Urbanization and kidney dysfunction in Brazilian indigenous people: a burden for the youth
Rev. Assoc. Med. Bras. (1992, Impr.)
; 69(2): 240-245, Feb. 2023. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1422625
Responsible library:
BR1.1
ABSTRACT
SUMMARY OBJECTIVE:
The aim of this study was to investigate whether the degree of urbanization influences the prevalence of chronic kidney disease in Brazilian indigenous people.METHODS:
This is a cross-sectional study conducted between 2016 and 2017 in northeastern Brazil and includes individuals aged between 30 and 70 years from two specific indigenous groups who volunteered to participate in the study the Fulni-ô people (lowest degree of urbanization) and the Truká group (greater degree of urbanization). Cultural and geographical parameters were used to characterize and measure the magnitude of urbanization. We excluded individuals with known cardiovascular disease or renal failure who required hemodialysis. Chronic kidney disease was defined as a single measurement of an estimated glomerular filtration rate <60 mL/min/1.73 m2 using the Chronic Kidney Disease Epidemiology Collaboration creatinine equation.RESULTS:
A total of 184 indigenous people from the Fulni-ô group and 96 from the Truká group with a median age of 46 years (interquartile range 15.2) were included. We found a chronic kidney disease rate of 4.3% in the total indigenous population, generally affecting an older population 41.7% over 60 years old (p<0.001). The Truká people had a chronic kidney disease prevalence of 6.2%, with no differences in kidney dysfunction across age groups. The Fulni-ô participants had a chronic kidney disease prevalence of 3.3%, with a higher proportion of kidney dysfunction in older participants (of the six Fulni-ô indigenous people with chronic kidney disease, five were older).CONCLUSION:
Our results suggest that a higher degree of urbanization seems to negatively influence the prevalence of chronic kidney disease in Brazilian indigenous people.
Full text:
Available
Collection:
International databases
Database:
LILACS
Type of study:
Observational study
/
Risk factors
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Rev. Assoc. Med. Bras. (1992, Impr.)
Journal subject:
EducaÆo em Sa£de
/
GestÆo do Conhecimento para a Pesquisa em Sa£de
/
Medicine
Year:
2023
Document type:
Article
Affiliation country:
Brazil
/
United States
Institution/Affiliation country:
John Hopkins University/US
/
Oswaldo Cruz Foundation/BR
/
Universidade Federal do Vale do São Francisco/BR
/
Universidade do Estado da Bahia/BR