Environmental Science Advances,
Год журнала:
2024,
Номер
4(1), С. 57 - 76
Опубликована: Ноя. 4, 2024
A
form
of
chronic
kidney
disease
has
been
described
in
people
without
any
known
risk
factors.
These
cases
are
referred
to
as
an
unknown
etiology
(CKDu).
ABSTRACT
Chronic
kidney
disease
(CKD)
prevalence
varies
widely
across
different
regions
of
India.
We
aimed
to
identify
the
status
CKD
in
India,
by
systematically
reviewing
published
community‐based
studies
between
period
January
2011
December
2023.
PubMed,
Scopus,
and
EMBASE
were
searched
for
peer‐reviewed
evidence.
Records
identified
full‐text
screening
imported
into
Litmaps
literature
review
tool
more
relevant
studies.
Two
researchers
independently
examined
retrieved
data.
Quality
assessment
was
conducted
using
JBI
A
random
effects
model
pooled
estimates.
Subgroup
analysis,
meta‐regression
sensitivity
analysis
explored
heterogeneity
sources
estimated
robustness.
Publication
bias
assessed
with
a
DOI
plot
LFK
index.
Among
7062
records
identified,
18
included
this
review.
The
from
India
13.24%
(confidence
intervals
(CI)
10.52
16.22,
I
2
99%,
p
<
0.001).
among
men
14.80%,
while
women
it
13.51%.
Southern
administrative
zone
had
14.78%.
Pooled
higher
rural
areas
(15.34%)
compared
those
urban
(10.65%).
Significant
found.
analyses
based
on
sampling
strategy,
quality
score,
publication
year,
eGFR
estimation
equation
showed
no
effect
prevalence.
Prediction
Intervals
confirmed
future
will
fall
2.64%
30.17%.
This
indicates
rising
trend
(from
11.12%
during
2017,
16.38%
2018
2023)
Indians
aged
15
years
above,
over
past
years.
More
regional
research
is
needed
tailor‐make
interventions
detect
early
manage
well.
International Journal of Environmental Research and Public Health,
Год журнала:
2024,
Номер
21(4), С. 468 - 468
Опубликована: Апрель 11, 2024
Background:
Exposure
to
environmental
pollutants
such
as
metals
and
Per-
Polyfluoroalkyl
Substances
(PFAS)
has
become
common
increasingly
associated
with
a
decrease
in
the
estimated
Glomerular
Filtration
Rate
(eGFR),
which
is
marker
often
used
measure
chronic
kidney
disease
(CKD).
However,
there
are
limited
studies
involving
use
of
both
eGFR
urine
albumin
creatinine
ratio
(uACR),
more
comprehensive
markers
determine
presence
CKD
complexity
pollutant
exposures
response
interactions,
especially
for
combined
PFAS,
not
been
comprehensively
elucidated.
Objective:
This
study
aims
assess
individual
effects
perfluorooctanoic
acid
(PFOA),
perfluorooctanesulfonic
(PFOS),
Cadmium
(Cd),
Mercury
(Hg),
Lead
(Pb)
exposure
on
using
data
from
National
Health
Nutritional
Examination
Survey
(NHANES)
2017–2018.
Methods:
We
employed
bivariate
logistic
regression
Bayesian
Kernel
Machine
Regression
(BKMR)
our
analysis
data.
Results:
Logistic
results
revealed
positive
association
between
PFOA
CKD.
Our
BKMR
non-linear
bi-phasic
relationship
metal
In
univariate
exposure–response
function
plot,
Cd
Hg
exhibited
U
N-shaped
interaction,
indicated
non-additive
low
high
addition,
two
mixture
that
had
U-shaped
at
different
quantiles
Pb,
Hg,
PFOA,
PFOS,
indicating
levels
CKD,
implying
complex
biological
interaction.
Hg’s
interaction
plot
demonstrated
across
all
Cd,
75th
quantile
Pb
50th
PFOS.
Furthermore,
PIP
underscored
Cd’s
consistent
(PIP
=
1.000)
followed
by
0.9984),
then
PFOS
closely
related
0.7880
0.7604,
respectively,
finally
0.6940),
contributing
least
among
five
though
significant.
Conclusions:
findings
pollutants,
particularly
These
highlight
need
public
health
interventions
strategies
mitigate
cumulative
effect
PFAS
elucidate
significance
utilizing
advanced
statistical
methods
tools
understand
impact
human
health.
Further
research
needed
mechanistic
pathways
metal-induced
injury
longitudinal
required
ascertain
long-term
these
exposures.
Diabetes Obesity and Metabolism,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 14, 2025
Abstract
Background
and
Aims
Adequate
lipid
control
has
emerged
as
a
key
factor
in
the
prevention
management
of
chronic
kidney
disease
(CKD).
Remnant
cholesterol
(RC),
lipoprotein
with
an
established
association
cardiovascular
risk,
been
investigated
context
CKD.
Given
conflicting
results
from
recent
studies,
we
performed
this
meta‐analysis
to
summarize
existing
evidence
on
between
RC
Methods
Medline,
Cochrane
Library
Scopus
were
searched
until
16
September
2024.
Double‐independent
study
selection,
data
extraction
quality
assessment
performed.
Evidence
was
pooled
using
random‐effects
meta‐analyses.
We
set
primary
end‐point
interest
Results
Twelve
studies
(4
139
674
participants)
included.
Participants
values
highest
quantile
had
significantly
greater
odds
CKD
compared
those
lowest
(Odds
Ratio
[OR]
=
1.46,
95%
confidence
interval
[CI]
1.26–1.68).
In
sensitivity
analysis
confined
subjects
type
2
diabetes
(T2D),
higher
also
exhibited
increased
(OR
CI
1.20–1.78).
A
significant
inverse
observed
estimated
glomerular
filtration
rate
(Mean
Difference
[MD]
−1.43
mL/min/1.73
m
for
each
1
mmol/L
increase
RC,
[−2.67,
−0.19]).
Additionally,
individuals
T2D‐related
24%
risk
progression
end‐stage
renal
standard
deviation
(Hazard
[HR]
1.24,
1.04–1.47).
Conclusions
is
directly
associated
Beyond
traditional
markers,
emphasis
should
be
placed
levels
or
at
Nephrology Dialysis Transplantation,
Год журнала:
2024,
Номер
39(9), С. 1384 - 1391
Опубликована: Март 8, 2024
We
are
currently
facing
a
pandemic
of
physical
inactivity
that
might
contribute
to
the
growing
prevalence
chronic
kidney
disease
(CKD).
Here,
we
summarize
available
evidence
on
association
between
activity
and
CKD,
also
review
effects
exercise
intervention
in
affected
patients.
Physical
activity/exercise
act
as
polypill
against
preventing
its
development
or
even
exerting
beneficial
once
it
is
established
(i.e.
improvements
patients'
fitness
cardiovascular
risk,
well
function).
Exercise
benefits
found
at
advanced
CKD
stages
patients
under
hemodialysis.
The
biological
mechanisms
behind
clinical
discussed.
An
active
lifestyle
appears
cornerstone
prevention
management.
BMJ Open,
Год журнала:
2023,
Номер
13(10), С. e075437 - e075437
Опубликована: Окт. 1, 2023
Objective
To
analyse
the
trends
of
diseases
burden
attributed
to
high
body
mass
index
(BMI),
including
overweight
and
obesity,
in
Asia
from
1990
2019.
Design
Observational
study.
Setting
The
data
45
countries
regions
were
obtained
Global
Burden
Disease
Study
2019
database.
Main
outcome
measures
Numbers,
age-standardised
rate
(ASR)
deaths
disability-adjusted
life
years
(DALYs),
corresponding
estimated
annual
percentage
changes
(EAPCs),
attributable
BMI
2019,
analysed
by
regions,
genders
age.
We
also
causes
DALYs
that
are
over
this
period.
Results
In
all
2
329
503,
with
increases
265%
compared
1990.
Over
three
decades,
related
have
increased
268%.
ASRs
both
showed
continuous
upward
during
period
(EAPC
1.39;
95%
certainty
interval
[95%
CI]
1.35
1.43
for
deaths;
EAPC
1.8;
CI
1.76
1.84
DALYs),
while
declined
high-income
areas
−2.03
−1.26).
By
geographical
disease
Central
West
been
fluctuating
at
levels,
but
Pacific
decreasing
ASR
−2.03)
period,
was
changing
women
men,
tends
ageing.
addition,
diabetes
most
affected
BMI,
cancer
middle-aged
elderly
people.
Conclusions
has
experienced
great
changes.
It
is
necessary
promote
prevention
obesity
chronic
a
comprehensive
manner,
especially
low-income
areas,
men
elderly.
Chronic
Kidney
Disease
(CKD)
has
emerged
as
a
significant
global
health
issue.
This
study
aimed
to
reveal
and
predict
the
epidemiological
characteristics
of
CKD.