Prevalence of chronic kidney disease markers: Evidence from a three-million married population with fertility desire in rural China

Abstract We aimed to assess the prevalence of chronic kidney diseases (CKD) markers among the married residents with fertility desire in rural China. Demographic and clinical data were collected from the National Free Pre-Conception Health Examination Project. Estimated glomerular filtration rate (e...

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Main Authors: Ye Du, Shikun Zhang, Mei Hu, Qiaomei Wang, Haiping Shen, Yiping Zhang, Donghai Yan, Yuanyuan Li, Man Zhang, Qun Meng
Format: Article
Language:English
Published: Nature Portfolio 2017-06-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-017-02355-2
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author Ye Du
Shikun Zhang
Mei Hu
Qiaomei Wang
Haiping Shen
Yiping Zhang
Donghai Yan
Yuanyuan Li
Man Zhang
Qun Meng
author_facet Ye Du
Shikun Zhang
Mei Hu
Qiaomei Wang
Haiping Shen
Yiping Zhang
Donghai Yan
Yuanyuan Li
Man Zhang
Qun Meng
author_sort Ye Du
collection DOAJ
description Abstract We aimed to assess the prevalence of chronic kidney diseases (CKD) markers among the married residents with fertility desire in rural China. Demographic and clinical data were collected from the National Free Pre-Conception Health Examination Project. Estimated glomerular filtration rate (eGFR) < 60 mL/min//1.73 m2, proteinuria, and hematuria were defined as markers of CKD. GFR was evaluated by using serum creatinine level and the Asian-modified CKD epidemiology collaboration equation. Automated urine dry chemical and microscopic analyses were employed to identify proteinuria and hematuria. The prevalence of CKD markers was 2.92% in the 3,091,379 participants. eGFR < 60 mL/min//1.73 m2, hematuria and proteinuria was observed in 0.85%, 1.41% and 0.71%, respectively. The prevalence of CKD markers varied greatly across different geographical locations, which was the highest in the Eastern Region (3.86%; 95% confidence interval [CI]: 3.81–3.91%), moderate in the Central Region (2.80%; 95% CI: 2.77–2.82%), and lowest in the Western Region (2.62%; 95% CI: 2.59–2.65%). Hypertension, obesity, positive hepatitis B virus surface antigen (HBsAg), age (increased by every 5 years), female gender, and living area were potential risk factors for CKD. In rural China, the prevalence of CKD markers in the married couples with fertility desire is low.
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spelling doaj.art-c24ba0c9ddd84a8aa513f1e01d006c7f2022-12-21T18:33:02ZengNature PortfolioScientific Reports2045-23222017-06-01711910.1038/s41598-017-02355-2Prevalence of chronic kidney disease markers: Evidence from a three-million married population with fertility desire in rural ChinaYe Du0Shikun Zhang1Mei Hu2Qiaomei Wang3Haiping Shen4Yiping Zhang5Donghai Yan6Yuanyuan Li7Man Zhang8Qun Meng9Department of Social Medicine and Health Management, Public Health College, Harbin Medical UniversityDepartment of Maternal and Child Health, National Health and Family Planning Commission of the PRCDepartment of Clinical Laboratory, Beijing Shijitan Hospital, Capital Medical UniversityDepartment of Maternal and Child Health, National Health and Family Planning Commission of the PRCDepartment of Maternal and Child Health, National Health and Family Planning Commission of the PRCDepartment of Maternal and Child Health, National Health and Family Planning Commission of the PRCDepartment of Maternal and Child Health, National Health and Family Planning Commission of the PRCDepartment of Maternal and Child Health Research, National Research Institute for Family PlanningDepartment of Clinical Laboratory, Beijing Shijitan Hospital, Capital Medical UniversityDepartment of Social Medicine and Health Management, Public Health College, Harbin Medical UniversityAbstract We aimed to assess the prevalence of chronic kidney diseases (CKD) markers among the married residents with fertility desire in rural China. Demographic and clinical data were collected from the National Free Pre-Conception Health Examination Project. Estimated glomerular filtration rate (eGFR) < 60 mL/min//1.73 m2, proteinuria, and hematuria were defined as markers of CKD. GFR was evaluated by using serum creatinine level and the Asian-modified CKD epidemiology collaboration equation. Automated urine dry chemical and microscopic analyses were employed to identify proteinuria and hematuria. The prevalence of CKD markers was 2.92% in the 3,091,379 participants. eGFR < 60 mL/min//1.73 m2, hematuria and proteinuria was observed in 0.85%, 1.41% and 0.71%, respectively. The prevalence of CKD markers varied greatly across different geographical locations, which was the highest in the Eastern Region (3.86%; 95% confidence interval [CI]: 3.81–3.91%), moderate in the Central Region (2.80%; 95% CI: 2.77–2.82%), and lowest in the Western Region (2.62%; 95% CI: 2.59–2.65%). Hypertension, obesity, positive hepatitis B virus surface antigen (HBsAg), age (increased by every 5 years), female gender, and living area were potential risk factors for CKD. In rural China, the prevalence of CKD markers in the married couples with fertility desire is low.https://doi.org/10.1038/s41598-017-02355-2
spellingShingle Ye Du
Shikun Zhang
Mei Hu
Qiaomei Wang
Haiping Shen
Yiping Zhang
Donghai Yan
Yuanyuan Li
Man Zhang
Qun Meng
Prevalence of chronic kidney disease markers: Evidence from a three-million married population with fertility desire in rural China
Scientific Reports
title Prevalence of chronic kidney disease markers: Evidence from a three-million married population with fertility desire in rural China
title_full Prevalence of chronic kidney disease markers: Evidence from a three-million married population with fertility desire in rural China
title_fullStr Prevalence of chronic kidney disease markers: Evidence from a three-million married population with fertility desire in rural China
title_full_unstemmed Prevalence of chronic kidney disease markers: Evidence from a three-million married population with fertility desire in rural China
title_short Prevalence of chronic kidney disease markers: Evidence from a three-million married population with fertility desire in rural China
title_sort prevalence of chronic kidney disease markers evidence from a three million married population with fertility desire in rural china
url https://doi.org/10.1038/s41598-017-02355-2
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