[Prevalence of chronic kidney disease and influencing factors in adults in Hebei Province].

Abstract

Objective: To analyze the prevalence of chronic kidney disease (CKD) and influencing factors of adults in Hebei Province, and provide scientific evidence for the development of comprehensive CKD prevention and control strategies. Methods: In China Adult Chronic Disease and Nutrition Surveillance in Hebei in 2018, a total of 7 562 permanent residents aged ≥18 years were selected by multi-stage stratified cluster random sampling from 13 surveillance points in Hebei for questionnaire survey, medical examination and laboratory test. Results: A total of 1 067 CKD patients were detected in the adults aged ≥18 years in this survey, with a weighted prevalence rate of 12.10%. The results of multivariate analysis showed that the daily total static behavior time (OR=1.07, 95%CI: 1.04-1.09), living in rural area (OR=1.50, 95%CI: 1.14-1.97), coal use (OR=1.37, 95%CI: 1.16-1.61), coal gas/liquefied gas/natural gas/biogas use (OR=2.92, 95%CI: 2.40-3.54) and solar energy/electricity use (OR=1.75, 95%CI: 1.36-2.25), insufficient fruit intake (OR=1.39, 95%CI: 1.06-1.83), insufficient physical activity (OR=1.35, 95%CI: 1.11-1.64), suffering from hypertension (OR=1.80, 95%CI: 1.44-2.24) and suffering from diabetes (OR=1.77, 95%CI: 1.27-2.45) were risk factors for CKD in adults in Hebei. High education level (OR=0.41, 95%CI: 0.19-0.91), excessive drinking (OR=0.53, 95%CI: 0.28-0.99), central obesity (OR=0.75, 95%CI: 0.58-0.97), history of allergic diseases (OR=0.44, 95%CI: 0.27-0.72) were protective factors for CKD. Conclusions: The prevalence of CKD in adults in Hebei was relatively high, especially in those who had too long average daily static behavior, lived in rural area, used coal, gas/liquefied gas/natural gas/biogas, solar energy/electricity, had inadequate intake of fruits, lacked physical activity and suffered from hypertension and diabetes. It is necessary to pay attention to the early prevention and treatment of CKD, strengthen the health education about healthy lifestyle and improve the management of patients with chronic disease, such as hypertension and diabetes, to further reduce the risk for CKD.