Duration of hypertension and household income were significantly associated with chronic kidney disease among adults with type 2 diabetes, who had an overall CKD prevalence of 21.3%.
Cross-Sectional (n=315)
No
What factors are associated with chronic kidney disease in patients with type 2 diabetes in Bangladesh?
In a Bangladeshi cohort of patients with type 2 diabetes, the prevalence of CKD was 21.3%, with duration of hypertension and household income identified as significant independent risk factors.
Diabetes and chronic kidney disease (CKD) are a major public health burden in low- and middle-income countries. This study aimed to explore factors associated with CKD in patients with type 2 diabetes (T2D) in Bangladesh. A cross-sectional study was conducted among 315 adults with T2D presenting at the outpatient department of Bangladesh Institute of Health Sciences (BIHS) hospital between July 2013 to December 2013. CKD was diagnosed based on the estimated glomerular filtration rate using the 'Modification of Diet in Renal Disease' equations and the presence of albuminuria estimated by the albumin-to-creatinine ratio. Multivariate logistic regression analysis was used to determine the factors associated with CKD. The overall prevalence of CKD among patients with T2D was 21.3%. In the unadjusted model, factors associated with CKD included age 40-49 years (OR: 5.7, 95% CI: 1.3-25.4), age 50-59 years (7.0, 1.6-39), age ≥60 years (7.6, 1.7-34), being female (2.2, 1.2-3.8), being hypertensive (1.9, 1.1-3.5), and household income between 10,001 and 20,000 Bangladeshi taka, BDT (2.9, 1.0-8.2) compared with income ≤10,000 BDT. However, after adjustment of other covariates, only the duration of hypertension and household income (10,001-20,000 BDT) remained statistically significant. There is a need to implement policies and programs for early detection and management of hypertension and CKD in T2D patients in Bangladesh.
Islam et al. (Tue,) conducted a cross-sectional in Type 2 diabetes and chronic kidney disease (n=315). Duration of hypertension and household income were significantly associated with chronic kidney disease among adults with type 2 diabetes, who had an overall CKD prevalence of 21.3%.