| Author | Gomes, Orlando Vieira | |
| Author | Souza, Carlos Dornels Freire de | |
| Author | Nicacio, Jandir Mendonça | |
| Author | Carmo, Rodrigo Feliciano do | |
| Author | Pereira, Vanessa Cardoso | |
| Author | Barral Netto, Manoel | |
| Author | Armstrong, Anderson da Costa | |
| Access date | 2023-10-18T13:03:03Z | |
| Available date | 2023-10-18T13:03:03Z | |
| Document date | 2023 | |
| Citation | GOMES, Orlando Vieira et al. Epidemiology of chronic kidney disease in older indigenous peoples of Brazil: findings from a cross‑sectional survey. Aging Clinical and Experimental Research, v. 35, p. 1-9, 2023. | en_US |
| ISSN | 1720-8319 | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/60827 | |
| Sponsorship | Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq).
Ministério da Ciência, Tecnologia, Inovações e Comunicações do Brasil. | en_US |
| Language | eng | en_US |
| Publisher | Springer | en_US |
| Rights | open access | en_US |
| Subject in Portuguese | Doença renal crônica | en_US |
| Subject in Portuguese | Pessoas indígenas | en_US |
| Subject in Portuguese | Adultos mais velhos | en_US |
| Subject in Portuguese | Prevalência | en_US |
| Subject in Portuguese | Fatores de risco | en_US |
| Title | Epidemiology of chronic kidney disease in older indigenous peoples of Brazil: findings from a cross‑sectional survey | en_US |
| Type | Article | en_US |
| DOI | 10.1007/s40520-023-02510-y | |
| Abstract | Background: Chronic kidney disease (CKD) is a prevalent disease worldwide, with increasing incidence particularly in low- and middle-income countries. Indigenous communities have poorer CKD outcomes due to limited access to healthcare. They are also experiencing a shift toward a sedentary lifestyle and urbanization-related dietary changes, increasing the risk of CKD-related risk factors. Aim: To determine the prevalence of CKD in older Brazilian indigenous and identify the main associated risk factors. Methods: This cross-sectional study analyzed demographic and clinical data of 229 older indigenous individuals aged 60 years and above in 2022–2023. CKD was defined as an estimated glomerular filtration rate < 60 mL/min/1.73 m2 or a urinary albumin–creatinine ratio > 30 mg/g. Data were presented categorically and analyzed using the Chi-square test or Fisher’s exact test. Results: The prevalence of CKD in the population was 26.6%, with higher prevalence in women and increasing with age. The prevalence of hypertension and diabetes was 67.7% and 24.0%, respectively, and these comorbidities were associated with CKD: hypertension (OR = 5.12; 95% CI 2.2–11.9) and diabetes (OR = 5.5; 95% CI 3.7–8.2). No association was found between the prevalence of CKD and obesity, dyslipidemia, cardiovascular disease, or smoking. Discussion: The study found a higher prevalence of CKD among older indigenous populations in Brazil compared to nonindigenous populations, which is exacerbated by risk factors, such as aging, hypertension, diabetes, and lifestyle changes, emphasizing the importance of early detection and intervention in these communities. Conclusion: Older persons’ indigenous individuals have a high prevalence of CKD, which is correlated with factors, such as sex, age, diabetes mellitus, and hypertension. | en_US |
| Affilliation | Universidade do Estado da Bahia. Programa de Pós-Graduação em Ecologia Humana e Gestão Socioambiental. Juazeiro, BA, Brasil / Universidade Federal do Vale do São Francisco. Faculdade de Medicina. Petrolina, PE, Brasil. | en_US |
| Affilliation | Universidade do Estado da Bahia. Programa de Pós-Graduação em Ecologia Humana e Gestão Socioambiental. Juazeiro, BA, Brasil / Universidade Federal do Vale do São Francisco. Faculdade de Medicina. Petrolina, PE, Brasil. | en_US |
| Affilliation | Universidade do Estado da Bahia. Programa de Pós-Graduação em Ecologia Humana e Gestão Socioambiental. Juazeiro, BA, Brasil / Universidade Federal do Vale do São Francisco. Faculdade de Medicina. Petrolina, PE, Brasil. | en_US |
| Affilliation | Universidade Federal do Vale do São Francisco. Faculdade de Ciências Farmacêuticas. Petrolina, PE, Brasil. | en_US |
| Affilliation | Universidade do Estado da Bahia. Programa de Pós-Graduação em Ecologia Humana e Gestão Socioambiental. Juazeiro, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil. | en_US |
| Affilliation | Universidade do Estado da Bahia. Programa de Pós-Graduação em Ecologia Humana e Gestão Socioambiental. Juazeiro, BA, Brasil / Universidade Federal do Vale do São Francisco. Faculdade de Medicina. Petrolina, PE, Brasil. | en_US |
| Subject | Chronic kidney disease | en_US |
| Subject | Indigenous peoples | en_US |
| Subject | Older adults | en_US |
| Subject | Prevalence | en_US |
| Subject | Risk factors | en_US |
| DeCS | Insuficiência Renal Crônica | en_US |
| DeCS | Povos Indígenas | en_US |
| DeCS | Adulto | en_US |
| DeCS | Prevalência | en_US |
| DeCS | Fatores de Risco | en_US |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
| xmlui.metadata.dc.subject.ods | 16 Paz, Justiça e Instituições Eficazes | |
