameira Maciel, Amaral Cledir de Araújo, Vasconcellos Maurício Teixeira Leite de, Monteiro Gina Torres Rego
Programa de Pós-Graduação em Saúde Coletiva, Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre. BR 364 Km 04 Distrito Industrial, Campus Universitário. 69920-900 Rio Branco AC Brasil.
Instituto Federal de Educação, Ciência e Tecnologia do Acre. Rio Branco AC Brasil.
Cien Saude Colet. 2021 Jan;26(1):339-350. doi: 10.1590/1413-81232020261.22402018. Epub 2019 Apr 26.
The scope of this study was to establish the prevalence of CKD and associated factors among young adults (18-59 years of age) from Rio Branco in the State of Acre. It involved a population-based survey conducted in 2014, in the urban and rural areas of the municipality and CKD was defined as the glomerular filtration rate (GFR) < 60ml/min/1.73m², estimated by the CKD-EPI, and the presence of albuminuria > 29 mg/g. Association measures were estimated by logistic regression, with a confidence level of 95%. The overall prevalence of CKD was 6.2%. The presence of CKD was higher among women, aged 40 to 59 years, with non-white skin color, with lower schooling, and of sedentary disposition. There were statistically significant differences in the distribution according to the presence of CKD in the hypertension, diabetes and hospitalization variables over the past 12 months. CKD among adults was associated with the female sex (OR: 2.41, 95%CI: 1.14-5.12), diabetes (OR: 4.67, 95%CI: 1.28-17.03) and arterial hypertension (OR: 1.98; 95%CI: 1.16-3.37). CKD reveals a high prevalence and is associated with chronic diseases, calling for the need for public health measures for early detection and prevention of its progression.
本研究的范围是确定阿克里州里奥布兰科市18至59岁年轻人中慢性肾脏病(CKD)的患病率及相关因素。该研究于2014年在该市城乡地区开展了一项基于人群的调查,CKD定义为根据慢性肾脏病流行病学协作组(CKD-EPI)估算的肾小球滤过率(GFR)<60ml/min/1.73m²,以及存在白蛋白尿>29mg/g。通过逻辑回归估计关联指标,置信水平为95%。CKD的总体患病率为6.2%。在40至59岁、非白种肤色、受教育程度较低且久坐不动的女性中,CKD的患病率更高。在过去12个月中,高血压、糖尿病和住院变量方面,根据是否存在CKD,分布存在统计学显著差异。成年人中的CKD与女性性别(比值比:2.41,95%置信区间:1.14 - 5.12)、糖尿病(比值比:4.67,95%置信区间:1.28 - 17.03)和动脉高血压(比值比:1.98;95%置信区间:1.16 - 3.37)相关。CKD显示出高患病率且与慢性病相关,这就需要采取公共卫生措施进行早期检测并预防其进展。