Macaluso Francesca, Vaughn Amber, Wheat Stefan, Hamman Richard F, James Katherine A
Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Department of Emergency Medicine, University of Washington Medical Center, Seattle, Washington.
Weather Clim Soc. 2024 Jul-Sep;16(3):521-527. doi: 10.1175/wcas-d-23-0116.1. Epub 2024 Jul 31.
Acute kidney injury (AKI) and chronic kidney disease (CKD) are serious health conditions with an enormous global health burden. There is evidence to suggest that CKD rates are increasing within the United States despite declines in traditional risk factors for kidney injury and disease, disproportionately impacting certain populations. Changes in meteorological factors because of climate change may be partially responsible for this increase in kidney injury. This study evaluated the association between AKI and meteorological factors controlling for demographic and health factors among adults within the San Luis Valley, Colorado, a rural, biethnic agrarian community at increased risk for health impacts from climate change, over a 15-yr period. Relative humidity was a significant predictor of AKI controlling for age, sex, history of hypertension, and history of diabetes. Changing weather patterns may increase the risk of AKI and the subsequent development of CKD within the United States. These findings may help public health practitioners and medical professionals to identify populations at risk of incurring acute or chronic kidney injury as seasonal weather patterns change. Further research should investigate the role of heat, heat stress, and dehydration in developing CKD in the United States.
急性肾损伤(AKI)和慢性肾脏病(CKD)是严重的健康问题,给全球带来了巨大的健康负担。有证据表明,尽管美国肾脏损伤和疾病的传统风险因素有所下降,但CKD的发病率仍在上升,对某些人群的影响尤为严重。气候变化导致的气象因素变化可能是肾脏损伤增加的部分原因。本研究评估了科罗拉多州圣路易斯谷成年人中AKI与控制人口统计学和健康因素的气象因素之间的关联,该地区是一个农村双族裔农业社区,面临气候变化对健康影响的风险增加,研究为期15年。在控制年龄、性别、高血压病史和糖尿病病史的情况下,相对湿度是AKI的一个重要预测因素。天气模式的变化可能会增加美国AKI的风险以及随后CKD的发生。这些发现可能有助于公共卫生从业者和医学专业人员在季节性天气模式变化时识别有急性或慢性肾损伤风险的人群。进一步的研究应调查热量、热应激和脱水在美国CKD发展中的作用。