scholarly journals Awareness of Chronic Kidney Disease among Tamil Nadu Population- ACross-sectional Study

Author(s):  
R Chandan Bala ◽  
M Jayabharathy ◽  
S Sheba Yesu Priya ◽  
S Ramya

Introduction: Chronic kidney failure in India and around the world is a significant health problem. The most effective and affordable treatment may require screening for early detection,intervention and prevention. Public awareness is a key determinant to overcome the burden of Chronic Kidney Disease(CKD). However, there is a lack of information on CKD among South Indian people. Aim: To assess the awareness and knowledge of CKD among the South Indian population. Materials and Methods: A questionnaire-based cross-sectional study was conducted through an online form; the questions were generally based on the physiological role of kidney and awareness questions related to CKD. The sample size was 500 participants, of age >18 years and snowball sampling method was implemented. Among the study population, 68 participants had a family history of CKD and they were excluded. The data were analysed through Pearson Chi-Square test. Results: The mean knowledge score was 13 (SD±5.0), with values ranging from 0 to 22. The mean age of the population was 47.80±8.5 years. Multiple regression on demographic data and knowledge yielded statistically negligible results.The study population included 432 participants and the result showed the realms that most responded incorrectly were physiology of kidney, CKD symptoms, risk factors and the domain of testing and diagnosis. Conclusion: The participants had ample knowledge of the risk factors, signs and symptoms of CKD and insufficient knowledge of the physiological function of the kidney and the diagnosis of CKD. Therefore, efforts are necessary to create awareness and educate people about the early detection and prevention of CKD.

Author(s):  
Ashwini Shenai ◽  
Savitha G

Objective: Metabolic syndrome (MetS) is a common health problem worldwide. According to third national health and nutrition examination survey criteria, about 47 million people have MetS. It is defined as having three or more of the following five risk factors including abdominal obesity, increased triglyceride levels, low-density lipoprotein cholesterol level, elevated blood pressure, and elevated fasting glucose levels. These components of MetS are major risk factors for the development of chronic kidney disease (CKD) also. CKD is a major public problem and it is a major risk factor for the development of cardiovascular disease. Hence, the aim of the current study was to evaluate the association between MetS and CKD.Methods: A total of 50 patients reporting to Saveetha Dental College and Hospitals were enrolled into the study which includes 25 patients with MetS and 25 healthy individuals. 5 mL of venous blood was collected and centrifuged. Then, it is analyzed for fasting blood sugar (FBS), serum triglycerides, serum urea, and creatinine using the standard kit method. The data obtained were subjected to statistical analysis using the SPSS software.Results: The mean body mass index, FBS, serum creatinine, and triglyceride levels were higher in MetS patients in comparison to healthy individuals. The mean body mass index (BMI), FBS, serum urea, serum creatinine, and triglyceride levels in the control group and MetS group were 27.75±3.67, 84.8±12.5, 17.52±5.2, 0.91±0.17, and 96.5±60.13 and 35.14±4.25, 108.8±34.69, 21.4±5.9, 1.0±0.14, and 239.76±51.21, respectively. There was a significant difference in the mean BMI, FBS, urea, creatinine, and triglyceride levels of the above group.Conclusion: Serum urea and creatinine levels were significantly higher in MetS individuals. Hence, MetS could be a one of the risk factors for the development of CKD.


Author(s):  
Abdella Birhan YABEYU ◽  
Kaleab Haile ◽  
Yared Belay ◽  
Henok Tegegn

Aim: Awareness of chronic kidney disease (CKD) includes general knowledge of CKD and its risk factors. The current study aimed at assessing the public knowledge of CKD by using a validated tool. Methods: A community-based cross-sectional study was conducted. The target population of this study was lay public, and health professionals were excluded from the study. Proportional numbers of study participants were included from each sub-city based on their total population size. The data was analyzed using SPSS version 21. Frequencies, table’s percentage, mean and standard deviation were used to describe participants’ responses: Independent T-test and one way ANOVA statics was used to identify factors associated with public knowledge of CKD. Results: A total of 350 individuals were approached, 301 of whom completed and returned the questionnaire, giving a response rate of 86%. In this study, the mean (S.D.) knowledge score of participants was 11.12 (±4.21), with a minimum of 0 and a maximum of 22. Concerning the distribution of the CKD knowledge score, half of the respondents score 11 and less. One way ANOVA revealed that educational level had a significant effect on knowledge of CKD. Respondents who had an educational background of degree had relatively higher knowledge scores than the other category participants (P-value= 0.015). An independent t-test was also performed but failed to reveal any association between socio-demographic characteristics and knowledge score. Conclusions: The general knowledge level of the Ethiopian population about CKD and its risk factors is low. Currently, non-communicable disease such as diabetes and hypertension becomes public health concern and are one of the significant risk factors for CKD. As the study indicated, even these groups of populations were not adequately informed regarding their increased risk of developing CKD. Keywords: chronic kidney disease, public knowledge, Ethiopia


Author(s):  
Sindhura Moparthi ◽  
Madhavi Seepana ◽  
Devi Madhavi Bhimarasetty

Background: Chronic kidney disease (CKD) is being increasingly recognised as a leading public health problem. In India, given its population >1 billion, the rising incidence of CKD is likely to pose major problems for both healthcare and the economy in future years. Diabetes and hypertension are strong predictors for development and progression of chronic kidney disease. The objective of the study was to assess risk factors for chronic kidney disease among patients undergoing dialysis in King George Hospital (KGH), Visakhapatnam.Methods: This is an observational descriptive cross sectional study done in dialysis unit in KGH. A total of 100 patients were selected out of 141 registered CKD patients by simple random sampling technique. Study is done in the month of October- November 2015. A pretested semi structured schedule was administered. Informed written consent was taken from the patients. MS excel 2007 was used for data entry. Data was analysed by SPSS trial version 20. Categorical data was analysed by Chi square test.Results: Among 100 study subjects 72 were females and 28 were males. 91% of the CKD patients were Hypertensive, among whom 73.6% were males and 26.4% were females. This difference was not found to be statistically significant (p=0.446). 22% of the CKD patients were Diabetic, among whom 81.8% were males and 18.2% were females.Conclusions: Better understanding of the role of risk factors in CKD is needed. Large community based cross sectional studies are needed to study in detail about CKD risk factors. 


2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Marina Sofia Rodrigues Reis ◽  
Pedro Salvador ◽  
Ana Marta Gomes ◽  
Sara Beça ◽  
João Carlos Fernandes

Abstract Background and Aims Rheumatoid arthritis (RA) increase risk of developing chronic kidney disease (CKD), but it is unknow which risk factors contributes to CKD in this population. This study aims to determine predictors for the development of CKD in RA patients. Method A retrospective study was conducted in 106 patients with RA followed at a sub-specialized internal medicine appointment between January 2007 and December 2017. RA was defined according to the American College of Rheumatology criteria and CKD was defined as an estimated glomerular filtration rate less than 60mL/min/ 1.73m2 or presence of abnormalities of urinary sediment for 3 months. Results The mean age was 61 ± 12.83 years, and 67.9% (n=72) were female. The prevalence of CKD was 20.8% (n=22). Renal disease had multifactorial etiology in 20 patients, and one case of ANCA negative glomerulonephritis and other of diabetic nephropathy. Individuals with RA and CKD were older, presented more cardiovascular disease, diabetes and hypertension. There was no statistically significant association between gender and the presence of CKD (p = 0.131). Age (p = 0.031) and diabetes (p = 0.031) were independent risk factors for development of CKD in RA patients. RA duration in patients with CKD (8, 4-13) was not statistically different from RA duration in non-CKD patients (7.50, 4,75 – 12,25), (p=0.890). Conclusion Patients with RA and CKD had higher incidence of cardiovascular events, diabetes and hypertension which are a major cause of mortality and morbidity in this group. The presence of diabetes mellitus that often arise as an adverse effect of drugs used in the treatment of RA, significantly increased the risk of developing CKD. Otherwise, RA duration didn’t represent a risk factor for developing CKD. Thus, it is important to control diabetes, particularly glucocorticoid-induced diabetes to prevent development of CKD in AR patients.


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