scholarly journals Usefulness of visceral adipose tissue estimation in the prevention of chronic kidney disease in hypertensive patients in primary health care

2018 ◽  
Vol 35 (4) ◽  
pp. 948 ◽  
Author(s):  
Ana Karina Teixeira da Cunha França ◽  
Alcione Miranda Dos Santos ◽  
João Victor Salgado ◽  
Antônio Augusto Moura da Silva ◽  
Valdinar De Sousa Ribeiro ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Kidney Disease ◽  
Adipose Tissue ◽  
Primary Health Care ◽  
Kidney Disease ◽  
Visceral Adipose Tissue ◽  
Nutritional Indices ◽  
Hypertensive Patients ◽  
Primary Health ◽  
Visceral Adipose

Background: studies have shown an association between obesity and a reduction in estimated glomerular fi ltration rate (eGFR). However, little is known regarding whether this association is related to total fat or, more specifi cally, to central or visceral fat.Objective: this study evaluated the correlations among the nutritional indices that measure total, central and visceral obesity with eGFR.Methods: a cross-sectional study, involving 288 hypertensive patients. Kidney function was estimated by GFR, using the Modifi cation of Diet in Renal Disease (MDRD) and Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations. Explanatory variables included body mass index (BMI), waist circumference (WC), waist-hip ratio (WHR), waist stature ratio (WSR), estimated visceral adipose tissue (eVAT) and body fat percentage (BF%).Results: the mean BMI was 27.8 ± 4.7 kg/m². Most of the patients (68.1%) were in the normal range of BF%, but regarding WC and eVAT, they were at very high risk (58.3% and 64.6%, respectively). In men, there were no correlations between nutritional indices and eGFR. In women, only eVAT remained negatively correlated with eGFR, estimated by MDRD and CKD-EPI equations, independent of BMI, smoking, physical inactivity, blood pressure, glycated hemoglobin, LDL and HDL cholesterol, uric acid and microalbuminuria.Conclusions: the majority of obesity indices were not associated with eGFR. Only eVAT was negatively associated with eGFR by MDRD and CKDEPI equations in hypertensive women. In primary health care, visceral adipose tissue estimation could support the identifi cation of hypertensive women at increased risk for developing chronic kidney disease.

Hidden prevalence of chronic kidney disease in hypertensive patients: the strategic role of primary health care

Public Health ◽  
2016 ◽  
Vol 140 ◽  
pp. 250-257 ◽  
Author(s):  
L.S. da Silva ◽  
R.M.M. Cotta ◽  
T.R. Moreira ◽  
R.G. da Silva ◽  
C. de O.B. Rosa ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Kidney Disease ◽  
Primary Health Care ◽  
Kidney Disease ◽  
Hypertensive Patients ◽  
Primary Health ◽  
Strategic Role

Primary health care decision making in pre-dialysis chronic kidney disease

2017 ◽  
Vol 14 (4) ◽  
pp. 297-309
Author(s):  
Sandra Joan Campbell-Crofts ◽  
Janet Roden
Keyword(s):  
Health Care ◽  
Chronic Kidney Disease ◽  
Primary Health Care ◽  
Kidney Disease ◽  
Qualitative Interviews ◽  
Correct Diagnosis ◽  
Primary Health Care System ◽  
Health Care Decisions ◽  
Primary Health ◽  
Kidney Health

Objectives This qualitative descriptive study explored the primary health care decisions of a group of 12 Australians in Stages 3B to 5 with chronic kidney disease in the preservation of kidney health. Methods Questioning within the qualitative interviews focused on gaining an understanding of the participants’ perceptions of their kidney health and the decisions made as a consequence of their interaction within the Australian primary health care system. Results Participants were dependent on their General Practitioner to recognise their symptoms, make the correct diagnosis and authorise the correct referral for specialist nephrology care. Three pathways in this process were identified: ‘easy’; ‘difficult’ and ‘protracted’. Clinician failure to correctly attribute symptoms to chronic kidney disease influenced the ‘difficult’ pathway, while failure to adequately communicate kidney health status influenced the ‘protracted’ pathway. Use of the language of ‘recovery’, ‘stability’ and ‘protection’ held meaning to the participants in gaining an understanding of their kidney health. Discussion Identifying pathways to diagnosis and referral can raise awareness of the challenges kidney health consumers face in their participation within the primary health care arena. Using consumer meaningful language improves the capacity of these consumers to engage in their own primary health care agenda.

Visceral Adipose Tissue and Leptin Hyperproduction Are Associated With Hypogonadism in Men With Chronic Kidney Disease

2017 ◽  
Vol 27 (4) ◽  
pp. 243-248 ◽  
Author(s):  
Gabriela Cobo ◽  
Antonio C. Cordeiro ◽  
Fernanda Cassulo Amparo ◽  
Celso Amodeo ◽  
Bengt Lindholm ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Adipose Tissue ◽  
Kidney Disease ◽  
Visceral Adipose Tissue ◽  
Visceral Adipose

Prevalence and risk factors for chronic kidney disease in primary health care in the southern region of New Zealand

Nephrology ◽  
2019 ◽  
Vol 24 (3) ◽  
pp. 308-315 ◽  
Author(s):  
Hywel Lloyd ◽  
Grace Li ◽  
Andrew Tomlin ◽  
Murray W Tilyard ◽  
Robert Walker ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Chronic Kidney Disease ◽  
Primary Health Care ◽  
New Zealand ◽  
Kidney Disease ◽  
Southern Region ◽  
Primary Health

scholarly journals Estimated Visceral Adipose Tissue, but Not Body Mass Index, Is Associated with Reductions in Glomerular Filtration Rate Based on Cystatin C in the Early Stages of Chronic Kidney Disease

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Ana Karina Teixeira da Cunha França ◽  
Alcione Miranda dos Santos ◽  
João Victor Salgado ◽  
Elane Viana Hortegal ◽  
Antônio Augusto Moura da Silva ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Chronic Kidney Disease ◽  
Adipose Tissue ◽  
Glomerular Filtration Rate ◽  
Kidney Disease ◽  
Glomerular Filtration ◽  
Cystatin C ◽  
Visceral Adipose Tissue ◽  
Filtration Rate ◽  
Visceral Adipose

Information on the association between obesity and initial phases of chronic kidney disease (CKD) is still limited, principally those regarding the influence of visceral adipose tissue. We investigated whether the visceral adipose tissue is more associated with reductions in glomerular filtration rate (GFR) than total and abdominal obesity in hypertensive individuals with stage 1-2 CKD. A cross-sectional study was implemented which involved 241 hypertensive patients undergoing treatment at a primary health care facility. GFR was estimated using equations based on creatinine and cystatin C levels. Explanatory variables included body mass index (BMI), waist circumference (WC), and estimated visceral adipose tissue (eVAT). The mean age was59.6±9.2years old and 75.9% were female. According to BMI, 28.2% of subjects were obese. Prevalence of increased WC and eVAT was 63.9% and 58.5%, respectively. Results from the assessment of GFR by BMI, WC, and eVAT categories showed that only women with increased eVAT (≥150 cm2) had a lower mean GFR by Larsson (P=0.016), Levey 2 (P=0.005), and Levey 3 (P=0.008) equations. The same result was not observed when the MDRD equation was employed. No association was found between BMI, WC, eVAT, and GFR using only serum creatinine. In the early stages of CKD, increased eVAT in hypertensive women was associated with decreased GFR based on cystatin C.

scholarly journals Review on Chronic Kidney Disease Follow up in Primary Health Care

2022 ◽  
Vol 11 (1) ◽  
pp. 40-44
Author(s):  
Ihtifal Salamh Albanqi ◽  
Mohammed Abubakr Alhamed ◽  
Fatimah Saleh Almuntashiri ◽  
Jarah Moayad Alobaid ◽  
Naıf Abdulmohsen Naıf Alabdalı ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Kidney Disease ◽  
Primary Health Care ◽  
Kidney Disease ◽  
Primary Health

scholarly journals Prevalence of Chronic Kidney Disease among Hypertensive non-Diabetic Patients Attending Primary Healthcare Centers in Cairo, Egypt

2020 ◽  
Author(s):  
Silvana Nader Nagib ◽  
Saeid Abdel Wahab Afify ◽  
Ghada Essam Aldin Amin ◽  
Mohamed Allam
Keyword(s):  
Health Care ◽  
Chronic Kidney Disease ◽  
Primary Health Care ◽  
Kidney Disease ◽  
Positive Family History ◽  
Morbidity And Mortality ◽  
High Rate ◽  
Diabetic Patients ◽  
Significant Morbidity ◽  
Primary Health

Background: Although chronic kidney disease (CKD) is considered the major cause of morbidity and mortality in hypertension, the recognition and prevention of CKD remain deficient. Chronic Kidney Disease (CKD) is one of the major health challenges in Egypt. Chronic kidney disease (CKD) affects approximately 13% of the adult population, resulting in significant morbidity, mortality and health care costs. Patients with more progressive stage 3 or stage 4 CKD experience a high rate of cardiovascular events and death compared to earlier stages of CKD. Aim: This study was performed to determine the prevalence of chronic kidney disease among hypertensive non-diabetics patients attending Primary health care (PHC) Centers in Cairo. Methodology: The study type is a cross sectional study, Study setting: Two Primary Health Care centers (PHCs):Saraya El-kobba and El-Sharabya. Sampling method: Recruitment of participants was done in one day weekly. Any known essential hypertensive patients aged 18 or more registered in the two PHC Centers in Cairo. Results: The prevalence of CKD was 33% among the hypertensive non-diabetic patients. Among CKD participants, the prevalence is more common in females (59.7%) than males (40.3%),in those who completed primary education and the illiterates and low socioeconomic class. Surprisingly, it is more common in patients with positive family history of CKD and patients with ischemic heart disease and the antihypertensive drugs used. Conclusion: CKD has a high prevalence among hypertensive non-diabetic patients, and it has a significant morbidity and mortality among those patients.

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