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Prevalence and Correlates of CKD in Hispanics/Latinos in the United States.
Clin J Am Soc Nephrol. 2015 Oct 07; 10(10):1757-66.CJ

Abstract

BACKGROUND AND OBJECTIVES

The prevalence of ESRD among Hispanics/Latinos is 2-fold higher than in non-Hispanic whites. However, little is known about the prevalence of earlier stages of CKD among Hispanics/Latinos. This study estimated the prevalence of CKD in US Hispanics/Latinos.

DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS

This was a cross-sectional study of 15,161 US Hispanic/Latino adults of Cuban, Dominican, Mexican, Puerto Rican, Central American, and South American backgrounds enrolled in the multicenter, prospective, population-based Hispanic Community Health Study/Study of Latinos (HCHS/SOL). In addition, the prevalence of CKD in Hispanics/Latinos was compared with other racial/ethnic groups in the 2007-2010 National Health and Nutrition Examination Survey (NHANES). Prevalent CKD was defined as an eGFR <60 ml/min per 1.73 m(2) (estimated with the 2012 Chronic Kidney Disease Epidemiology Collaboration eGFR creatinine-cystatin C equation) or albuminuria based on sex-specific cut points determined at a single point in time.

RESULTS

The overall prevalence of CKD among Hispanics/Latinos was 13.7%. Among women, the prevalence of CKD was 13.0%, and it was lowest in persons with South American background (7.4%) and highest (16.6%) in persons with Puerto Rican background. In men, the prevalence of CKD was 15.3%, and it was lowest (11.2%) in persons with South American background and highest in those who identified their Hispanic background as "other" (16.0%). The overall prevalence of CKD was similar in HCHS/SOL compared with non-Hispanic whites in NHANES. However, prevalence was higher in HCHS/SOL men and lower in HCHS/SOL women versus NHANES non-Hispanic whites. Low income, diabetes mellitus, hypertension, and cardiovascular disease were each significantly associated with higher risk of CKD.

CONCLUSIONS

Among US Hispanic/Latino adults, there was significant variation in CKD prevalence among Hispanic/Latino background groups, and CKD was associated with established cardiovascular risk factors.

Authors+Show Affiliations

Due to the number of contributing authors, the affiliations are provided in the Supplemental Material. aricar2@uic.edu.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.

Pub Type(s)

Journal Article
Multicenter Study
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

26416946

Citation

Ricardo, Ana C., et al. "Prevalence and Correlates of CKD in Hispanics/Latinos in the United States." Clinical Journal of the American Society of Nephrology : CJASN, vol. 10, no. 10, 2015, pp. 1757-66.
Ricardo AC, Flessner MF, Eckfeldt JH, et al. Prevalence and Correlates of CKD in Hispanics/Latinos in the United States. Clin J Am Soc Nephrol. 2015;10(10):1757-66.
Ricardo, A. C., Flessner, M. F., Eckfeldt, J. H., Eggers, P. W., Franceschini, N., Go, A. S., Gotman, N. M., Kramer, H. J., Kusek, J. W., Loehr, L. R., Melamed, M. L., Peralta, C. A., Raij, L., Rosas, S. E., Talavera, G. A., & Lash, J. P. (2015). Prevalence and Correlates of CKD in Hispanics/Latinos in the United States. Clinical Journal of the American Society of Nephrology : CJASN, 10(10), 1757-66. https://doi.org/10.2215/CJN.02020215
Ricardo AC, et al. Prevalence and Correlates of CKD in Hispanics/Latinos in the United States. Clin J Am Soc Nephrol. 2015 Oct 7;10(10):1757-66. PubMed PMID: 26416946.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and Correlates of CKD in Hispanics/Latinos in the United States. AU - Ricardo,Ana C, AU - Flessner,Michael F, AU - Eckfeldt,John H, AU - Eggers,Paul W, AU - Franceschini,Nora, AU - Go,Alan S, AU - Gotman,Nathan M, AU - Kramer,Holly J, AU - Kusek,John W, AU - Loehr,Laura R, AU - Melamed,Michal L, AU - Peralta,Carmen A, AU - Raij,Leopoldo, AU - Rosas,Sylvia E, AU - Talavera,Gregory A, AU - Lash,James P, Y1 - 2015/09/28/ PY - 2015/02/20/received PY - 2015/07/13/accepted PY - 2015/9/30/entrez PY - 2015/9/30/pubmed PY - 2016/7/23/medline KW - CKD KW - Hispanics KW - prevalence SP - 1757 EP - 66 JF - Clinical journal of the American Society of Nephrology : CJASN JO - Clin J Am Soc Nephrol VL - 10 IS - 10 N2 - BACKGROUND AND OBJECTIVES: The prevalence of ESRD among Hispanics/Latinos is 2-fold higher than in non-Hispanic whites. However, little is known about the prevalence of earlier stages of CKD among Hispanics/Latinos. This study estimated the prevalence of CKD in US Hispanics/Latinos. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: This was a cross-sectional study of 15,161 US Hispanic/Latino adults of Cuban, Dominican, Mexican, Puerto Rican, Central American, and South American backgrounds enrolled in the multicenter, prospective, population-based Hispanic Community Health Study/Study of Latinos (HCHS/SOL). In addition, the prevalence of CKD in Hispanics/Latinos was compared with other racial/ethnic groups in the 2007-2010 National Health and Nutrition Examination Survey (NHANES). Prevalent CKD was defined as an eGFR <60 ml/min per 1.73 m(2) (estimated with the 2012 Chronic Kidney Disease Epidemiology Collaboration eGFR creatinine-cystatin C equation) or albuminuria based on sex-specific cut points determined at a single point in time. RESULTS: The overall prevalence of CKD among Hispanics/Latinos was 13.7%. Among women, the prevalence of CKD was 13.0%, and it was lowest in persons with South American background (7.4%) and highest (16.6%) in persons with Puerto Rican background. In men, the prevalence of CKD was 15.3%, and it was lowest (11.2%) in persons with South American background and highest in those who identified their Hispanic background as "other" (16.0%). The overall prevalence of CKD was similar in HCHS/SOL compared with non-Hispanic whites in NHANES. However, prevalence was higher in HCHS/SOL men and lower in HCHS/SOL women versus NHANES non-Hispanic whites. Low income, diabetes mellitus, hypertension, and cardiovascular disease were each significantly associated with higher risk of CKD. CONCLUSIONS: Among US Hispanic/Latino adults, there was significant variation in CKD prevalence among Hispanic/Latino background groups, and CKD was associated with established cardiovascular risk factors. SN - 1555-905X UR - https://www.unboundmedicine.com/medline/citation/26416946/Prevalence_and_Correlates_of_CKD_in_Hispanics/Latinos_in_the_United_States_ L2 - https://cjasn.asnjournals.org/cgi/pmidlookup?view=long&amp;pmid=26416946 DB - PRIME DP - Unbound Medicine ER -