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Updated: Nov 26, 2025

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Risk Factors for Chronic Kidney Disease in Newly Diagnosed Hypertensive Subjects in Southeast Nigeria
E C Obi1, I I Chukwuonye1, E N Anyabolu2
1Division of Nephrology, Department of Internal Medicine, Federal Medical Centre, Umuahia, Abia State. Nigeria.
Insights
Newly diagnosed hypertension significantly increases the risk of chronic kidney disease (CKD). Factors like sex, serum uric acid, and triglycerides are associated with CKD in hypertensive patients.
Area of Science:
- Nephrology
- Cardiology
- Public Health
Background:
- Chronic kidney disease (CKD) is a significant public health concern.
- Hypertension is a major risk factor for CKD.
- Understanding CKD prevalence in newly diagnosed hypertensive patients is crucial for early intervention.
Purpose of the Study:
- To determine the prevalence of CKD in newly diagnosed hypertensive patients.
- To identify associated risk factors for CKD in this population.
Main Methods:
- A cross-sectional analytical study was conducted.
- 120 newly diagnosed hypertensive patients and 120 non-hypertensive controls were recruited.
- Data on socio-demographics, anthropometrics, and biochemical markers were collected via questionnaires and analyzed.
Main Results:
- The prevalence of CKD was significantly higher in hypertensive patients (35.0%) compared to controls (9.2%).
- In hypertensive patients, CKD was associated with sex, serum triglycerides, and serum uric acid.
- In the control group, CKD was associated with sex, serum total cholesterol, and serum uric acid.
Conclusions:
- The prevalence of CKD is high among newly diagnosed hypertensive individuals in southeast Nigeria.
- Sex, serum uric acid, and serum triglyceride levels are associated with CKD in this group.
- Early screening and management of CKD in hypertensive patients are recommended.
Background:
The aim of this study was to determine the prevalence and associated risk factors for chronic kidney disease (CKD) in newly diagnosed hypertensive patients.
Materials And Methods:
This was a cross-sectional analytical study involving consenting newly diagnosed hypertensive patients who presented at GOPD of Federal Medical Centre, Umuahia, within 0-3 months of diagnosis; and non-hypertensive controls. A semi-structured interviewer- administered questionnaire was used to record the socio-demographic, anthropometric, clinical and bio-chemical characteristics of the respondents. Data were analyzed and compared between the hypertensive group and the non-hypertensive control group.
Results:
Two hundred and sixty participants took part in the study. However, only 240 completed the study (120 hypertensive, and 120 control participants). After follow-up for 3 months, 42 (35.0%) hypertensive patients had CKD compared to 11 (9.2%) of the non-hypertensive control group. The prevalence of CKD in the hypertensive participants was significantly higher (2=23.27, p<0.001). Multivariate regression analysis of CKD with variables in the hypertensive study group showed an association between CKD and sex (p=0.020), serum triglycerides (p=0.030) as well as serum uric acid (p=0.030). In the control group there was significant association between CKD and sex (p=0.020), serum total cholesterol (p=0.030) as well as serum uric acid (p=0.030).
Conclusion:
The prevalence of CKD among newly diagnosed hypertensives in southeast Nigeria was high. In this group, CKD had an association with sex, serum uric acid and serum triglyceride.
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