Health Behaviors and Risk Factors Associated with Chronic Kidney Disease in Korean Patients with Diabetes: The Fourth Korean National Health and Nutritional Examination Survey

Lee, Suk Jeong; Chung, Chae Weon

doi:10.1016/j.anr.2013.11.001

Cited by 18 publications

(17 citation statements)

References 34 publications

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“…Detection of CKD during its early stages provides opportunity for therapeutic interventions to prevent or delay the onset of complications and improve outcomes [15]. And since lifestyle factors influence the risk of CKD; disease awareness and education on risk are essential for optimal management to prevent or reduce the progression of early CKD, cardiovascular events and mortality [16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and awareness of chronic kidney disease among adult diabetic outpatients in Northeast Ethiopia

Fiseha

Tamir

2020

BMC Nephrol

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Background: Chronic kidney disease (CKD) is a serious complication of diabetes associated with adverse outcomes of renal failure, cardiovascular disease and mortality. Despite this, data regarding the burden and awareness of CKD among adults with diabetes in Sub-Saharan Africa countries are lacking. The aim of this study was, therefore to determine the prevalence and awareness of CKD among diabetic outpatients attending a hospital in Northeast Ethiopia. Methods: We conducted a cross-sectional study on 323 diabetic adults at the diabetes clinic of a hospital in Northeast Ethiopia, from February 1 to July 30, 2016. Each patient provided a blood sample for serum creatinine and urine for albuminuria. Glomerular filtration rate (eGFR) was estimated using the Modification of Diet in Renal Disease (MDRD) equation. CKD was defined as eGFR < 60 ml/min/1.73 m 2 and/or albuminuria. Awareness was defined as a positive response to "Has a doctor or other health care professional ever told you that you had kidney disease?" Results: Of the 323 patients, 85 (26.3%) had Stage 1-5 CKD, 42 (13.0%) had eGFR < 60 ml/min/1.73m 2 and 58 (18.0%) had albuminuria. In patients with eGFR < 60 ml/min/1.73m 2 (stage 3-5 CKD), serum creatinine was abnormal (> 1.5 mg/dl) in 23.5% and albuminuria was absent in 31.8%. Of the patients with CKD, only 10.6% of them were aware of their CKD. The proportion of patients who were aware of their disease increased with worsening of CKD stages, from 3.4% of with stage 1 to 75.0% with stage 4. Awareness for all individuals with advanced stages of CKD was only 11.9%. Having albuminuria, high serum creatinine, a family history of kidney disease and being obese were significantly associated with CKD awareness. Conclusion: A high prevalence but low awareness of CKD was found in diabetic outpatients attending our clinic in Northeast Ethiopia. Our results highlight the need for more diagnostic strategies for CKD screening among diabetic adults and primary care education on the impact of detecting CKD in the early stage to prevent adverse outcomes and improve diabetes care.

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Section: Introductionmentioning

confidence: 99%

Prevalence and awareness of chronic kidney disease among adult diabetic outpatients in Northeast Ethiopia

Fiseha

Tamir

2020

BMC Nephrol

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“…In DM, there is an obstruction of blood vessel flow resulting in diabetic nephropathy, where there is an increase in glomerular pressure resulting in mesangial expansion, glomerular hypertrophy. It will cause a reduction in the filtration area, which leads to glomerulosclerosis (Lee & Chung, 2014). The high blood sugar levels in patients with diabetes mellitus who have diabetic wounds can lead to glomerular damage (Hughes-Carter et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

The Degree of Diabetic Wounds Affects Kidney Function Damage

Windartik¹,

Rahmawati²,

Jariyah³

et al. 2019

Nurs. Med. J. Nursing

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Background: The peripheral neuropathy is the cause of hospitalization for patients with diabetes mellitus (DM) and damages kidney function due to the circulatory system with high sugar levels. High sugar levels in DM patients with diabetic wounds can trigger glomerular damage resulting in the decrease of kidney function.Purpose: This study aims to analyze the relationship between the degree of diabetic wounds and kidney functions in patients with DM.Methods: A cross-sectional study was conducted on 723 DM patients who experienced diabetic wounds in a hospital in Mojokerto, East Java, Indonesia. A purposive sampling technique was used to recruit the samples. The data of this study were medical records of diabetic patients. A simple linear regression test was employed to analyze the data.Results: The result showed that the degree of diabetic wound was significantly related to kidney function damage (p=0.000). The relationship between the degree of diabetic wounds and the decline in kidney function was shown by an R-squared value of 0.768, meaning that the degree of diabetic wound affected the decline of kidney function by 76.8%, while the 23.2% was affected by other factors.Conclusion:The degree of diabetic injury affects the decline of kidney function in DM patients by 76.8%. Nurses should do health promotion about controlling blood sugar levels in DM patients with the prevention of four pillars of diabetes, including education, nutrition, physical activity, and stress.

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“…In this regard, 40% of the participants did not have regular blood tests to monitor their renal status. It is recommended that DKD patients should have their renal profiles done at least once every 6 months to identify acute deterioration in renal function so that patients can be managed accordingly, if resources permit [28].…”

Section: Discussionmentioning

confidence: 99%

“…Almost 62% of the participants had a high level of knowledge regarding the function of the kidney and the causes, prevention, diagnosis, and treatment of T2D/CKD (score of [23][24][25][26][27][28][29][30]. Similarly, 63.6% of the study subjects had a high level of attitude regarding prevention, burden, impact, effect, awareness and future implications of T2D/CKD (score of [23][24][25][26][27][28][29][30]. Most of the participants (88.4%) had a high level of practice towards prevention, self-management, behavior modification, medicalconsultation and health-seeking behavior (score of 5-10), as shown in Table 5.…”

Section: Distribution Of Responses By Level Of Knowledge Attitude Amentioning

confidence: 99%

Management of Type 2 Diabetes and Chronic Kidney Disease in Fiji in 2018: Knowledge, Attitude, and Practice of Patients

Zibran¹,

Mohammednezhad²

2018

Rev Diabet Stud

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■ Abstract OBJECTIVE:The aim was to identify the level of knowledge, attitude, and practice (KAP) in patients with type 2 diabetes (T2D) and chronic kidney disease (CKD) at Sigatoka Subdivisional Hospital (SSH) in 2018 since no studies have been done on this issue so far in Fiji. METHODS: A quantitative, cross-sectional study including 225 patients was carried out July 1, 2018, through August 31, 2018, using a validated self-structured questionnaire. Fijians, aged 30 years or above, with confirmed T2D and CKD who were attending the Special Outpatient Department (SOPD) at SSH, were included in the study using a purposive sampling method to identify eligible participants. Data was gathered by a questionnaire that covered questions related to each aspect of KAP. RESULTS: The relation of native Fijians (i-Taukei) to Fijians of Indian descent (FID) was approximately 1:1. The majority of participants had high levels of knowledge, attitude, and practice (61.8%, 63.6%, and 88.4%, respectively). However, a few areas of low knowledge were evident, such as the relation between high blood pressure and renal status in people with diabetes and the need for renal transplant in end-stage kidney disease (ESKD) abroad. Low attitude was apparent for the impact and management of diabetic kidney disease (DKD). Low practice was evident regarding clinic attendance, self-monitoring, and opting for non-medical treatment. CONCLUSIONS: The majority of T2D patients with CKD had a high level of knowledge, but weaknesses were observed in the self-management of CKD and clinic attendance. This information should be considered by clinicians and policy-makers to improve management and treatment of CKD in T2D.

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Health Behaviors and Risk Factors Associated with Chronic Kidney Disease in Korean Patients with Diabetes: The Fourth Korean National Health and Nutritional Examination Survey

Cited by 18 publications

References 34 publications

Prevalence and awareness of chronic kidney disease among adult diabetic outpatients in Northeast Ethiopia

Prevalence and awareness of chronic kidney disease among adult diabetic outpatients in Northeast Ethiopia

The Degree of Diabetic Wounds Affects Kidney Function Damage

Management of Type 2 Diabetes and Chronic Kidney Disease in Fiji in 2018: Knowledge, Attitude, and Practice of Patients

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