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慢性肾脏病进展的危险因素:新旧概念之间

Risk Factors of Chronic Kidney Disease Progression: Between Old and New Concepts.

作者信息

Mallamaci Francesca, Tripepi Giovanni

机构信息

Nephrology, Dialysis and Transplantation Unit, Grande Ospedale Metropolitano, Bianchi-Melacrino-Morelli (BMM), 89124 Reggio Calabria, Italy.

Research Unit of Clinical Epidemiology of Reggio Calabria, Institute of Clinical Physiology (IFC), National Research Council (CNR), 89124 Reggio Calabria, Italy.

出版信息

J Clin Med. 2024 Jan 24;13(3):678. doi: 10.3390/jcm13030678.

Abstract

Chronic kidney disease (CKD) is a condition characterized by the gradual loss of kidney function over time and it is a worldwide health issue. The estimated frequency of CKD is 10% of the world's population, but it varies greatly on a global scale. In absolute terms, the staggering number of subjects affected by various degrees of CKD is 850,000,000, and 85% of them are in low- to middle-income countries. The most important risk factors for chronic kidney disease are age, arterial hypertension, diabetes, obesity, proteinuria, dyslipidemia, and environmental risk factors such as dietary salt intake and a more recently investigated agent: pollution. In this narrative review, we will focus by choice just on some risk factors such as age, which is the most important non-modifiable risk factor, and among modifiable risk factors, we will focus on hypertension, salt intake, obesity, and sympathetic overactivity.

摘要

慢性肾脏病(CKD)是一种随着时间推移肾功能逐渐丧失的疾病,它是一个全球性的健康问题。据估计,CKD在全球人口中的发病率为10%,但在全球范围内差异很大。从绝对数量来看,受不同程度CKD影响的人数惊人地达到8.5亿,其中85%在低收入和中等收入国家。慢性肾脏病最重要的危险因素包括年龄、动脉高血压、糖尿病、肥胖、蛋白尿、血脂异常以及环境危险因素,如饮食盐摄入量和最近研究的一种因素:污染。在这篇叙述性综述中,我们将有针对性地聚焦于一些危险因素,如年龄(这是最重要的不可改变的危险因素),在可改变的危险因素中,我们将聚焦于高血压、盐摄入量、肥胖和交感神经过度活跃。

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