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BioMed Research International
Volume 2013 (2013), Article ID 214128, 7 pages
http://dx.doi.org/10.1155/2013/214128
Research Article

Clinical Epidemiology of Reduced Kidney Function among Elderly Male Fishing and Agricultural Population in Taipei, Taiwan

1School of Medicine, Tzu-Chi University, Hualien 970, Taiwan
2Department of Family and Community Medicine, Cheng-Hsin General Hospital, Taipei 112, Taiwan
3New Taipei City Hospital, Taipei 241, Taiwan
4Taipei Medical University, Taipei 110, Taiwan
5Department of Healthcare Management, Yuanpei University, Hsinchu 300, Taiwan
6Oriental Institute of Technology, Taipei 220, Taiwan
7NHI Dispute Mediation Committee, Ministry of Health and Welfare, Taipei 103, Taiwan
8Institute of Health and Welfare Policy, National Yang-Ming University, Taipei 112, Taiwan
9Department of Nursing, Kang-Ning Junior College of Medical Care and Management, Taipei 114, Taiwan
10School of Medicine, Faculty of Public Health, Fu-Jen Catholic University, New Taipei City 242, Taiwan
11Department of Medical Research and Education, Cheng-Hsin General Hospital, Shih-Pai, Taipei 112, Taiwan
12Department of Crime Prevention and Correction, Central Police University, Taoyuan 333, Taiwan

Received 30 August 2013; Revised 9 October 2013; Accepted 12 October 2013

Academic Editor: Vecihi Batuman

Copyright © 2013 Chi-Mei Kuo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To quantify the prevalence of and associated factors for chronic kidney disease (CKD) among male elderly fishing and agricultural population in Taipei, Taiwan. Methods. Subjects ( ) aged 65 years and over voluntarily admitted to a teaching hospital for a physical checkup were collected in 2010. CKD was defined as an estimated glomerular filtration rate <60 mL/min/1.73 m2. Results. Among these subjects, the over prevalence of chronic kidney disease was 13.6% (95% CI: 12.3–14.9%). The age-specific prevalence of CKD in 65–74 years, 75–84 years, and ≥85 years was 8.2%, 19.1%, and 27.0%, respectively. From the multiple logistic regression, age (OR = 1.05, 95% CI: 1.02–1.09), hyperuricemia (OR = 2.94, 95% CI: 1.90–3.78), central obesity (OR = 1.17, 95% CI: 1.02–1.56), hyperglycemia (OR = 1.23, 95% CI: 1.11–1.67), hypertriglyceridemia (OR = 1.25, 95% CI: 1.08–1.66), and lower HDL-C (OR = 1.61, 95% CI: 1.23–1.92) were statistically significantly related to CKD. The presence of metabolic components (one or two versus none, OR = 1.10, 95% CI: 1.04–1.25; three or more versus none, OR = 2.12, 95% CI: 1.86–2.78) also appeared to be statistically significantly related to CKD after adjustment for other independent factors. Conclusion. Several clinical factors independently affect the development of CKD in the elderly male fishing and agricultural population.