首页|河南省慢性肾病流行现状及危险因素分析

河南省慢性肾病流行现状及危险因素分析

扫码查看
目的 分析河南省慢性肾病(CKD)流行现状及主要危险因素,为CKD防控提供科学依据.方法 2018年,采用多阶段整群随机抽样的方法抽取河南省14个县(区)≥18岁常住居民开展现场调查,通过问卷调查、体格检查、血尿常规及生化检测获取数据,采用多因素logistic回归分析CKD相关危险因素.结果 共纳入有效调查对象8 406人,CKD患病率为9.97%(95%CI:8.73%~11.21%).多因素logistic回归分析显示,≥60岁人群发生CKD的风险是18~<45岁人群的2.109倍(95%CI:1.672~2.660);每日睡眠时间>10 h的人群发生CKD的风险是每日睡眠时间6~≤10h的人群的1.341倍(95%CI:1.111~1.617);存在中心性肥胖、高血压、糖尿病、血脂异常、高尿酸血症的人群发生CKD的风险分别是不患有此类疾病者的 1.254 倍(95%CI:1.088~1.445)、1.521 倍(95%CI:1.321~1.750)、1.907 倍(95%CI:1.621~2.244)、1.176 倍(95%CI:1.021~1.355)、2.173 倍(95%CI:1.788~2.640).结论 河南省≥ 18 岁居民 CKD 患病率接近全国平均水平,高龄、睡眠时间过长、中心性肥胖、高血压、糖尿病、血脂异常、高尿酸血症是CKD的主要危险因素.
Analysis on prevalence and risk factors of chronic kidney disease in Henan province
Objective To analyze the prevalence and risk factors of chronic kidney disease(CKD)in Henan province,and provide scientific basis for the prevention and control of CKD.Methods The multi-stage cluster random sampling method was used to select permanent residents aged ≥ 18 years from 14 counties(districts)in Henan province in 2018.Data were obtained through questionnaire surveys,physical examinations,blood and urine routine tests,and biochemical tests.The multivariate logistic regression analysis was used to analyze the risk factors related to CKD.Results A total of 8 406 qualified survey subjects were included,and the prevalence of CKD was 9.97%(95%CI:8.73%-11.21%).Multivariate logistic regression analysis showed that the risk of CKD in people aged 60 years and over was 2.109 times higher than that in people aged 18-<45 years(95%CI:1.672-2.660);those who slept more than 10 hours per day had a 1.341 times higher risk of CKD than those who slept 6-10 hours per day(95%CI:1.111-1.617);the risk of CKD was 1.254 times(95%CI:1.088-1.445),1.521 times(95%CI:1.321-1.750),1.907 times(95%CI:1.621-2.244),1.176 times(95%CI:1.021-1.355)and 2.173 times(95%CI:1.788-2.640)in the population with central obesity,hypertension,diabetes,dyslipidemia and hyperuricemia than the population without such diseases,respectively.Conclusions The prevalence of chronic kidney disease(CKD)among the residents aged 18 years or older in Henan province is close to the national average level.The main risk factors of CKD are old age,long sleep time,central obesity,hypertension,diabetes,dyslipidemia and hyperuricemia.

Chronic kidney diseasePrevalenceRisk factorChronic diseases and nutritional monitoring in Chinese adults

田惠子、闫雅丽、李卉、王梦微、高莉、冯石献、康锴

展开 >

河南省疾病预防控制中心慢性非传染性疾病防治研究所,河南郑州 450016

慢性肾病 患病率 危险因素 中国成人慢性病与营养监测

河南省医学科技攻关计划联合共建项目

LHGJ20210158

2024

河南预防医学杂志
河南省预防医学会

河南预防医学杂志

影响因子:0.409
ISSN:1006-8414
年,卷(期):2024.35(6)
  • 11