Chronic kidney disease and risk factors among Type 2 Diabetic patients in selected hospitals in Dhaka, Bangladesh


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DOI:

https://doi.org/10.26900/hsq.2354

Keywords:

Chronic kidney disease, type 2 diabetes, hypertension, dyslipidemia, salt intake, body mass index

Abstract

Chronic kidney disease (CKD) may be defined as abnormalities of kidney function or structure present for more than 3 months. Around 10% of people worldwide have CKD. The data about chronic kidney disease among diabetics in Bangladesh is inadequate, and very few studies have been done on specific populations, i.e., male or female. Thus, the study aims to determine the prevalence of CKD and its risk factors among diabetic patients in selected hospitals in Dhaka city. The specific objectives of the study were to assess the participants through physical and laboratory evaluations, categorize them into the different stages of CKD, analyze their socio-demographic characteristics, and determine the association between CKD and various risk factors. This is a cross-sectional study. The study population consisted of different outpatient diagnostic centers and outpatient and indoor patients of Shaheed Suhrawardy Medical College and Hospital. The sample size of the study is 369. The Modification of Diet in Renal Disease equation was used to calculate eGFR. This study revealed that in Dhaka, 18.2% of Type 2 Diabetic patients had CKD. Most of the participants were between 46 and 65years old. Most of the CKD patients had a low education level and a lower family income. Having diabetes for more than 3 years and hypertension for more than 5 years were associated with a higher risk of developing CKD, especially among individuals who consumed added salt in their diet.

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References

Rule AD, Amer H, Cornell LD, Taler SJ, Cosio FG, Kremers WK, et al. The association between age and nephrosclerosis on renal biopsy among healthy adults. Annals of Internal Medicine. 2010;152(9):561. doi: 10.7326/0003-4819-152-9-201005040-00006.

Couser WG, Remuzzi G, Mendis S, Tonelli M. The contribution of chronic kidney disease to the global burden of major noncommunicable diseases. Kidney International. 2011;80(12):1258-70. doi: 10.1038/ki.2011.368.

Collins AJ, Li S, Gilbertson DT, Liu J, Chen S, Herzog CA. Chronic kidney disease and cardiovascular disease in the Medicare population. Kidney International. 2003;64:S24-31. doi: 10.1046/j.1523-1755.64.s87.5.x.

Rashid HU. Management of end stage renal disease-bangladesh perspective. The Open Urology & Nephrology Journal. 2014;7(1):108-12. doi: 10.2174/1874303x01407010108.

Wesseling C, Crowe J, Hogstedt C, Jakobsson K, Lucas R, Wegman DH. The epidemic of chronic kidney disease of unknown etiology in Mesoamerica: A call for interdisciplinary research and action. American Journal of Public Health. 2013;103(11):1927-30. doi: 10.2105/ajph.2013.301594.

Global Facts: About Kidney Disease. National Kidney Foundation. 2023. Retrieved from: https://www.kidney.org/kidneydisease/global-facts-about-kidney-disease

Jha V, Garcia-Garcia G, Iseki K, Zuo L, Naicker S, Plattner B, et al. Chronic kidney disease: Global dimension and perspectives. The Lancet. 2013;382(9888):260-72. doi: 10.1016/s0140-6736(13)60687-x.

Huda N, Alam KS, Harun-Ur-Rashid Md. Prevalence of chronic kidney disease and its association with risk factors in disadvantageous population. International Journal of Nephrology. 2012;2012:1-7. doi: 10.1155/2012/267329.

Das S, Dutta P. chronic kidney disease prevalence among health care providers in Bangladesh. Mymensingh Medical Journal. 2010;19(3):415-21. https://www.banglajol.info/index.php/MMJ/article/view/6134

Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice. 2019;157:107843. doi: 10.1016/j.diabres.2019.107843.

Fiseha T. Prevalence of chronic kidney disease and associated risk factors among diabetic patients in Southern Ethiopia. American Journal of Health Research. 2014; 2(4):216. doi: 10.11648/j.ajhr.20140204.28.

Jitraknatee J, Ruengorn C, Nochaiwong S. prevalence and risk factors of chronic kidney disease among type 2 diabetes patients: A cross-sectional study in primary care practice. Scientific Reports. 2020; 10(1). doi: 10.1038/s41598-020-63443-4.

Kaewput W, Thongprayoon C, Mungthin M, Jindarat S, Varothai N, Suwannahitatorn P, et al. Temporal trends in optimal diabetic care and complications of elderly type 2 diabetes patients in Thailand: A nationwide study. Journal of Evidence-Based Medicine. 2018; 12(1):22-8. doi: 10.1111/jebm.12318.

Lou Q, Ouyang X, Gu L, Mo Y, Ma R, Nan J, et al. Chronic kidney disease and associated cardiovascular risk factors in Chinese with Type 2 Diabetes. Diabetes & Metabolism Journal. 2012; 36(6):433. doi: 10.4093/dmj.2012.36.6.433.

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Published

2024-10-12

How to Cite

Mahbub, M. R., Shadat, M. . A., Goni, M. O., & Chowdhury, S. (2024). Chronic kidney disease and risk factors among Type 2 Diabetic patients in selected hospitals in Dhaka, Bangladesh. HEALTH SCIENCES QUARTERLY, 4(4), 259–69. https://doi.org/10.26900/hsq.2354

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Original Article