Title |
Education and screening for chronic kidney disease in Indian youth: pilot program results
|
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Published in |
International Journal of Nephrology and Renovascular Disease, April 2017
|
DOI | 10.2147/ijnrd.s128417 |
Pubmed ID | |
Authors |
Panduranga S Rao, Julie A Wright Nunes, Brenda W Gillespie, Rachel L Perlman, Rajan Ravichandran |
Abstract |
There is a paucity of information on kidney education and screening programs in Indian youth. Participants (n=2,158) from Chennai colleges were educated about the kidneys and chronic kidney disease (CKD) and screened in a pilot program from April to May 2013. This entailed: 1) a presentation and educational video and 2) an on-site assessment of weight, blood pressure, and demographic information. Urinalysis (UA) kits were distributed and returned in ≤48 hours. We examined participant characteristics and their association with dipstick proteinuria using logistic regression. The mean (standard deviation [SD]) age was 18.9 (1.6) years, and 1,451 (68%) were men. Mean (SD) body mass index (BMI) was 21.9 (4.3) kg/m(2); 745 (36%) had a BMI consistent with being overweight or obese. Mean (SD) systolic blood pressure (SBP) was 118.7 (13.1) mm Hg, and 94 (5%) of the participants had SBP ≥140. Mean (SD) diastolic blood pressure (DBP) was 70.9 (11.4) mm Hg, with 119 participants (6%) having ≥90 mm Hg. A total of 136 participants had glycosuria (UA≥1+) and 120 (6%) had proteinuria (UA≥1+). In unadjusted analyses, sex (odds ratio [OR]=1.64 [confidence interval, CI 1.06-2.55]; p=0.026 men vs. women) and age (OR=1.13 per year [CI 1.01-1.26]; p=0.032) were significantly associated with proteinuria. In the analysis adjusted for age, sex, SBP, DBP, glycosuria, and BMI, age remained independently associated with higher odds for proteinuria (OR=1.14 per year [1.02-1.29]; p=0.026). Males showed a trend of higher risk compared with women (OR=1.57 [CI 1.00-2.50]; p=0.051). This education and screening pilot program in a population of college students offers unique opportunities for identification, education, and early intervention for CKD. |
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Geographical breakdown
Country | Count | As % |
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Unknown | 31 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Postgraduate | 6 | 19% |
Student > Ph. D. Student | 5 | 16% |
Student > Master | 5 | 16% |
Student > Bachelor | 3 | 10% |
Student > Doctoral Student | 2 | 6% |
Other | 2 | 6% |
Unknown | 8 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 10 | 32% |
Nursing and Health Professions | 4 | 13% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 10% |
Agricultural and Biological Sciences | 2 | 6% |
Social Sciences | 1 | 3% |
Other | 1 | 3% |
Unknown | 10 | 32% |