Prevalance of proteinuria in Mexico: A conjunctive consolidation approach with other cardiovascular risk factors: The Mexican Health Survey 2000

Rosas, Martı́n; Attié, Fause; Pastelín, Gustavo; Lara, Angie; Velazquez, Oscar; Tapia-Conyer, Roberto; Martínez-Reding, Jesús; Méndez, Adriana; Lorenzo-Negrete, Antonio; Herrera-Acosta, Jaime

doi:10.1111/j.1523-1755.2005.09719.x

Cited by 8 publications

(10 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our result of 0.9% for proteinuria (cutoff at ≥1+) was within the range described in other international studies: Singapore 0.8% [10], NHANES III 1.1% [3], Bolivia 2.1% [12], AusDiab 2.4% [8], Hong Kong 3.2% [11], Okinawa 5.3% [9], and Mexico 9.2% [22]. The result of 0.3%, obtained with a ≥2+ cutoff, was substantially lower.…”

Section: Discussionsupporting

confidence: 62%

Detection of Markers of Cardiovascular and Renal Risk in Cuba: Isle of Youth Study (ISYS)

Herrera

Almaguer

Chipi³

et al. 2010

Nephron Clin Pract

View full text Add to dashboard Cite

Chronic vascular diseases constitute a growing global health problem. Objectives: To (a) determine marker positivity for renovascular damage in the total adult population of the Isle of Youth, Cuba; (b) describe marker association with common risk factors for renal and related chronic vascular conditions, and (c) identify best predictors of renovascular damage. Methods: Previous informed consent was obtained, the population studied was 55,646, and subjects were aged ≧20 years. Blood pressure, weight and height were measured and a questionnaire applied. Urine markers for renovascular damage (hematuria, proteinuria and microalbuminuria) were also determined. Results: Positive markers were detected in 21.3%: hematuria (12.6%), microalbuminuria (6.8%), proteinuria (0.9%), and proteinuria + hematuria (0.9%). Risk factors were highly prevalent: 15.1% were aged ≧60 years; 32.3% overweight, 13.9% obese, and 25.1% smokers. Prevalence of high blood pressure (30%), diabetes mellitus (5.4%) and cardiovascular disease (5%) was also high, while cerebrovascular disease registered 0.9%. Markers were more prevalent in older people and in those suffering from diabetes mellitus, high blood pressure, cardiovascular and cerebrovascular disease, overweight or obesity. Risk factor regression tree analysis identified hypertension as the best predictor of renovascular damage. Conclusions: Adult population-wide screening revealed hidden morbidity and permitted better risk stratification. Results serve to inform community-based multidisciplinary and intersectoral disease prevention and management.

show abstract

Section: Discussionsupporting

confidence: 62%

Detection of Markers of Cardiovascular and Renal Risk in Cuba: Isle of Youth Study (ISYS)

Herrera

Almaguer

Chipi³

et al. 2010

Nephron Clin Pract

View full text Add to dashboard Cite

show abstract

“…Screening programs for CKD in healthy adults have been performed in several countries, including Mexico [5,6]; however, there is little information on such programs performed among children living in developing countries [3]. The screening of children may provide an early opportunity for identification of risk factors and, ultimately, prevention of CKD in adulthood [7,8].…”

Section: Introductionmentioning

confidence: 99%

Screening for kidney disease in children on World Kidney Day in Jalisco, Mexico

et al. 2009

View full text Add to dashboard Cite

World Kidney Day (WKD) is intended to raise awareness and increase detection of chronic kidney disease (CKD), but most emphasis is placed on adults rather than children. We examined yield of screening for CKD and hypertension among poor children in Mexico. On WKD (2006, 2007), children (age < 18 years) without known CKD were invited to participate at two screening stations. We measured body mass index (BMI), blood pressure, and serum creatinine, and performed dipstick urinalysis. The Schwartz equation was used to estimate glomerular filtration rate (GFR; reduced GFR defined as < 60 ml/min per 1.73 m(2)). Proteinuria and hematuria were defined by a reading of >or= 1+ protein or blood on dipstick. Hypertension was defined by gender, age, and height-specific norms. In total, 240 children were screened (mean age 8.9 +/- 4.1 years; 44.2% male). Proteinuria and hematuria were detected in 38 (16.1%) and 41 (17.5%), respectively; 15% had BMI > 95th percentile for age. Reduced GFR was detected in four (1.7%) individuals. Systolic hypertension was more prevalent in younger children (age 0-8 years, 19.6%; age 9-13 years, 7.1%; age 14-17 years, 5.3%) suggesting a possible white-coat effect. Hematuria, proteinuria, hypertension and obesity were frequently detected among children in a community based screening program in Mexico. This form of screening might be useful in identifying children with CKD and hypertension in developing nations.

show abstract

“…[46] Another risk factor, proteinuria, is present in 9.1% of the population, and as expected, it is highly prevalent among subjects with DM and HTN. [11,30,40] Finally, 24% of the population uses tobacco regularly, [1] and the habit is more prevalent among diabetics. [12] Cigarette smoking has been identified as a strong predictor of cardiovascular disease, both in diabetic and non-diabetic populations.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, while the prevalence of proteinuria in nonhypertensive diabetics was 9.3%, it increased to 19.6% in those with hypertension. [11,30,40] Additionally, 56% of diabetic subjects had microalbuminuria. Subjects diagnosed with diabetes for at least ten years had an increased likelihood of a positive test (OR 1.25).…”

Section: Proteinuriamentioning

confidence: 99%

Cardiovascular Risk Factors in the Mexican Population

et al. 2006

View full text Add to dashboard Cite

Chronic degenerative disorders have become a major health problem in Mexico. Cardiovascular diseases represent the first cause of death in our country. Diabetes mellitus (DM) has emerged as the main health problem in Mexico. Its prevalence doubled from < 3% in the 1960s to 6% in the 1980s. Between 1993 and 2000, diabetes mellitus increased from 6.7% to 8.2%, a 22% growth over a seven-year period. In 1995, the cost of the treatment of DM represented 15.48% of the health budget and 0.79% of the GDP. The prevalence of hypertension (HTN) increased from 10% in 1933 to 20% in 1990 and from 23.8% to 30.7% between 1993 and 2000. The expenditures from HTN in 1999 corresponded to 13.9% of the health budget, and 0.71% of GDP.Dyslipidemias are very common. Close to 40% of the population has levels of HDL cholesterol < 35 mg/dL, 24.3% has fasting triglycerides > 200 mg/dL, and 10% has hypercholesterolemia. The prevalence of obesity increased from 21.4% in 1993, to 23.7% in the year 2000. Eight percent of the population has a glomerular filtration rate < 60 mL/min, and 9.1% has proteinuria. Twenty-four percent uses tobacco regularly, and 13% had the habit in the past. Smoking is more frequent among diabetics (34%).In conclusion, cardiovascular risks factors are highly common among the Mexican population and increasing at alarming rates. Preventive programs targeted to decrease their prevalence are urgently needed in Mexico and should become a national priority.

show abstract

Prevalance of proteinuria in Mexico: A conjunctive consolidation approach with other cardiovascular risk factors: The Mexican Health Survey 2000

Cited by 8 publications

References 19 publications

Detection of Markers of Cardiovascular and Renal Risk in Cuba: Isle of Youth Study (ISYS)

Detection of Markers of Cardiovascular and Renal Risk in Cuba: Isle of Youth Study (ISYS)

Screening for kidney disease in children on World Kidney Day in Jalisco, Mexico

Cardiovascular Risk Factors in the Mexican Population

Contact Info

Product

Resources

About