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

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 (...

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Main Authors: Weiping Jia, Rong Yu, Limin Wang, Dalong Zhu, Lixin Guo, Jianping Weng, Hong Li, Mei Zhang, Xiaoqi Ye, Zhiguang Zhou, Dajin Zou, Qiuhe Ji, Xiaohui Guo, Yinan Zhang, Dong Lang, Jiarui Wu, Jing Wu, Xuhong Hou, Kai Wu, Liming Chen, Demin Liu, Guangyao Song, Linyi Shu, Jing Yang, Yan Wang, Dongmei Li, Qiansha Guo, Ling Li, Na Wu, Yadong Sun, Huifang Cheng, Hongyu Kuang, Huijuan Zhang, Jian Zhu, Fenping Zheng, Qiu Zhang, Honglin Hu, Gang Chen, Xingquan Yang, Xiaoyang Lai, Jianping Liu, Li Chen, Ming Dong, Zhigang Zhao, Jian Liu, Guangda Xiang, Junxia Zhang, Jian Peng, Longyi Zeng, Yuzhen Liang, Guoqiao Li, Kaining Chen, Leweihua Lin, Qifu Li, Qingfeng Cheng, Xingwu Ran, Dawei Chen, Xin Nian, Lihui Yang, Shuyou Meng, Jing Xu, Junhong Long, Jing Liu, Qi Zhang, Qingxiang Dai, Xiaomin 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, Jun An, Huaqing Shen, Yanfang Li, Zeping Ren, Xiuli Xue, Shaohui Jia, Yongping Zheng, Jiaoxia Li, Yonggang Qian, Ping Ma, Yan Su, Liang Cao, Xuyi Yang, Guowei Pan, Guangzhi Pan, Ling Jin, Quanfu Yu, Yunfei Liu, Yingli Zhu, Zhifang Cheng, Jun Yang, Chundi Jia, Qing Wang, Shichun Yan, Jingyang Huang, Yumei Chi, Li Zhang, Ruifa Pang, Yan Shi, Yan Lu, Yiling Wu, Jie Yu, Chunxiang Wu, Jinyi Zhou, Yunxia Wu, Ning Zhang, Jing Sun, Xiumei Tian, Jieming Zhong, Jingying Chen, Kaixu Xie, Lingjuan Fu, Xiaohua Wang, Yeji Chen, Ling Zeng, Zhenqian Cao, Maomin Yang, Biao Hu, Wenling Zhong, Qingyan Liu, Zhiding Huang, Qingbin Lai, Yuyu Zhang, Liping Zhu, Yujing Zhao, Wuming Tao, Yonghai Tu, Lin Zhou, Xiaolei Guo, Benzheng Chai, Liping Ding, Yuewei Zou, Dongzhi Li, Li Hua, Shixian Feng, Jianli Guo, Wanguang Liu, Qingxiang Li, Yunzhi Zheng, Minli Xu, Lan Zhang, Chunbo Li, Yingchao Wan, Chi Hu, Shengping Xu, Biyun Chen, Huilin Liu, Xiaojia Bian, Wenwei Chen, Honghua Li, Yanjun Xu, Fan Weng, Hong Wu, Weijin Zhang, Liankai Zhu, Jun Meng, Jin Yang, Yongsong Zeng, Gaoke Zhai, Lingfeng Qin, Yi Lu, Zhenwang Fu, Shukuan Wu, Caigang Li, Na Wang, Lianfen Chen, Xianbin Ding, Qi Zhou, Yiling Xie, Rui Chen, Dongsheng Yang, Ying Deng, Youping Hu, Bo Huang, Ping Wang, Peng Cai, Changyan Peng, Xiaofang Chen, Liang Xiao, Chenglin Wang, Chaogang Tan, Daobin Chen, Min Chen, Mingfang Qin, Zhaomin Lei, Jianzhi Qiu, Wei Yu, Yunfei Li, Guoxia Bai, Ying Wang, Lin Qiu, Ning Wang, Xudong Zhao, Ani Yan, Jianfei Liu, Tingcai Wang, Kaihua Hao, Zaihong Zhang, Zhanqi Xian, Tenghuan Ma, Zhihua Xu, Yi Yang, Hongli Wang, Rong Li, Zhonggang Zhao, Caixia Fan, Purhati, Hongjun Xu, Liping Gao
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Language:English
Published: Elsevier 2025-02-01
Series:The Lancet Regional Health. Western Pacific
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666606524004577
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author Weiping Jia
Rong Yu
Limin Wang
Dalong Zhu
Lixin Guo
Jianping Weng
Hong Li
Mei Zhang
Xiaoqi Ye
Zhiguang Zhou
Dajin Zou
Qiuhe Ji
Xiaohui Guo
Yinan Zhang
Dong Lang
Jiarui Wu
Jing Wu
Xuhong Hou
Xiaohui Guo
Kai Wu
Liming Chen
Demin Liu
Guangyao Song
Linyi Shu
Jing Yang
Yan Wang
Dongmei Li
Qiansha Guo
Ling Li
Na Wu
Yadong Sun
Huifang Cheng
Hongyu Kuang
Huijuan Zhang
Weiping Jia
Xuhong Hou
Dalong Zhu
Jian Zhu
Hong Li
Fenping Zheng
Qiu Zhang
Honglin Hu
Gang Chen
Xingquan Yang
Xiaoyang Lai
Jianping Liu
Li Chen
Ming Dong
Zhigang Zhao
Jian Liu
Guangda Xiang
Junxia Zhang
Zhiguang Zhou
Jian Peng
Jianping Weng
Longyi Zeng
Yuzhen Liang
Guoqiao Li
Kaining Chen
Leweihua Lin
Qifu Li
Qingfeng Cheng
Xingwu Ran
Dawei Chen
Hong Li
Xin Nian
Lihui Yang
Shuyou Meng
Jing Xu
Junhong Long
Jing Liu
Qi Zhang
Qingxiang Dai
Xiaomin 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
Jun An
Huaqing Shen
Yanfang Li
Zeping Ren
Xiuli Xue
Shaohui Jia
Yongping Zheng
Jiaoxia Li
Yonggang Qian
Ping Ma
Yan Su
Liang Cao
Xuyi Yang
Guowei Pan
Guangzhi Pan
Ling Jin
Quanfu Yu
Yunfei Liu
Yingli Zhu
Zhifang Cheng
Jun Yang
Chundi Jia
Qing Wang
Shichun Yan
Jingyang Huang
Yumei Chi
Li Zhang
Ruifa Pang
Yan Shi
Yan Lu
Yiling Wu
Jie Yu
Chunxiang Wu
Jinyi Zhou
Yunxia Wu
Ning Zhang
Jing Sun
Xiumei Tian
Jieming Zhong
Jingying Chen
Kaixu Xie
Lingjuan Fu
Xiaohua Wang
Yeji Chen
Ling Zeng
Zhenqian Cao
Maomin Yang
Biao Hu
Wenling Zhong
Qingyan Liu
Zhiding Huang
Qingbin Lai
Yuyu Zhang
Liping Zhu
Yujing Zhao
Wuming Tao
Yonghai Tu
Lin Zhou
Xiaolei Guo
Benzheng Chai
Liping Ding
Yuewei Zou
Dongzhi Li
Li Hua
Shixian Feng
Jianli Guo
Wanguang Liu
Qingxiang Li
Yunzhi Zheng
Minli Xu
Lan Zhang
Chunbo Li
Yingchao Wan
Chi Hu
Shengping Xu
Biyun Chen
Huilin Liu
Xiaojia Bian
Wenwei Chen
Honghua Li
Yanjun Xu
Fan Weng
Hong Wu
Weijin Zhang
Liankai Zhu
Jun Meng
Jin Yang
Yongsong Zeng
Gaoke Zhai
Lingfeng Qin
Yi Lu
Zhenwang Fu
Shukuan Wu
Caigang Li
Na Wang
Lianfen Chen
Xianbin Ding
Qi Zhou
Yiling Xie
Rui Chen
Dongsheng Yang
Ying Deng
Youping Hu
Bo Huang
Ping Wang
Peng Cai
Changyan Peng
Xiaofang Chen
Ling Li
Liang Xiao
Chenglin Wang
Chaogang Tan
Daobin Chen
Min Chen
Mingfang Qin
Zhaomin Lei
Jianzhi Qiu
Wei Yu
Yunfei Li
Guoxia Bai
Ying Wang
Lin Qiu
Ning Wang
Xudong Zhao
Ani Yan
Jianfei Liu
Tingcai Wang
Kaihua Hao
Zaihong Zhang
Zhanqi Xian
Tenghuan Ma
Zhihua Xu
Yi Yang
Hongli Wang
Rong Li
Zhonggang Zhao
Caixia Fan
Purhati
Hongjun Xu
Liping Gao
author_facet Weiping Jia
Rong Yu
Limin Wang
Dalong Zhu
Lixin Guo
Jianping Weng
Hong Li
Mei Zhang
Xiaoqi Ye
Zhiguang Zhou
Dajin Zou
Qiuhe Ji
Xiaohui Guo
Yinan Zhang
Dong Lang
Jiarui Wu
Jing Wu
Xuhong Hou
Xiaohui Guo
Kai Wu
Liming Chen
Demin Liu
Guangyao Song
Linyi Shu
Jing Yang
Yan Wang
Dongmei Li
Qiansha Guo
Ling Li
Na Wu
Yadong Sun
Huifang Cheng
Hongyu Kuang
Huijuan Zhang
Weiping Jia
Xuhong Hou
Dalong Zhu
Jian Zhu
Hong Li
Fenping Zheng
Qiu Zhang
Honglin Hu
Gang Chen
Xingquan Yang
Xiaoyang Lai
Jianping Liu
Li Chen
Ming Dong
Zhigang Zhao
Jian Liu
Guangda Xiang
Junxia Zhang
Zhiguang Zhou
Jian Peng
Jianping Weng
Longyi Zeng
Yuzhen Liang
Guoqiao Li
Kaining Chen
Leweihua Lin
Qifu Li
Qingfeng Cheng
Xingwu Ran
Dawei Chen
Hong Li
Xin Nian
Lihui Yang
Shuyou Meng
Jing Xu
Junhong Long
Jing Liu
Qi Zhang
Qingxiang Dai
Xiaomin 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
Jun An
Huaqing Shen
Yanfang Li
Zeping Ren
Xiuli Xue
Shaohui Jia
Yongping Zheng
Jiaoxia Li
Yonggang Qian
Ping Ma
Yan Su
Liang Cao
Xuyi Yang
Guowei Pan
Guangzhi Pan
Ling Jin
Quanfu Yu
Yunfei Liu
Yingli Zhu
Zhifang Cheng
Jun Yang
Chundi Jia
Qing Wang
Shichun Yan
Jingyang Huang
Yumei Chi
Li Zhang
Ruifa Pang
Yan Shi
Yan Lu
Yiling Wu
Jie Yu
Chunxiang Wu
Jinyi Zhou
Yunxia Wu
Ning Zhang
Jing Sun
Xiumei Tian
Jieming Zhong
Jingying Chen
Kaixu Xie
Lingjuan Fu
Xiaohua Wang
Yeji Chen
Ling Zeng
Zhenqian Cao
Maomin Yang
Biao Hu
Wenling Zhong
Qingyan Liu
Zhiding Huang
Qingbin Lai
Yuyu Zhang
Liping Zhu
Yujing Zhao
Wuming Tao
Yonghai Tu
Lin Zhou
Xiaolei Guo
Benzheng Chai
Liping Ding
Yuewei Zou
Dongzhi Li
Li Hua
Shixian Feng
Jianli Guo
Wanguang Liu
Qingxiang Li
Yunzhi Zheng
Minli Xu
Lan Zhang
Chunbo Li
Yingchao Wan
Chi Hu
Shengping Xu
Biyun Chen
Huilin Liu
Xiaojia Bian
Wenwei Chen
Honghua Li
Yanjun Xu
Fan Weng
Hong Wu
Weijin Zhang
Liankai Zhu
Jun Meng
Jin Yang
Yongsong Zeng
Gaoke Zhai
Lingfeng Qin
Yi Lu
Zhenwang Fu
Shukuan Wu
Caigang Li
Na Wang
Lianfen Chen
Xianbin Ding
Qi Zhou
Yiling Xie
Rui Chen
Dongsheng Yang
Ying Deng
Youping Hu
Bo Huang
Ping Wang
Peng Cai
Changyan Peng
Xiaofang Chen
Ling Li
Liang Xiao
Chenglin Wang
Chaogang Tan
Daobin Chen
Min Chen
Mingfang Qin
Zhaomin Lei
Jianzhi Qiu
Wei Yu
Yunfei Li
Guoxia Bai
Ying Wang
Lin Qiu
Ning Wang
Xudong Zhao
Ani Yan
Jianfei Liu
Tingcai Wang
Kaihua Hao
Zaihong Zhang
Zhanqi Xian
Tenghuan Ma
Zhihua Xu
Yi Yang
Hongli Wang
Rong Li
Zhonggang Zhao
Caixia Fan
Purhati
Hongjun Xu
Liping Gao
author_sort Weiping Jia
collection DOAJ
description 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 characteristics, sub-regional divisions, comorbidities, treatments, and metabolic controls, were evaluated using survey logistic regression. Findings: The weighted prevalence rates (95% CI) of CKD, albuminuria, and decreased eGFR were 32.6% (31.3%–33.8%), 30.8% (29.6%–32.1%), and 5.5% (5.1%–5.9%), respectively. Among those with CKD, 25.7% had diabetic retinopathy (DR) and 22.3% had cardiovascular disease (CVD). The weighted prevalence rates of albuminuria and decreased eGFR were consistently higher among southern residents, rural residents, and individuals with more severe DR and a history of CVD than their counterparts (all p < 0.05). After adjustment for age, sex, sub-regional division, setting, educational level, annual household income, family history of diabetes, diabetes duration, glucose-lowering treatment, any DR, CVD, and drinking status, the logistic models showed that the odds ratios (ORs) (95% CI) for albuminuria and decreased eGFR were 0.46 (0.42–0.51) and 0.61 (0.55–0.67) for the participants with moderate scores, and 0.14 (0.10–0.21) and 0.28 (0.19–0.41) for those with high scores, compared with those with low total LE8 scores. Furthermore, the restricted cubic spline curves depicted that the disparities in the odds of having albuminuria or decreased eGFR among subpopulations grouped by sex, age, setting, and geographical region, significantly decreased and even disappeared in some cases as the LE8 scores increased. Interpretation: Chinese adults with diabetes are heavily burdened by CKD. Optimized CVH is central to reducing CKD risk across different subpopulations. Funding: National Key Clinical Specialty, the Chinese Academy of Engineering.
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spelling doaj-art-d95342f97f794e53932ba4c8153b6d732025-08-20T02:36:36ZengElsevierThe Lancet Regional Health. Western Pacific2666-60652025-02-015510146310.1016/j.lanwpc.2024.101463Prevalence of chronic kidney disease among Chinese adults with diabetes: a nationwide population-based cross-sectional studyResearch in contextWeiping Jia0Rong Yu1Limin Wang2Dalong Zhu3Lixin Guo4Jianping Weng5Hong Li6Mei Zhang7Xiaoqi Ye8Zhiguang Zhou9Dajin Zou10Qiuhe Ji11Xiaohui Guo12Yinan Zhang13Dong Lang14Jiarui Wu15Jing Wu16Xuhong Hou17Xiaohui GuoKai WuLiming ChenDemin LiuGuangyao SongLinyi ShuJing YangYan WangDongmei LiQiansha GuoLing LiNa WuYadong SunHuifang ChengHongyu KuangHuijuan ZhangWeiping JiaXuhong HouDalong ZhuJian ZhuHong LiFenping ZhengQiu ZhangHonglin HuGang ChenXingquan YangXiaoyang LaiJianping LiuLi ChenMing DongZhigang ZhaoJian LiuGuangda XiangJunxia ZhangZhiguang ZhouJian PengJianping WengLongyi ZengYuzhen LiangGuoqiao LiKaining ChenLeweihua LinQifu LiQingfeng ChengXingwu RanDawei ChenHong LiXin NianLihui YangShuyou MengJing XuJunhong LongJing LiuQi ZhangQingxiang DaiXiaomin XieGuirong BaiJun LiTao LiZhong DongTao ZhangSijia LiuYong YangKun GengWenlong ZhengZhihong LiHui WangZuojun WuMiao WangJixin SunJianwei ZhouJun AnHuaqing ShenYanfang LiZeping RenXiuli XueShaohui JiaYongping ZhengJiaoxia LiYonggang QianPing MaYan SuLiang CaoXuyi YangGuowei PanGuangzhi PanLing JinQuanfu YuYunfei LiuYingli ZhuZhifang ChengJun YangChundi JiaQing WangShichun YanJingyang HuangYumei ChiLi ZhangRuifa PangYan ShiYan LuYiling WuJie YuChunxiang WuJinyi ZhouYunxia WuNing ZhangJing SunXiumei TianJieming ZhongJingying ChenKaixu XieLingjuan FuXiaohua WangYeji ChenLing ZengZhenqian CaoMaomin YangBiao HuWenling ZhongQingyan LiuZhiding HuangQingbin LaiYuyu ZhangLiping ZhuYujing ZhaoWuming TaoYonghai TuLin ZhouXiaolei GuoBenzheng ChaiLiping DingYuewei ZouDongzhi LiLi HuaShixian FengJianli GuoWanguang LiuQingxiang LiYunzhi ZhengMinli XuLan ZhangChunbo LiYingchao WanChi HuShengping XuBiyun ChenHuilin LiuXiaojia BianWenwei ChenHonghua LiYanjun XuFan WengHong WuWeijin ZhangLiankai ZhuJun MengJin YangYongsong ZengGaoke ZhaiLingfeng QinYi LuZhenwang FuShukuan WuCaigang LiNa WangLianfen ChenXianbin DingQi ZhouYiling XieRui ChenDongsheng YangYing DengYouping HuBo HuangPing WangPeng CaiChangyan PengXiaofang ChenLing LiLiang XiaoChenglin WangChaogang TanDaobin ChenMin ChenMingfang QinZhaomin LeiJianzhi QiuWei YuYunfei LiGuoxia BaiYing WangLin QiuNing WangXudong ZhaoAni YanJianfei LiuTingcai WangKaihua HaoZaihong ZhangZhanqi XianTenghuan MaZhihua XuYi YangHongli WangRong LiZhonggang ZhaoCaixia Fan PurhatiHongjun XuLiping GaoDepartment of Endocrinology and Metabolism, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai, China; Institute for Proactive Healthcare of Shanghai Jiao Tong University, Shanghai, China; Corresponding author. Department of Endocrinology and Metabolism, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai, 200233, China.Department of Endocrinology and Metabolism, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaDepartment of Endocrinology, Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, Jiangsu Province, ChinaDepartment of Endocrinology, Beijing Hospital, Beijing, ChinaDepartment of Endocrinology, Institute of Endocrine and Metabolic Diseases, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, Clinical Research Hospital of Chinese Academy of Sciences, University of Science and Technology of China, Hefei, Anhui Province, ChinaDepartment of Endocrinology, The Affiliated Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaDepartment of Endocrinology and Metabolism, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai, ChinaInstitute of Metabolism and Endocrinology, Key Laboratory of Diabetes Immunology, Ministry of Education, National Clinical Research Center for Metabolic Diseases, The Second Xiangya Hospital and the Diabetes Center, Central South University, Changsha, Hunan Province, ChinaDepartment of Endocrinology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Endocrinology, Xijing Hospital, Xi'an, Shaanxi Province, ChinaDepartment of Endocrinology, Peking University First Hospital, Beijing, ChinaCenter for Translational Medicine, The Metabolic Diseases Biobank, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Endocrinology and Metabolism, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai, ChinaKey Laboratory of Systems Health Science of Zhejiang Province, Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences, Hangzhou, Zhejiang Province, China; Center for Excellence in Molecular Science, Chinese Academy of Sciences, Shanghai, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China; Corresponding author. National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, 27 Nanwei Road, Xicheng District, Beijing, 100050, China.Department of Endocrinology and Metabolism, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai, China; Corresponding author. Department of Endocrinology and Metabolism, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, 600 Yishan Road, Shanghai, 200233, China.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 characteristics, sub-regional divisions, comorbidities, treatments, and metabolic controls, were evaluated using survey logistic regression. Findings: The weighted prevalence rates (95% CI) of CKD, albuminuria, and decreased eGFR were 32.6% (31.3%–33.8%), 30.8% (29.6%–32.1%), and 5.5% (5.1%–5.9%), respectively. Among those with CKD, 25.7% had diabetic retinopathy (DR) and 22.3% had cardiovascular disease (CVD). The weighted prevalence rates of albuminuria and decreased eGFR were consistently higher among southern residents, rural residents, and individuals with more severe DR and a history of CVD than their counterparts (all p < 0.05). After adjustment for age, sex, sub-regional division, setting, educational level, annual household income, family history of diabetes, diabetes duration, glucose-lowering treatment, any DR, CVD, and drinking status, the logistic models showed that the odds ratios (ORs) (95% CI) for albuminuria and decreased eGFR were 0.46 (0.42–0.51) and 0.61 (0.55–0.67) for the participants with moderate scores, and 0.14 (0.10–0.21) and 0.28 (0.19–0.41) for those with high scores, compared with those with low total LE8 scores. Furthermore, the restricted cubic spline curves depicted that the disparities in the odds of having albuminuria or decreased eGFR among subpopulations grouped by sex, age, setting, and geographical region, significantly decreased and even disappeared in some cases as the LE8 scores increased. Interpretation: Chinese adults with diabetes are heavily burdened by CKD. Optimized CVH is central to reducing CKD risk across different subpopulations. Funding: National Key Clinical Specialty, the Chinese Academy of Engineering.http://www.sciencedirect.com/science/article/pii/S2666606524004577DiabetesChronic kidney diseasePrevalenceCardiovascular health
spellingShingle Weiping Jia
Rong Yu
Limin Wang
Dalong Zhu
Lixin Guo
Jianping Weng
Hong Li
Mei Zhang
Xiaoqi Ye
Zhiguang Zhou
Dajin Zou
Qiuhe Ji
Xiaohui Guo
Yinan Zhang
Dong Lang
Jiarui Wu
Jing Wu
Xuhong Hou
Xiaohui Guo
Kai Wu
Liming Chen
Demin Liu
Guangyao Song
Linyi Shu
Jing Yang
Yan Wang
Dongmei Li
Qiansha Guo
Ling Li
Na Wu
Yadong Sun
Huifang Cheng
Hongyu Kuang
Huijuan Zhang
Weiping Jia
Xuhong Hou
Dalong Zhu
Jian Zhu
Hong Li
Fenping Zheng
Qiu Zhang
Honglin Hu
Gang Chen
Xingquan Yang
Xiaoyang Lai
Jianping Liu
Li Chen
Ming Dong
Zhigang Zhao
Jian Liu
Guangda Xiang
Junxia Zhang
Zhiguang Zhou
Jian Peng
Jianping Weng
Longyi Zeng
Yuzhen Liang
Guoqiao Li
Kaining Chen
Leweihua Lin
Qifu Li
Qingfeng Cheng
Xingwu Ran
Dawei Chen
Hong Li
Xin Nian
Lihui Yang
Shuyou Meng
Jing Xu
Junhong Long
Jing Liu
Qi Zhang
Qingxiang Dai
Xiaomin 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
Jun An
Huaqing Shen
Yanfang Li
Zeping Ren
Xiuli Xue
Shaohui Jia
Yongping Zheng
Jiaoxia Li
Yonggang Qian
Ping Ma
Yan Su
Liang Cao
Xuyi Yang
Guowei Pan
Guangzhi Pan
Ling Jin
Quanfu Yu
Yunfei Liu
Yingli Zhu
Zhifang Cheng
Jun Yang
Chundi Jia
Qing Wang
Shichun Yan
Jingyang Huang
Yumei Chi
Li Zhang
Ruifa Pang
Yan Shi
Yan Lu
Yiling Wu
Jie Yu
Chunxiang Wu
Jinyi Zhou
Yunxia Wu
Ning Zhang
Jing Sun
Xiumei Tian
Jieming Zhong
Jingying Chen
Kaixu Xie
Lingjuan Fu
Xiaohua Wang
Yeji Chen
Ling Zeng
Zhenqian Cao
Maomin Yang
Biao Hu
Wenling Zhong
Qingyan Liu
Zhiding Huang
Qingbin Lai
Yuyu Zhang
Liping Zhu
Yujing Zhao
Wuming Tao
Yonghai Tu
Lin Zhou
Xiaolei Guo
Benzheng Chai
Liping Ding
Yuewei Zou
Dongzhi Li
Li Hua
Shixian Feng
Jianli Guo
Wanguang Liu
Qingxiang Li
Yunzhi Zheng
Minli Xu
Lan Zhang
Chunbo Li
Yingchao Wan
Chi Hu
Shengping Xu
Biyun Chen
Huilin Liu
Xiaojia Bian
Wenwei Chen
Honghua Li
Yanjun Xu
Fan Weng
Hong Wu
Weijin Zhang
Liankai Zhu
Jun Meng
Jin Yang
Yongsong Zeng
Gaoke Zhai
Lingfeng Qin
Yi Lu
Zhenwang Fu
Shukuan Wu
Caigang Li
Na Wang
Lianfen Chen
Xianbin Ding
Qi Zhou
Yiling Xie
Rui Chen
Dongsheng Yang
Ying Deng
Youping Hu
Bo Huang
Ping Wang
Peng Cai
Changyan Peng
Xiaofang Chen
Ling Li
Liang Xiao
Chenglin Wang
Chaogang Tan
Daobin Chen
Min Chen
Mingfang Qin
Zhaomin Lei
Jianzhi Qiu
Wei Yu
Yunfei Li
Guoxia Bai
Ying Wang
Lin Qiu
Ning Wang
Xudong Zhao
Ani Yan
Jianfei Liu
Tingcai Wang
Kaihua Hao
Zaihong Zhang
Zhanqi Xian
Tenghuan Ma
Zhihua Xu
Yi Yang
Hongli Wang
Rong Li
Zhonggang Zhao
Caixia Fan
Purhati
Hongjun Xu
Liping Gao
Prevalence of chronic kidney disease among Chinese adults with diabetes: a nationwide population-based cross-sectional studyResearch in context
The Lancet Regional Health. Western Pacific
Diabetes
Chronic kidney disease
Prevalence
Cardiovascular health
title Prevalence of chronic kidney disease among Chinese adults with diabetes: a nationwide population-based cross-sectional studyResearch in context
title_full Prevalence of chronic kidney disease among Chinese adults with diabetes: a nationwide population-based cross-sectional studyResearch in context
title_fullStr Prevalence of chronic kidney disease among Chinese adults with diabetes: a nationwide population-based cross-sectional studyResearch in context
title_full_unstemmed Prevalence of chronic kidney disease among Chinese adults with diabetes: a nationwide population-based cross-sectional studyResearch in context
title_short Prevalence of chronic kidney disease among Chinese adults with diabetes: a nationwide population-based cross-sectional studyResearch in context
title_sort prevalence of chronic kidney disease among chinese adults with diabetes a nationwide population based cross sectional studyresearch in context
topic Diabetes
Chronic kidney disease
Prevalence
Cardiovascular health
url http://www.sciencedirect.com/science/article/pii/S2666606524004577
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AT yunfeili prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT guoxiabai prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT yingwang prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT linqiu prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT ningwang prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT xudongzhao prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT aniyan prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT jianfeiliu prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT tingcaiwang prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT kaihuahao prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT zaihongzhang prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT zhanqixian prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT tenghuanma prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT zhihuaxu prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT yiyang prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT hongliwang prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT rongli prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT zhonggangzhao prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT caixiafan prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT purhati prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT hongjunxu prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext
AT lipinggao prevalenceofchronickidneydiseaseamongchineseadultswithdiabetesanationwidepopulationbasedcrosssectionalstudyresearchincontext