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To understand the current situation of chronic kidney disease in the elderly in urban communities and to explore its influencing factors.
The data were based on the National Basic Public Health Service Project in Qingyang District, Chengdu in 2019. The physical examination data of the elderly aged 65 years or older were used and estimated glomerular filtration rate (eGFR) was calculated from serum creatinine using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation. CKD was defined as eGFR less than 60 mL/min per 1.73 m2. Kruskal-Wallis H test, Chi-square test and linear trend Chi-square test were used to compare the differences in the prevalence of CKD among the elderly in urban communities with different characteristics, and the influencing factors of CKD among the elderly in urban communities were explored by multivariate logistic regression model.
Among the 23 851 elderly in urban communities, the prevalence of CKD was 9.8%, and the awareness rate was 6.7%. Multivariate logistic regression analysis showed that age 80 years or older (OR=9.874, 95%CI: 8.576-11.369, P<0.001), smoking (OR=1.221, 95%CI: 1.031-1.447, P=0.021), dyslipidemia (OR=1.400, 95%CI: 1.274-1.539, P<0.001), hypertension (OR=1.711, 95%CI: 1.546-1.894, P<0.001) and diabetes (OR=1.151, 95%CI: 1.043-1.27, P=0.005) were positively related to CKD. Higher education (OR=0.644, 95%CI: 0.526-0.787, P<0.001) and everyday physical activity (OR=0.647, 95%CI: 0.571-0.732, P<0.001) were negatively related to CKD.
The prevalence of CKD in the elderly in urban communities is high, but the awareness rate is low. To optimize the management of CKD in urban communities and aim at lowering the development of CKD and slowing its progression.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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