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印度尼西亚的慢性肾脏病:一项全国健康调查的证据

Chronic kidney disease in Indonesia: evidence from a national health survey.

作者信息

Hidayangsih Puti Sari, Tjandrarini Dwi Hapsari, Sukoco Noor Edi Widya, Sitorus Nikson, Dharmayanti Ika, Ahmadi Feri

机构信息

Research Center for Public Health and Nutrition, National Research and Innovation Agency, Jakarta, Indonesia.

出版信息

Osong Public Health Res Perspect. 2023 Feb;14(1):23-30. doi: 10.24171/j.phrp.2022.0290. Epub 2023 Feb 14.

DOI:10.24171/j.phrp.2022.0290
PMID:36944342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10211444/
Abstract

OBJECTIVES

Several previous studies have stated that consuming certain foods and beverages might increase the risk of chronic kidney disease (CKD). This study aimed to examine the relationships of food and beverage consumption with other risk factors for CKD.

METHODS

Data sources included the 2018 Basic Health Research (Riskesdas) and the National Socio-Economic Survey (Susenas), which were analyzed using a cross-sectional design. The study samples were households from 34 provinces in Indonesia, and the analysis was performed with provincial aggregates. Data were analyzed using risk factor analysis followed by linear regression to identify relationships with CKD.

RESULTS

The prevalence of CKD in Indonesia was 0.38%. The province with the highest prevalence was North Kalimantan (0.64%), while the lowest was found in West Sulawesi (0.18%). Five major groups were formed from 15 identified risk factors using factor analysis. A linear regression model presented 1 significant selected factor (p=0.006, R2 =31%). The final model of risk factors included water quality, consumption of fatty foods, and a history of diabetes.

CONCLUSIONS

Drinking water quality, fatty food consumption, and diabetes are associated with CKD. There is a need to monitor drinking water, as well as to promote health education and provide comprehensive services for people with diabetes, to prevent CKD.

摘要

目的

此前的多项研究表明,食用某些食物和饮料可能会增加慢性肾脏病(CKD)的风险。本研究旨在探讨食物和饮料消费与CKD其他风险因素之间的关系。

方法

数据来源包括2018年基本健康研究(Riskesdas)和全国社会经济调查(Susenas),采用横断面设计进行分析。研究样本来自印度尼西亚34个省份的家庭,并对省级汇总数据进行分析。数据采用风险因素分析,随后进行线性回归以确定与CKD的关系。

结果

印度尼西亚CKD的患病率为0.38%。患病率最高的省份是北加里曼丹(0.64%),而最低的是西苏拉威西(0.18%)。使用因素分析从15个已确定的风险因素中形成了五个主要组。线性回归模型呈现出1个显著的选定因素(p = 0.006,R2 = 31%)。风险因素的最终模型包括水质、高脂肪食物的消费和糖尿病史。

结论

饮用水质量、高脂肪食物消费和糖尿病与CKD有关。有必要监测饮用水,以及为糖尿病患者开展健康教育并提供全面服务,以预防CKD。

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