Early Diagnosis for Chronic Kidney Disease and its Associated Risk Factors among Adults in a Rural Population of Delhi: A Cross-Sectional Study

2019 
Background: Chronic kidney disease (CKD) is emerging public health problem worldwide including India. It’s diagnosis at 5th stage complicates treatment leading to end-stage renal disease (ESRD). The early interventions, life style modification and management may help to slow its progress. Methods: A total of 859 participants were screened in OPD of Rural Health Training Center Najafgarh rural area of Delhi in 2018 after getting written informed consent from the participants. The data was recorded through a pre-structured questionnaire containing their personal and medical history. Blood sugar, urea, serum creatinine and serum albumin were examined. Other anthropometric parameters like blood pressure (BP) and height weight were also measured for the body mass index (BMI). Data was analyzed with the help of SPSS ver 16. CKD versus Non-CKD participants were compared for any significant difference and chi square test was. Result: The mean age of participants was 39.72±SD 16.85 (range 18-90 years). More participants were males (61%), literate (81.8%) and unemployed (68.8%). 21.9%, 24.8% and 5.7% had previous history of BP, diabetes and any kidney problems. The overall prevalence of CKD was 8.7%; mean eGFR was 91.67 ± 24.20 in CKD versus 96.44±19.95 in non-CKD group. Prevalence of CKD stages 1, 2, 3a, 3b, 4 and 5 were 56%, 35%, 6.05%, 1.08%, 0.93% and 0.46% respectively. Hypertensive and diabetic were significantly associated with CKD. Conclusion: The prevalence of CKD was 8.7% and 6.0% had stage 3a or worse. Diabetic and hypertensive patients should be screened for kidney diseases as early intervention may retard the progression of kidney disease. How to cite this article:Tripathi N, Kishore J, Kumar N, Bhatnagar A, Kumar R, Verm H. Early Diagnosis for Chronic Kidney Disease and its Associated Risk Factors among Adults in a Rural Population of Delhi: A Cross-Sectional Study. J Adv Res Med 2019; 6(4): 20-26. DOI: https://doi.org/10.24321/2349.7181.201921
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