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Dyslipidaemia in chronic kidney disease in Nepalese population
1Department of Biochemistry, Manipal College of Medical Sciences, Pokhara, Nepal. bibekclb@yahoo.com
Insights
Patients with chronic kidney disease (CKD) have higher rates of dyslipidemia, a condition affecting blood lipid levels. This increased prevalence of dyslipidemia, including high cholesterol and triglycerides, is also evident in early stages of CKD.
Area of Science:
- Nephrology
- Cardiology
- Biochemistry
Background:
- Patients with chronic kidney disease (CKD) face elevated risks for cardiovascular disease (CVD).
- Dyslipidemia is a significant risk factor contributing to CVD development in CKD patients.
- Understanding the prevalence of dyslipidemia across CKD stages is crucial for risk stratification and management.
Purpose of the Study:
- To investigate the prevalence and patterns of dyslipidemia in patients with varying stages of chronic kidney disease (CKD).
- To compare lipid profiles between CKD patients and healthy non-CKD controls.
Main Methods:
- A hospital-based, cross-sectional study involving 163 CKD patients and 163 healthy controls.
- CKD classification followed National Kidney Foundation guidelines.
- Fasting lipid profiles (total cholesterol, HDL-C, LDL-C, TG) were analyzed.
Main Results:
- Significant differences in mean lipid levels were observed between CKD stages and controls (p<0.05).
- Higher prevalence of hypercholesterolemia (33.75% vs 21.47%), low HDL-C (32.5% vs 17.18%), and hypertriglyceridemia (35.58% vs 19.01%) in CKD patients.
- Elevated LDL-C was also noted in CKD cases (38.03% vs 33.13%).
Conclusions:
- Chronic kidney disease is associated with a significantly higher prevalence of dyslipidemia compared to the general population.
- Dyslipidemia is present even in the early stages of CKD, highlighting the need for early intervention.
- These findings underscore the importance of managing lipid profiles in CKD patients to mitigate cardiovascular risks.
Abstract:
Patients having chronic kidney disease (CKD) are at higher risk for cardiovascular disease (CVD). Dyslipidaemia is a potential risk factor for CVD in CKD cases. In this study our aim was to find out the dyslipidaemia in patients with different stages of CKD. This hospital based cross-sectional study was conducted in department of biochemistry, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Total of 163 CKD cases and 163 non-CKD healthy controls were enrolled. CKD was defined and classified as per national kidney foundation guidelines. We analyzed fasting lipid profile including total cholesterol, HDL-C, LDL-C and TG. Significant difference in mean value of serum total cholesterol, HDL-C, LDL-C and TG were found in different stage of CKD and non-CKD groups (p value <0.05). CKD cases 33.75% and 21.47% of non-CKD controls had hypercholesterolemia (Odds ratio 1.86, p value 0.013). CKD cases 32.5% and 17.18% of non-CKD controls had low HDL-C (Odds ratio 2.32, P-value 0.001). CKD cases 38.03% and 33.13% of non-CKD controls had high LDL-C (Odds ratio 1.24, p value 0.297). CKD cases 35.58% and 19.01% of non-CKD controls had hypertriglyceridemia (Odds ratio 2.35, P-value 0.001). CKD had a higher prevalence of dyslipidaemia compared to non-CKD controls. Dyslipidaemia was also found in early stages of CKD.
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