Community-based screening to determine the prevalence, health and nutritional status of patients with CKD in rural and peri-urban Bangladesh
Background: Studies have labelled chronic kidney disease (CKD) among the adult population in urban Bangladesh. To address knowledge gaps on CKD, we aimed to generate data on prevalence, health and nutrition of CKD individuals living in rural and peri-urban Bangladesh. Methods: Participants were recr...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-07-01
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| Series: | Therapeutic Advances in Chronic Disease |
| Online Access: | https://doi.org/10.1177/20406223211035281 |
| _version_ | 1818652499597328384 |
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| author | Mohammad Habibur Rahman Sarker Michiko Moriyama Harun Ur Rashid Mohammod Jobayer Chisti Md Moshiur Rahman Sumon Kumar Das Aftab Uddin Samir Kumar Saha Shams El Arifeen Tahmeed Ahmed ASG Faruque |
| author_facet | Mohammad Habibur Rahman Sarker Michiko Moriyama Harun Ur Rashid Mohammod Jobayer Chisti Md Moshiur Rahman Sumon Kumar Das Aftab Uddin Samir Kumar Saha Shams El Arifeen Tahmeed Ahmed ASG Faruque |
| author_sort | Mohammad Habibur Rahman Sarker |
| collection | DOAJ |
| description | Background: Studies have labelled chronic kidney disease (CKD) among the adult population in urban Bangladesh. To address knowledge gaps on CKD, we aimed to generate data on prevalence, health and nutrition of CKD individuals living in rural and peri-urban Bangladesh. Methods: Participants were recruited from the Mirzapur Demographic Surveillance System by age-stratified random sampling. We screened participants by measuring serum creatinine and urine albumin to creatinine ratio, and collected socio-demographic, lifestyles and health information (phase I). After 3 months (phase II), we repeated the urine and blood tests as per the Kidney Disease Outcomes Quality Initiative guidelines. The glomerular filtration rate was calculated using the CKD Epidemiology Collaboration equation. Results: Among 928 participants, 872 completed the study. In phase I, probable CKD cases were 281 (32.2%); in phase II, confirmed cases were 192 (22.0%) (stage 1, 4.0%; stage 2, 11.8%; stage 3, 5.5%; stage 4, 0.6%; stage 5, 0.1%). In multivariable analysis, associated factors for prevalent CKD included aged ⩾60 years [adjusted odds ratio (aOR) 5.02; 95% confidence interval (CI) 1.85–13.65], hypertension (aOR 3.08; 95% CI 2.07–4.59), diabetes (aOR 2.52; 95% CI 1.60–3.96), presence of red blood cell in urine (aOR 3.20; 95% CI 1.71–5.98) and anemia (aOR 2.50; 95% CI 1.63–3.84). Conclusions: This is the first ever research on CKD prevalence in rural and peri-urban Bangladesh and recorded about 22%, which is higher than urban settings. Monitoring systems are needed to evaluate the overall burden and to mitigate risk factors with an emphasis on the rural and peri-urban population. |
| first_indexed | 2024-12-17T02:22:59Z |
| format | Article |
| id | doaj.art-d584f7a6a687477e936fc5262a5466ee |
| institution | Directory Open Access Journal |
| issn | 2040-6231 |
| language | English |
| last_indexed | 2024-12-17T02:22:59Z |
| publishDate | 2021-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Chronic Disease |
| spelling | doaj.art-d584f7a6a687477e936fc5262a5466ee2022-12-21T22:07:12ZengSAGE PublishingTherapeutic Advances in Chronic Disease2040-62312021-07-011210.1177/20406223211035281Community-based screening to determine the prevalence, health and nutritional status of patients with CKD in rural and peri-urban BangladeshMohammad Habibur Rahman SarkerMichiko MoriyamaHarun Ur RashidMohammod Jobayer ChistiMd Moshiur RahmanSumon Kumar DasAftab UddinSamir Kumar SahaShams El ArifeenTahmeed AhmedASG FaruqueBackground: Studies have labelled chronic kidney disease (CKD) among the adult population in urban Bangladesh. To address knowledge gaps on CKD, we aimed to generate data on prevalence, health and nutrition of CKD individuals living in rural and peri-urban Bangladesh. Methods: Participants were recruited from the Mirzapur Demographic Surveillance System by age-stratified random sampling. We screened participants by measuring serum creatinine and urine albumin to creatinine ratio, and collected socio-demographic, lifestyles and health information (phase I). After 3 months (phase II), we repeated the urine and blood tests as per the Kidney Disease Outcomes Quality Initiative guidelines. The glomerular filtration rate was calculated using the CKD Epidemiology Collaboration equation. Results: Among 928 participants, 872 completed the study. In phase I, probable CKD cases were 281 (32.2%); in phase II, confirmed cases were 192 (22.0%) (stage 1, 4.0%; stage 2, 11.8%; stage 3, 5.5%; stage 4, 0.6%; stage 5, 0.1%). In multivariable analysis, associated factors for prevalent CKD included aged ⩾60 years [adjusted odds ratio (aOR) 5.02; 95% confidence interval (CI) 1.85–13.65], hypertension (aOR 3.08; 95% CI 2.07–4.59), diabetes (aOR 2.52; 95% CI 1.60–3.96), presence of red blood cell in urine (aOR 3.20; 95% CI 1.71–5.98) and anemia (aOR 2.50; 95% CI 1.63–3.84). Conclusions: This is the first ever research on CKD prevalence in rural and peri-urban Bangladesh and recorded about 22%, which is higher than urban settings. Monitoring systems are needed to evaluate the overall burden and to mitigate risk factors with an emphasis on the rural and peri-urban population.https://doi.org/10.1177/20406223211035281 |
| spellingShingle | Mohammad Habibur Rahman Sarker Michiko Moriyama Harun Ur Rashid Mohammod Jobayer Chisti Md Moshiur Rahman Sumon Kumar Das Aftab Uddin Samir Kumar Saha Shams El Arifeen Tahmeed Ahmed ASG Faruque Community-based screening to determine the prevalence, health and nutritional status of patients with CKD in rural and peri-urban Bangladesh Therapeutic Advances in Chronic Disease |
| title | Community-based screening to determine the prevalence, health and nutritional status of patients with CKD in rural and peri-urban Bangladesh |
| title_full | Community-based screening to determine the prevalence, health and nutritional status of patients with CKD in rural and peri-urban Bangladesh |
| title_fullStr | Community-based screening to determine the prevalence, health and nutritional status of patients with CKD in rural and peri-urban Bangladesh |
| title_full_unstemmed | Community-based screening to determine the prevalence, health and nutritional status of patients with CKD in rural and peri-urban Bangladesh |
| title_short | Community-based screening to determine the prevalence, health and nutritional status of patients with CKD in rural and peri-urban Bangladesh |
| title_sort | community based screening to determine the prevalence health and nutritional status of patients with ckd in rural and peri urban bangladesh |
| url | https://doi.org/10.1177/20406223211035281 |
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