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慢性肾脏病及其相关健康因素:病例对照研究。

Chronic kidney disease and its health-related factors: a case-control study.

机构信息

Candidate in Epidemiology, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

HIV/AIDS research center, School of Health, Shiraz University of Medical Sciences, P.O.Box: 71645-111, Shiraz, Iran.

出版信息

BMC Nephrol. 2022 Jan 10;23(1):24. doi: 10.1186/s12882-021-02655-w.

Abstract

BACKGROUND

Chronic kidney disease (CKD) is a non-communicable disease that includes a range of different physiological disorders that are associated with abnormal renal function and progressive decline in glomerular filtration rate (GFR). This study aimed to investigate the associations of several behavioral and health-related factors with CKD in Iranian patients.

METHODS

A hospital-based case-control study was conducted on 700 participants (350 cases and 350 controls). Logistic regression was applied to measure the association between the selected factors and CKD.

RESULTS

The mean age of cases and controls were 59.6 ± 12.4 and 58.9 ± 12.2 respectively (p = 0.827). The results of multiple logistic regression suggested that many factors including low birth weight (OR  = 4.07, 95%CI: 1.76-9.37, P = 0.001), history of diabetes (OR  = 3.57, 95%CI: 2.36-5.40, P = 0.001), history of kidney diseases (OR  = 3.35, 95%CI: 2.21-5.00, P = 0.001) and history of chemotherapy (OR  = 2.18, 95%CI: 1.12-4.23, P = 0.02) are associated with the risk of CKD.

CONCLUSIONS

The present study covered a large number of potential risk/ preventive factors altogether. The results highlighted the importance of collaborative monitoring of kidney function among patients with the above conditions.

摘要

背景

慢性肾脏病(CKD)是一种非传染性疾病,包括一系列与肾功能异常和肾小球滤过率(GFR)逐渐下降相关的不同生理紊乱。本研究旨在探讨伊朗患者中几种行为和健康相关因素与 CKD 的关系。

方法

采用基于医院的病例对照研究,对 700 名参与者(350 例病例和 350 例对照)进行研究。应用逻辑回归来衡量所选因素与 CKD 之间的关联。

结果

病例和对照组的平均年龄分别为 59.6±12.4 和 58.9±12.2(p=0.827)。多因素逻辑回归结果表明,许多因素与 CKD 相关,包括低出生体重(OR=4.07,95%CI:1.76-9.37,P=0.001)、糖尿病史(OR=3.57,95%CI:2.36-5.40,P=0.001)、肾脏疾病史(OR=3.35,95%CI:2.21-5.00,P=0.001)和化疗史(OR=2.18,95%CI:1.12-4.23,P=0.02)。

结论

本研究涵盖了大量潜在的风险/预防因素。结果强调了对上述患者进行肾功能联合监测的重要性。

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Reducing major risk factors for chronic kidney disease.降低慢性肾脏病的主要风险因素。
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