Factors Associated with CKD among Middle Age and Elderly Populations with T2DM and Hypertension in Thailand

Abstract

This study analyzed the risk factors of chronic kidney disease (CKD) among middle-age and elderly populations with Type 2 Diabetes Mellitus (T2DM) and hypertension and its associated factors in Thailand. The cross-sectional study used the data from the records of 43 standard healthcare folders of the Heath Data Center (HDC) of the Ministry of Public Health (MoPH) with population of 19,342,297. The inclusion criteria included people aged > 45 with complete comorbidity data. 3,957,040 respondents passed the requirements and had processed for analysis. The multivariable analysis was used to analyze the factors associated with CKD when controlling for the effect of other covariates. The prevalence of CKD among middle-age and elderly populations with comorbidities was 4.97%. The multivariable analysis in the adjusted model indicated that factors that were associated with CKD included age ≥80 years (ORadj: 9.40, 95% CI: 8.51–10.38), being female (1.03, 1.01–1.07), and being comorbidity (6.69, 6.47–6.92). There is an urgent need for screening attempts to avoid early detection and improved practice for managing T2DM, hypertension, and CKD in the T2DM population in Thailand. Keywords: chronic kidney disease, type 2 diabetes mellitus, hypertension. https://doi.org/10.55463/issn.1674-2974.50.3.21