Epidemiological features of adult chronic kidney diseases in a community-based population in Songjiang district, Shanghai / 中华流行病学杂志

ABSTRACT

Objective To investigate the prevalence and associated factors of chronic kidney diseases (CKD) in adult residents living in a community of Songjiang district,Shanghai.Methods A total of 9 257 residents aged 20-75 years old in Xinqiao township of Songjiang district were selected by random cluster sampling.All the participants were interviewed to complete a set of personal questionnaire and undergo physical examinations.Urine and blood tests including markers of kidney damage and related associated factors with CKD,were carried out.Results Eligible data from 8 207 subjects were enrolled in the study.After adjustment for age and gender,the prevalence of CKD was 8.4％ (95％CI7.8％-9.0％),with majority of the patients (76.5％) appeared in the early stage (Ⅰ and Ⅱ) of the disease.The prevalence of CKD increased with age and higher prevalence was seen in females than in males (P＜0.001).Results from logistic regression analysis showed that factors asbeing elderly or female,having hypertension,hyperuricemia,and hyperlipidemia were all independently associated with CKD.Conclusions The prevalence of CKD appeared relatively high in adult residents of Xinqiao township,Songjiang district where CKD had become a public health problem.Factors asbeing female or elderly,hypertension,hyperuricemia,and hyperlipidemia were found to be associated with CKD.Our findings suggested that early prevention and control on CKD to reduce the incidence of end-stage renal diseases and related complications had called for more urgent attention.