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Comparison of the prevalence of chronic kidney disease among different ethnicities: Beijing CKD survey and American NHANES
Xu, Rong1; Zhang, Luxia1; Zhang, PuHong2,3; Wang, Fang1; Zuo, Li1; Wang, HaiYan1
关键词Albuminuria Chronic Kidney Disease Chronic Renal Insufficiency Ethnicity
刊名NEPHROLOGY DIALYSIS TRANSPLANTATION
2009-04-01
DOI10.1093/ndt/gfn609
24期:4页:1220-1226
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Transplantation ; Urology & Nephrology
研究领域[WOS]Transplantation ; Urology & Nephrology
关键词[WOS]STAGE RENAL-DISEASE ; GLOMERULAR-FILTRATION-RATE ; RACIAL-DIFFERENCES ; METABOLIC SYNDROME ; UNITED-STATES ; SOCIOECONOMIC-STATUS ; POPULATION ; RACE ; MICROALBUMINURIA ; HYPERTENSION
英文摘要

Background. It is unclear whether ethnic disparity of the prevalence of chronic kidney disease (CKD) exists among native Chinese and American ethnicities.

Methods. A stratified multistage clustered screening for CKD performed in Beijing in 2006 was compared with data from the National Health and Nutrition Examination Survey (NHANES) between 1999-2006 (participants aged >= 20 years, 13 626 Chinese, 9006 whites, 3447 African Americans, 4626 Hispanics). Serum creatinine from Beijing and NHANES were calibrated at the Cleveland Clinic Laboratory. The re-expressed abbreviated MDRD equation for Americans and its modified form for Chinese were used to estimate glomerular filtration rate (eGFR). Subjects with eGFR <60 mL/min/1.73 m(2) were diagnosed as having chronic renal insufficiency (CRI). Albuminuria was diagnosed if the urine albumin-creatinine ratio was >17 mg/g for males or >25 mg/g for females. CKD was diagnosed if CRI or albuminuria was present.

Results. Compared with American whites, African Americans and Hispanics, Chinese had a lower prevalence of adjusted albuminuria (12.10%, 16.33% and 14.16% versus 9.27%), CRI (9.46%, 5.18% and 3.11% versus 1.38%) and CKD (19.03%, 19.00% and 15.99% versus 10.25%). Moreover, Chinese hold the lowest risk of albuminuria when exposed to diabetes; the risk of CRI among Chinese when exposed to diabetes or hypertension was lower than that among African Americans, but similar to that among whites and Hispanics.

Conclusions. The CKD prevalence was significantly different among native Chinese and American ethnicities.

语种英语
WOS记录号WOS:000264398800025
引用统计
被引频次:20[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52911
专题北京大学第一临床医学院_肾脏内科
作者单位1.Ctr Prevent Med Res, Beijing, Peoples R China
2.Peking Univ, Hosp 1, Inst Nephrol, Beijing 100034, Peoples R China
3.Beijing Ctr Dis Control & Prevent CDC, Beijing, Peoples R China
推荐引用方式
GB/T 7714
Xu, Rong,Zhang, Luxia,Zhang, PuHong,et al. Comparison of the prevalence of chronic kidney disease among different ethnicities: Beijing CKD survey and American NHANES[J]. NEPHROLOGY DIALYSIS TRANSPLANTATION,2009,24(4):1220-1226.
APA Xu, Rong,Zhang, Luxia,Zhang, PuHong,Wang, Fang,Zuo, Li,&Wang, HaiYan.(2009).Comparison of the prevalence of chronic kidney disease among different ethnicities: Beijing CKD survey and American NHANES.NEPHROLOGY DIALYSIS TRANSPLANTATION,24(4),1220-1226.
MLA Xu, Rong,et al."Comparison of the prevalence of chronic kidney disease among different ethnicities: Beijing CKD survey and American NHANES".NEPHROLOGY DIALYSIS TRANSPLANTATION 24.4(2009):1220-1226.
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