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High prevalence of chronic kidney disease in La Réunion island and its association with the metabolic syndrome in the non-diabetic population: La Réunion Diabetes (REDIA) Study.
Diabetes Metab. 2007 Dec; 33(6):444-52.DM

Abstract

AIM

To estimate the prevalence of chronic kidney disease (CKD) in La Réunion island and to investigate the link with the metabolic syndrome in the non-diabetic population.

METHODS

The Réunion Diabetes (REDIA) Study included a random sample of 3600 adults aged 30-69 years. Clinical proteinuria (>200 mg/g creatinine), albuminuria (>or=30 mg/g) and estimated glomerular filtration rate (eGFR) were studied in 920 subjects, 411 of whom had diabetes and 509 who did not. Their relations with the metabolic syndrome (as defined by the US National Cholesterol Education Program Adult Treatment Panel III guidelines) were analyzed among those without diabetes.

RESULTS

Age-, gender- and diabetes-standardized prevalence of CKD stage 1 or 2 (proteinuria or albuminuria with eGFR>or=60 mL/min/1.73 m2) was 13.8% and, for CKD stage 3 or more (eGFR<60 ml/min/1.73 m2), 10.7%. The adjusted odds ratios (OR) for proteinuria increased with the number of metabolic syndrome traits: 1.5 (95% confidence interval, 0.4-5.2) in non-diabetic participants with one trait compared with those with no trait, 2.0 (CI 0.6-6.6) for two traits and 4.1 (CI 1.3-12.8) for three or more; corresponding ORs for eGFR<60 ml/min/1.73 m2 were 1.9 (CI 0.8-4.5), 0.9 (CI 0.4-2.4) and 2.2 (CI 0.9-5.1), respectively. Clustering of either high blood pressure and triglyceride levels, or high triglycerides and plasma glucose, or all three, conferred the strongest associations with both clinical proteinuria and low eGFR.

CONCLUSIONS

CKD prevalence is high in La Réunion island population, and the metabolic syndrome may help to target early diagnosis of CKD in non-diabetic individuals.

Authors+Show Affiliations

Inserm, unité 780-IFR69, service d'épidemiologie et de biostatistiques, 16, avenue Paul-Vaillant-Couturier, 94807 Villejuif cedex, France. stengel@vjf.inserm.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18006351

Citation

Stengel, B, et al. "High Prevalence of Chronic Kidney Disease in La Réunion Island and Its Association With the Metabolic Syndrome in the Non-diabetic Population: La Réunion Diabetes (REDIA) Study." Diabetes & Metabolism, vol. 33, no. 6, 2007, pp. 444-52.
Stengel B, Jaussent I, Guiserix J, et al. High prevalence of chronic kidney disease in La Réunion island and its association with the metabolic syndrome in the non-diabetic population: La Réunion Diabetes (REDIA) Study. Diabetes Metab. 2007;33(6):444-52.
Stengel, B., Jaussent, I., Guiserix, J., Bourgeon, B., Papoz, L., & Favier, F. (2007). High prevalence of chronic kidney disease in La Réunion island and its association with the metabolic syndrome in the non-diabetic population: La Réunion Diabetes (REDIA) Study. Diabetes & Metabolism, 33(6), 444-52.
Stengel B, et al. High Prevalence of Chronic Kidney Disease in La Réunion Island and Its Association With the Metabolic Syndrome in the Non-diabetic Population: La Réunion Diabetes (REDIA) Study. Diabetes Metab. 2007;33(6):444-52. PubMed PMID: 18006351.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - High prevalence of chronic kidney disease in La Réunion island and its association with the metabolic syndrome in the non-diabetic population: La Réunion Diabetes (REDIA) Study. AU - Stengel,B, AU - Jaussent,I, AU - Guiserix,J, AU - Bourgeon,B, AU - Papoz,L, AU - Favier,F, AU - ,, Y1 - 2007/11/19/ PY - 2007/03/12/received PY - 2007/06/23/accepted PY - 2007/11/17/pubmed PY - 2008/4/2/medline PY - 2007/11/17/entrez SP - 444 EP - 52 JF - Diabetes & metabolism JO - Diabetes Metab VL - 33 IS - 6 N2 - AIM: To estimate the prevalence of chronic kidney disease (CKD) in La Réunion island and to investigate the link with the metabolic syndrome in the non-diabetic population. METHODS: The Réunion Diabetes (REDIA) Study included a random sample of 3600 adults aged 30-69 years. Clinical proteinuria (>200 mg/g creatinine), albuminuria (>or=30 mg/g) and estimated glomerular filtration rate (eGFR) were studied in 920 subjects, 411 of whom had diabetes and 509 who did not. Their relations with the metabolic syndrome (as defined by the US National Cholesterol Education Program Adult Treatment Panel III guidelines) were analyzed among those without diabetes. RESULTS: Age-, gender- and diabetes-standardized prevalence of CKD stage 1 or 2 (proteinuria or albuminuria with eGFR>or=60 mL/min/1.73 m2) was 13.8% and, for CKD stage 3 or more (eGFR<60 ml/min/1.73 m2), 10.7%. The adjusted odds ratios (OR) for proteinuria increased with the number of metabolic syndrome traits: 1.5 (95% confidence interval, 0.4-5.2) in non-diabetic participants with one trait compared with those with no trait, 2.0 (CI 0.6-6.6) for two traits and 4.1 (CI 1.3-12.8) for three or more; corresponding ORs for eGFR<60 ml/min/1.73 m2 were 1.9 (CI 0.8-4.5), 0.9 (CI 0.4-2.4) and 2.2 (CI 0.9-5.1), respectively. Clustering of either high blood pressure and triglyceride levels, or high triglycerides and plasma glucose, or all three, conferred the strongest associations with both clinical proteinuria and low eGFR. CONCLUSIONS: CKD prevalence is high in La Réunion island population, and the metabolic syndrome may help to target early diagnosis of CKD in non-diabetic individuals. SN - 1262-3636 UR - https://www.unboundmedicine.com/medline/citation/18006351/High_prevalence_of_chronic_kidney_disease_in_La_Réunion_island_and_its_association_with_the_metabolic_syndrome_in_the_non_diabetic_population:_La_Réunion_Diabetes__REDIA__Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1262-3636(07)00198-X DB - PRIME DP - Unbound Medicine ER -