Trends in the prevalence of chronic kidney disease, other chronic diseases and health-related behaviors in an adult Korean population: Data from the Korean National Health and Nutrition Examination Survey (KNHANES)

Seong Woo Lee, Yong Chul Kim, Se Won Oh, Ho Seok Koo, Ki Young Na, Dong Wan Chae, Suhnggwon Kim, Ho Jun Chin

Research output: Contribution to journalReview article

30 Citations (Scopus)

Abstract

Background.Chronic kidney disease (CKD) is an increasing public health problem. However, there have been limited data on the trend of CKD prevalence, along with the changes of health-related behaviors and other chronic diseases in an adult Korean population. Methods. Data from the Korean National Health and Nutrition Examination Survey in 2005 and 2007 were analyzed. The study subjects comprised 8400 participants aged ≥20 years with creatinine data. CKD was defined as estimated glomerular filtration rate (GFR) <60 mL/min/1.73m 2. GFR was estimated by the abbreviated Modification of Diet in Renal Disease equation.Results.The CKD prevalence was significantly decreased from 2005 to 2007 (8.8 versus 7.2%; P = 0.010). The prevalence of hypertension was stable but that of diabetes was increased. The proportion of blood pressure (BP) <130/80 mmHg in the whole population, and HbA1c <7% in the diabetic participants was increased from 2005 to 2007. Participants in 2007 walked more than those in 2005. The proportion of current smoking and sodium/energy/protein excess was decreased from 2005 to 2007. In subgroup analysis, only hypertensive participants without diabetes revealed a decreasing trend of CKD.Conclusions.The CKD prevalence was decreased from 2005 to 2007. Since increased diabetes and improved diabetic control neutralized their impact on CKD, improved BP was the fundamental reason for the decrease. Various health-related behaviors may have indirectly affected the decrease of CKD through their effect in controlling BP and diabetes.

Original languageEnglish
Pages (from-to)3975-3980
Number of pages6
JournalNephrology Dialysis Transplantation
Volume26
Issue number12
DOIs
Publication statusPublished - 2011 Dec 1
Externally publishedYes

Fingerprint

Nutrition Surveys
Chronic Renal Insufficiency
Chronic Disease
Health
Population
Blood Pressure
Glomerular Filtration Rate
Diet Therapy
Creatinine
Public Health
Smoking
Sodium
Hypertension
Kidney

Keywords

  • blood pressure control
  • chronic kidney disease
  • diabetic control
  • health-related behaviors
  • Korea

ASJC Scopus subject areas

  • Nephrology
  • Transplantation

Cite this

Trends in the prevalence of chronic kidney disease, other chronic diseases and health-related behaviors in an adult Korean population : Data from the Korean National Health and Nutrition Examination Survey (KNHANES). / Lee, Seong Woo; Kim, Yong Chul; Oh, Se Won; Koo, Ho Seok; Na, Ki Young; Chae, Dong Wan; Kim, Suhnggwon; Chin, Ho Jun.

In: Nephrology Dialysis Transplantation, Vol. 26, No. 12, 01.12.2011, p. 3975-3980.

Research output: Contribution to journalReview article

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abstract = "Background.Chronic kidney disease (CKD) is an increasing public health problem. However, there have been limited data on the trend of CKD prevalence, along with the changes of health-related behaviors and other chronic diseases in an adult Korean population. Methods. Data from the Korean National Health and Nutrition Examination Survey in 2005 and 2007 were analyzed. The study subjects comprised 8400 participants aged ≥20 years with creatinine data. CKD was defined as estimated glomerular filtration rate (GFR) <60 mL/min/1.73m 2. GFR was estimated by the abbreviated Modification of Diet in Renal Disease equation.Results.The CKD prevalence was significantly decreased from 2005 to 2007 (8.8 versus 7.2{\%}; P = 0.010). The prevalence of hypertension was stable but that of diabetes was increased. The proportion of blood pressure (BP) <130/80 mmHg in the whole population, and HbA1c <7{\%} in the diabetic participants was increased from 2005 to 2007. Participants in 2007 walked more than those in 2005. The proportion of current smoking and sodium/energy/protein excess was decreased from 2005 to 2007. In subgroup analysis, only hypertensive participants without diabetes revealed a decreasing trend of CKD.Conclusions.The CKD prevalence was decreased from 2005 to 2007. Since increased diabetes and improved diabetic control neutralized their impact on CKD, improved BP was the fundamental reason for the decrease. Various health-related behaviors may have indirectly affected the decrease of CKD through their effect in controlling BP and diabetes.",
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N2 - Background.Chronic kidney disease (CKD) is an increasing public health problem. However, there have been limited data on the trend of CKD prevalence, along with the changes of health-related behaviors and other chronic diseases in an adult Korean population. Methods. Data from the Korean National Health and Nutrition Examination Survey in 2005 and 2007 were analyzed. The study subjects comprised 8400 participants aged ≥20 years with creatinine data. CKD was defined as estimated glomerular filtration rate (GFR) <60 mL/min/1.73m 2. GFR was estimated by the abbreviated Modification of Diet in Renal Disease equation.Results.The CKD prevalence was significantly decreased from 2005 to 2007 (8.8 versus 7.2%; P = 0.010). The prevalence of hypertension was stable but that of diabetes was increased. The proportion of blood pressure (BP) <130/80 mmHg in the whole population, and HbA1c <7% in the diabetic participants was increased from 2005 to 2007. Participants in 2007 walked more than those in 2005. The proportion of current smoking and sodium/energy/protein excess was decreased from 2005 to 2007. In subgroup analysis, only hypertensive participants without diabetes revealed a decreasing trend of CKD.Conclusions.The CKD prevalence was decreased from 2005 to 2007. Since increased diabetes and improved diabetic control neutralized their impact on CKD, improved BP was the fundamental reason for the decrease. Various health-related behaviors may have indirectly affected the decrease of CKD through their effect in controlling BP and diabetes.

AB - Background.Chronic kidney disease (CKD) is an increasing public health problem. However, there have been limited data on the trend of CKD prevalence, along with the changes of health-related behaviors and other chronic diseases in an adult Korean population. Methods. Data from the Korean National Health and Nutrition Examination Survey in 2005 and 2007 were analyzed. The study subjects comprised 8400 participants aged ≥20 years with creatinine data. CKD was defined as estimated glomerular filtration rate (GFR) <60 mL/min/1.73m 2. GFR was estimated by the abbreviated Modification of Diet in Renal Disease equation.Results.The CKD prevalence was significantly decreased from 2005 to 2007 (8.8 versus 7.2%; P = 0.010). The prevalence of hypertension was stable but that of diabetes was increased. The proportion of blood pressure (BP) <130/80 mmHg in the whole population, and HbA1c <7% in the diabetic participants was increased from 2005 to 2007. Participants in 2007 walked more than those in 2005. The proportion of current smoking and sodium/energy/protein excess was decreased from 2005 to 2007. In subgroup analysis, only hypertensive participants without diabetes revealed a decreasing trend of CKD.Conclusions.The CKD prevalence was decreased from 2005 to 2007. Since increased diabetes and improved diabetic control neutralized their impact on CKD, improved BP was the fundamental reason for the decrease. Various health-related behaviors may have indirectly affected the decrease of CKD through their effect in controlling BP and diabetes.

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