[Kidney function in marginalized population: a pilot study]

Rev Med Inst Mex Seguro Soc. 2014 Mar-Apr;52(2):156-61.
[Article in Spanish]

Abstract

Background: Chronic kidney disease (CKD) is a public health problem; more than 6 % of worldwide population suffers from it. Low education and socioeconomic status, as well as limited access to medical care increase the probability of kidney damage. The objective was to evaluate and classify renal function in Yucatan's marginalized population.

Methods: A transversal descriptive survey was carried out among non-hospitalized adults of a general hospital. The study population included marginalized subjects (confirmed by socioeconomic survey), without oedema, pregnancy or diabetes mellitus. Renal function was evaluated by glomerular filtration rate. Patients were staged according to KDOQI guidelines. Likewise, weight, height, body mass index (BMI), fat percentage and blood pressure were measured. The results were compared between gender groups as well as rural and urban population.

Results: 165 subjects were included (83 % female). High risk of kidney damage was observed in 44.2 % of patients; 1.8 %, 49.1 %, and 4.8 % were in stages 1 to 3, respectively. There was no difference when comparing data between different groups.

Conclusions: This study found high prevalence of CKD in Yucatan's marginalized population.

INTRODUCCIÓN: la enfermedad renal crónica (ERC) es un problema de salud pública. A nivel mundial, más del 6 % de la población la padece. Tener un nivel educativo y socioeconómico bajo, así como acceso limitado a los servicios médicos incrementan la probabilidad de daño renal. Los objetivos de esta investigación fueron evaluar y clasificar la función renal de la población marginada de Yucatán. MÉTODOS: estudio observacional, prospectivo, transversal, descriptivo, en una muestra no probabilística consecutiva, en adultos del área de consulta externa de un hospital general. Se incluyeron sujetos marginados (confirmado por encuesta socioeconómica), sin edema, embarazo ni diabetes mellitus. Se realizaron pruebas de función renal; se calculó filtrado glomerular y se estadificaron las enfermedades de los pacientes, según guías KDOQI. Se determinó peso, talla, índice de masa corporal (IMC), porcentaje de grasa y presión arterial. Se compararon los resultados entre grupos por sexo y por población rural y urbana.

Resultados: se incluyeron 165 sujetos (83 % mujeres). El 44.2 % presentó un riesgo alto de daño renal; 8, 49.1 y 4.8 % estuvieron en estadios del 1 al 3, respectivamente. No hubo diferencia cuando se compararon los datos entre los diferentes grupos estudiados.

Conclusiones: se encontró alta prevalencia de ERC en la población marginada de Yucatán.

Keywords: Chronic kidney failure; Kidney diseases; Social marginalization.

Publication types

  • English Abstract
  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Humans
  • Kidney Function Tests
  • Male
  • Mexico
  • Middle Aged
  • Pilot Projects
  • Prospective Studies
  • Renal Insufficiency, Chronic / epidemiology*
  • Renal Insufficiency, Chronic / physiopathology
  • Social Marginalization
  • Socioeconomic Factors