Women and other risk factors for chronic kidney disease of unknown etiology in Thailand: National Health Examination V Survey

Abstract There are limited data on chronic kidney disease of unknown etiology (CKDu) from Southeast Asia. Initially described in working age men, a common approach to detect CKDu that includes all adults has recently been proposed. We determined the prevalence, and risk factors for CKDu using data f...

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Autores principales: Wichai Aekplakorn, Suwat Chariyalertsak, Pattapong Kessomboon, Sawitri Assanangkornchai, Surasak Taneepanichskul, Nareemarn Neelapaichit, Anchalee Chittamma, Chagriya Kitiyakara
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:3cf5832e5a024fd29a8b226572b180192021-11-08T10:53:08ZWomen and other risk factors for chronic kidney disease of unknown etiology in Thailand: National Health Examination V Survey10.1038/s41598-021-00694-92045-2322https://doaj.org/article/3cf5832e5a024fd29a8b226572b180192021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-00694-9https://doaj.org/toc/2045-2322Abstract There are limited data on chronic kidney disease of unknown etiology (CKDu) from Southeast Asia. Initially described in working age men, a common approach to detect CKDu that includes all adults has recently been proposed. We determined the prevalence, and risk factors for CKDu using data from a cross-sectional, nationally representative survey of the adult population of Thailand. We used a proxy for CKDu as age < 70 with impaired kidney function (eGFR < 60) in the absence of diabetes and hypertension (CKDu1) and heavy proteinuria (CKDu2). Prevalence estimates were probability-weighted for the Thai population. The associations between risk factors and CKDu or elderly subjects with eGFR < 60 without traditional causes were assessed by multivariable logistic regression. Of 17,329 subjects, the prevalence were: eGFR < 60, 5.3%; CKDu1 0.78%; CKDu2, 0.75%. CKDu differed by 4.3-folds between regions. Women, farmers/laborers, older age, gout, painkillers, rural area, and stones were independent risk factors for CKDu. Women, age, rural, gout, painkillers were significant risk factors for both CKDu and elderly subjects. These data collected using standardized methodology showed that the prevalence of CKDu in Thailand was low overall, although some regions had higher risk. Unlike other countries, Thai women had a two-fold higher risk of CKDu.Wichai AekplakornSuwat ChariyalertsakPattapong KessomboonSawitri AssanangkornchaiSurasak TaneepanichskulNareemarn NeelapaichitAnchalee ChittammaChagriya KitiyakaraNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Wichai Aekplakorn
Suwat Chariyalertsak
Pattapong Kessomboon
Sawitri Assanangkornchai
Surasak Taneepanichskul
Nareemarn Neelapaichit
Anchalee Chittamma
Chagriya Kitiyakara
Women and other risk factors for chronic kidney disease of unknown etiology in Thailand: National Health Examination V Survey
description Abstract There are limited data on chronic kidney disease of unknown etiology (CKDu) from Southeast Asia. Initially described in working age men, a common approach to detect CKDu that includes all adults has recently been proposed. We determined the prevalence, and risk factors for CKDu using data from a cross-sectional, nationally representative survey of the adult population of Thailand. We used a proxy for CKDu as age < 70 with impaired kidney function (eGFR < 60) in the absence of diabetes and hypertension (CKDu1) and heavy proteinuria (CKDu2). Prevalence estimates were probability-weighted for the Thai population. The associations between risk factors and CKDu or elderly subjects with eGFR < 60 without traditional causes were assessed by multivariable logistic regression. Of 17,329 subjects, the prevalence were: eGFR < 60, 5.3%; CKDu1 0.78%; CKDu2, 0.75%. CKDu differed by 4.3-folds between regions. Women, farmers/laborers, older age, gout, painkillers, rural area, and stones were independent risk factors for CKDu. Women, age, rural, gout, painkillers were significant risk factors for both CKDu and elderly subjects. These data collected using standardized methodology showed that the prevalence of CKDu in Thailand was low overall, although some regions had higher risk. Unlike other countries, Thai women had a two-fold higher risk of CKDu.
format article
author Wichai Aekplakorn
Suwat Chariyalertsak
Pattapong Kessomboon
Sawitri Assanangkornchai
Surasak Taneepanichskul
Nareemarn Neelapaichit
Anchalee Chittamma
Chagriya Kitiyakara
author_facet Wichai Aekplakorn
Suwat Chariyalertsak
Pattapong Kessomboon
Sawitri Assanangkornchai
Surasak Taneepanichskul
Nareemarn Neelapaichit
Anchalee Chittamma
Chagriya Kitiyakara
author_sort Wichai Aekplakorn
title Women and other risk factors for chronic kidney disease of unknown etiology in Thailand: National Health Examination V Survey
title_short Women and other risk factors for chronic kidney disease of unknown etiology in Thailand: National Health Examination V Survey
title_full Women and other risk factors for chronic kidney disease of unknown etiology in Thailand: National Health Examination V Survey
title_fullStr Women and other risk factors for chronic kidney disease of unknown etiology in Thailand: National Health Examination V Survey
title_full_unstemmed Women and other risk factors for chronic kidney disease of unknown etiology in Thailand: National Health Examination V Survey
title_sort women and other risk factors for chronic kidney disease of unknown etiology in thailand: national health examination v survey
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/3cf5832e5a024fd29a8b226572b18019
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