Prevalence of chronic kidney disease among Chinese adults with diabetes: a nationwide population-based cross-sectional study

作者：Weiping Jia, R. Yu, Limin Wang, D. Zhu, Lixin Guo, J. Weng, Hong Li, Mei Zhang, Xiaoqi Ye, Zhiguang Zhou, D. Zou, Qiuhe Ji, Xiaohui Guo, Yinan Zhang, D. Lang, Jiarui Wu, Jing Wu, X. Hou, Xiaohui Kai Liming Demin Guangyao Linyi Jing Yan Dongmei Q Guo Wu Chen Liu Song Shu Yang Wang Li Guo Li Wu Su, Xiaohui Guo, Kai Wu, L. Chen, Demin Liu, Guangyao Song, Linyi Shu, Jing Yang, Yan Wang, Dongmei Li, Qiansha Guo, Ling Li, Na Wu, Yadong Sun, Hui Cheng, Hongyu Kuang, Huijuan Zhang, Weiping Jia, X. Hou, D. Zhu, Jian Zhu, Hong Li, F. Zheng, Qiu Zhang, Honglin Hu, Gang Chen, Xingquan Yang, Xiaoyang Lai, Jianping Liu, Li Chen, Ming Dong, Zhi-gang Zhao, Jian Liu, Guangda Xiang, Junxia Zhang, Zhiguang Zhou, Jian Peng, J. Weng, Longyi Zeng, Yuzhen Liang, Guoqiao Li, Kaining Chen, Leweihua Lin, Qifu Li, Qingfeng Cheng, Xingwu Ran, Dawei Chen, X. Nian, Lihui Yang, S. Meng, Jing Xu, Junhong Long, Jing Liu, Qi Zhang, Qi Dai, Xiaoming Xie, Guirong Bai, Jun Li, Tao Li, Zhong Dong, Tao Zhang, Sijia Liu, Yong Yang, Kun Geng, Wenlong Zheng, Zhihong Li, Hui Wang, Zuojun Wu, Miao Wang, Jixin Sun, Jianwei Zhou, J. An, Hua Shen, Yanfang Li, Zeping Ren, X. Xue, Shaohui Jia, Yongping Zheng, Jiao Li, Y. Qian, Ping Ma, Yan Su, Liang Cao, Xuyi Yang, Guowei Pan, Guangzhi Pan, Ling-Xiao Jin, Q. Yu, Yunfei Liu, Yingli Zhu, Z. Cheng, Jun Yang, C. Jia, Qing Wang, Shichun Yan, Jingyang Huang, Yumei Chi, Li Zhang, Ruifang Pang, Yan Shi, Yan Lu, Yiling Wu, Jie Yu, Chunxiang Wu, Jinyi Zhou, Yunxia Wu, Ningmei Zhang, Jing Sun, X. Tian, Jieming Zhong, Jingying Chen, K. Xie, Lingjuan Fu, Xiaohua Wang, Ye Chen, Ling Zeng, Z. Cao, Maomin Yang, Biao Hu, Wenling Zhong, Qingyan Liu, Zhi Huang, Qi-Qi Lai, Yu-yu Zhang, Liping Zhu, Yujing Zhao, W. Tao, Yong-sheng Tu, Ling Zhou, Xiaolei Guo, Ben-fu Chai, Liping Ding, Y. Zou, Dongzhi Li, L. Hua, Shixian Feng, Jianlin Guo, W. Liu, Qingxian Li, Yun Zheng, Min Xu, Lan Zhang, Chunbo Li, Y. Wan, Chi Hu, Shengping Xu, Biyun Chen, Hui-lin Liu, X. Bian, Wenwei Chen, Honghua Li, Yanjun Xu, Fan Weng, Hong Wu, Weijin Zhang, Lia Zhu, Jun Meng, Jin Yang, Yong Zeng, G. Zhai, Li-Na Qin, Yingchang Lu, Z. Fu, Shukuan Wu, Caigang Li, Na Wang, Lianfeng Chen, Xianbin Ding, Qi Zhou, Yilin Xie, Rui Chen, Dongsheng Yang, Ying Deng, Youping Hu, Bo Huang, Ping Wang, Peng Cai, Changyan Peng, Xiaofang Chen, Liang Xiao, Chenglin Wang, Chao Tan, Dao-Bi Chen, Min Chen, Ming Qin, Z. Lei, Jianzhi Qiu, Wei Yu, Yunfei Li, Guoxia Bai, Ying Wang, L. Qiu, Ning Wang, Xudong Zhao, A. Yan, Jianfei Liu, Tingcai Wang, K. Hao, Zaihong Zhang, Zhanqi Xian, Tenghuan Ma, Zhihua Xu, Yi Yang, Hongli Wang, Rong Li, Zhonggang Zhao, Caixia Fan, Purhati, Hongjun Xu, Liping Gao · 发表于：The Lancet Regional Health - Western Pacific · 年份：2025 · DOI：10.1016/j.lanwpc.2024.101463 · 被引用次数：37 · 研究领域：Medicine

Summary Background To date, comprehensive data on the distribution of chronic kidney disease (CKD), the most prevalent comorbidity in diabetes, among Chinese adults with diabetes is lacking. Additionally, research gaps exist in understanding the association between CKD and cardiovascular health (CVH), an integrated indicator of lifestyle and metabolic control, within a nationwide sample of Chinese adults with diabetes. Methods A nationally community-based cross-sectional survey was conducted in 2018–2020. 58,560 residents diagnosed with diabetes aged 18–74 years nationwide were invited to participate, and 52,000 participants with complete CKD data were included in this study. CKD was identified by the presence of albuminuria (urine albumin-to-creatinine ratio ≥30 mg/g) and/or decreased estimated glomerular filtration rate (eGFR, <60 mL/min/1.73 m2). The latter was calculated using the CKD-EPI equation incorporating serum cystatin C and creatinine. CVH was evaluated using the “life's essential 8” (LE8) score, which ranged from 0 to 100 and included 8 components: diet, sleep duration, physical activity, nicotine exposure, hemoglobin A1c, blood pressure, non–high-density lipoprotein cholesterol, and body mass index. The total LE8 scores were categorized into low (0–49), middle (50–79), and high (80–100) according to the American Heart Association. The associations of albuminuria and decreased eGFR with potential associated factors, including CVH, socioeconomic status, clinical c...