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台湾CKD的全国流行,区域分布和风险因素
Min-De Ang1, Chia-Yun Cheng1, Wan-Chuan Tsai1,2,3
1Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Clinical journal of the American Society of Nephrology : CJASN
|October 17, 2025
概括
慢性病 (CKD) 影响台湾10%的成年人,男性和东部地区的患病率更高. 意识较低强调了改善查和脏健康干预措施的必要性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 台湾面临着高的透析率,但全国慢性病 (CKD) 数据很少.
- 了解当前的CKD患病率和风险因素对于公共卫生倡议至关重要.
研究的目的:
- 为了估计台湾全国的CKD患病率.
- 为了确定CKD相关的风险因素.
- 为了评估不确定病因的慢性病 (CKDu).
主要方法:
- 从2017-2020年台湾营养和健康调查中对4298名成年人的横截面分析.
- 根据eGFR<60毫升/分钟/1.73米2或尿中白蛋白与肌素的比率≥30毫克/克的定义,CKD.
- 收集关于人口统计,并发病,生活方式和社会经济地位的数据.
主要成果:
- 全国CKD患病率为10.0% (1.91万成年人),男性 (11.9%) 和台湾东部 (13.9%) 的患病率更高.
- 独立的危险因素包括男性性别,年龄较大,糖尿病,高血压,高三糖血,痛风,低社会经济地位和不活动.
- 只有8%的CKD患者知道自己的病情;CKDu占~12.5%的病例.
结论:
- CKD影响台湾10%的成年人,显示出显著的地理差异和低意识.
- 迫切需要针对可修改的风险因素进行有针对性的干预,并加强查以早期发现和预防CKD.
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