ArticleBMJ open2020
Prevalence and health correlates of reduced kidney function among community-dwelling Chinese older adults: the China Health and Retirement Longitudinal Study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Global health inequalities of chronic kidney disease: a meta-analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024Pooled it
- Association between PMFrontiers in public health · 2026Article
- Cardiovascular Risk Factors in China.Journal of geriatric cardiology : JGC · 2024Article
- Cross-sectional study of household solid fuel use and renal function in older adults in China.Environmental research · 2023Article
- Associations of fruit & vegetable intake and physical activity with poor self-rated health among Chinese older adults.BMC geriatrics · 2022Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to understand the prevalence of reduced kidney function in China by sociodemographics and geographical region, and to examine health correlates of reduced kidney function.
designCross-sectional study. SETTING AND
participantsParticipants were 6706 adults ≥60 years from the 2015-2016 wave of the China Health and Retirement Longitudinal Study. OUTCOME MEASURES: Reduced kidney function was defined as an estimated glomerular filtration rate of less than 60 mL/min per 1.73 m². The estimated glomerular filtration rate was calculated with the creatinine-cystatin C equation developed by the Chronic Kidney Disease Epidemiology Collaboration in 2012. The associations between reduced kidney function and potential risk factors were analysed using multivariable regression models.
resultsThe prevalence of reduced kidney function was 10.3% (95% CI: 9.3% to 11.2%), corresponding to approximately 20 million older adults. Multivariable analysis showed that older adults with hypertension (β=-3.61, 95% CI: -4.42 to 2.79), cardiac disease (β=-1.90, 95% CI: -2.93 to 0.86), who had a stroke (β=-3.75, 95% CI: -6.35 to 1.15), kidney disease (β=-3.88, 95% CI: -5.62 to 2.13), slow gait speed (β=-2.23, 95% CI: -3.27 to 1.20), and living in the South (β=-4.38, 95% CI: -5.95 to 2.80) and South Central (β=-1.85, 95% CI: -3.15 to 0.56) were more significantly likely to have reduced kidney function.
conclusionsKidney function screening should be performed, especially in patients with hypertension, cardiac disease and who had a stroke. More efforts should be paid to improve the kidney function of older adults living in the South and South Central parts of China.
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