Abstract
Introduction:The burden of CKD is on the rise globally and in India. There are scarce population based studies based in rural industrialized settings in India and elsewhere.Objective:To find out the prevalence and determinants of Chronic Kidney Disease (CKD) among adults in rural Pondicherry, IndiaMethods:It was a community-based cross-sectional study in 13 villages of a Primary Health Centre in rural Pondicherry. A representative sample of 422 adults more than or equal to 50 years of both genders was selected by population proportional to size methods. All the participants were screened by SCORED questionnaire to get the potential cases of CKD. We did serum creatinine, urine examination, blood pressure and anthropometric measurement for the potential cases. CKD was diagnosed by estimation of glomerular filtration rate and presence of protienuria. The data was analyzed using Statistical Package for Social Science version 24. The study was approved by the Institutional Ethics Committee of SMCMCH, Pondicherry.Results:The prevalence of CKD was found to be 24.2% in the study sample of respondents 50 years or more. Most (73.5%) of the CKD cases were at stage 2, Stage 3a had 15% and stage 3b had 2% of the cases. The determinants of CKD were (60-69 years, PR: 2.36,CI:1.36-4.07), poor nutrition(underweight, overweight and obesity)poor nutritional status (underweight:PR: 2.26,CI:1.05-4.89), (overweight:PR: 2.19,CI:1.06-4.52), (obese:PR: 2.13 CI: 1.13-4.01) and presence of at least one chronic co-morbidity(PR:5.85,CI:1.38-24.78). Majority of the patients in the CKD group had minimal proteinuria 87.25%. And 42.15% of the CKD group had no k.w:5 or k.w:6.Conclusion and Recommendation:Considering the higher prevalence of CKD in the study area, targeted screening of adult population should be undertaken as means of early detection, diagnosis, treatment and follow up of at-risk individuals to prevent further progression of CKD. Further research is required to look at the aetiology of CKD.
Highlights
The burden of Chronic Kidney Disease (CKD) is on the rise globally and in India
Considering the higher prevalence of CKD in the study area, targeted screening of adult population should be undertaken as means of early detection, diagnosis, treatment and follow up of at-risk individuals to prevent further progression of CKD
Further research is required to look at the aetiology of CKD
Summary
The burden of CKD is on the rise globally and in India. There are scarce population based studies based in rural industrialized settings in India and elsewhere. Though population based screening studies have been performed in developed countries, there are very few studies in developing world and especially in India where even though an attempt has been made to develop a national registry [4], one still does not know the true prevalence and incidence of CKD. The strategies to improve identification include increasing public awareness, professional education, changes in health care policy, delivery system, basic clinical and outcome research related to CKD [5].Many of the developing countries have no facility or programs to detect and evaluate CKD.it is of utmost urgency to start grass root programs to detect and educate the people and put in place both primary and secondary interventions of medical care. Late detection is the lost opportunity for making any life style changes and treating the aggravating factors [6]
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