J Korean Med Sci.  2009 Jan;24(Suppl 1):S11-S21. 10.3346/jkms.2009.24.S1.S11.

The Prevalence of Chronic Kidney Disease (CKD) and the Associated Factors to CKD in Urban Korea: A Population-based Cross-sectional Epidemiologic Study

Affiliations
  • 1Department of Internal Medicine and Renal Institute, Seoul National University College of Medicine, Seoul, Korea. mednep@snubh.org
  • 2Department of Internal Medicine, Seoul National University Boramae Hospital, Seoul, Korea.
  • 3Department of Internal Medicine, SoonChunHyang University College of Medicine, Seoul, Korea.
  • 4Department of Pediatrics, Konkuk University School of Medicine, Seoul, Korea.
  • 5Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 6Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea.
  • 7Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
  • 8Department of Internal Medicine, Inje University College of Medicine, Seoul, Korea.

Abstract

Chronic kidney disease (CKD) is a worldwide problem. This study was designed to survey the prevalence and risk factors for CKD in Korea. The 2,356 subjects were selected in proportion to age, gender, and city. Subjects 35 yr of age or older were selected from 7 cities. Estimated glomerular filtration rate (eGFR) was calculated using the Modification of Diet in Renal Disease (MDRD) Study equation, with albuminuria defined as a urine albumin to creatinine ratio of 30 mg/g or more. The overall prevalence of CKD was 13.7%. The prevalences of CKD according to stage were 2.0% stage 1, 6.7% stage 2, 4.8% stage 3, 0.2% stage 4, and 0.0% stage 5. The prevalences of microalbuminuria and macroalbuminuria were 8.6% and 1.6%, respectively. The prevalence of eGFR less than 60 mL/min/1.73 m2 was 5.0%. Age, body mass index (BMI), hypertension, diabetes mellitus, systolic blood pressure (SBP), diastolic blood pressure (DBP), and fasting blood glucose were independent factors related to the presence of CKD. In conclusions, Korea, in which the prevalence of CKD is increasing, should prepare a policy for early detection and appropriate treatment of CKD. The present data will be helpful in taking those actions.

Keyword

Korea; Kidney Failure, Chronic; Epidemiologic Studies

MeSH Terms

Adult
Aged
Albuminuria/diagnosis
Diet
Disease Susceptibility
Female
Glomerular Filtration Rate
Humans
Kidney Failure, Chronic/*epidemiology
Korea
Male
Middle Aged
Nephrology/methods
Prevalence
Risk Factors

Figure

  • Fig. 1 The serum creatinine and eGFR with age in each gender.

  • Fig. 2 The changes of prevalence of diabetes mellitus, hypertension, and higher BMI in each age group compared to age group less than 40 yr in both genders.


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