摘要：ABSTRACT OBJECTIVE To verify the prevalence of chronic kidney disease and the factors associated to it in older adults (≥ 60 years). METHODS This is a population-based research conducted in 2014, involving 1,016 older adults living in urban and rural areas of the municipality of Rio Branco, Acre. Chronic kidney disease was defined by glomerular filtration rate < 60 ml/min/1.73 m 2 , estimated by the equations of the Chronic Kidney Disease Epidemiology Collaboration, and the presence of albuminuria > 29 mg/g. Association measure were estimated by gross and adjusted odds ratio (OR), with a confidence level of 95% (95%CI). RESULTS The overall prevalence of chronic kidney disease was 21.4% in older adults, with the associated factors age, diabetes (OR = 3.39; 95%CI 2.13–5.40), metabolic syndrome (OR = 2.49; 95%CI 1.71–3.63), self-assessment of poor health (OR = 1.79; 95%CI 1.10–2.91), arterial hypertension (OR = 1.82; 95%CI 1.04–3.19) and obesity (OR = 1.69; 95%CI 1.02–2.80). CONCLUSIONS The prevalence of chronic kidney disease was high in older adults, being associated with age, self-assessment of health as bad or very bad, obesity, diabetes and metabolic syndrome.
其他摘要：pt
RESUMO
OBJETIVO
Verificar a prevalência de doença renal crônica e os fatores a ela associados em idosos (≥ 60 anos).
MÉTODOS
Trata-se de um inquérito de base populacional realizado em 2014, envolvendo 1.016 idosos residentes nas zonas urbana e rural do município de Rio Branco, Acre. A doença renal crônica foi definida pela taxa de filtração glomerular < 60 ml/min/1,73 m
2 , estimada pelas equações da
Chronic Kidney Disease Epidemiology Collaboration , e presença de albuminúria > 29 mg/g. Medidas de associação foram estimadas por regressão logística (OR) bruta e ajustada, com grau de confiança de 95% (IC95%).
RESULTADOS
A prevalência geral de doença renal crônica foi de 21,4% nos idosos, com os fatores associados idade, diabetes (OR = 3,39; IC95% 2,13–5,40), síndrome metabólica (OR = 2,49; IC95% 1,71–3,63), autoavaliação de saúde ruim (OR = 1,79; IC95% 1,10–2,91), hipertensão arterial (OR = 1,82; IC95% 1,04–3,19) e obesidade (OR = 1,69; IC95% 1,02–2,80).
CONCLUSÕES
A prevalência de doença renal crônica foi alta entre os idosos, estando associada com idade, autoavaliação de saúde como ruim ou muito ruim, obesidade, diabetes e síndrome metabólica.
