Factors Associated with Chronic Kidney Disease in Patients with Type 2 Diabetes in Bangladesh

Sheikh Mohammed Shariful Islam, Masudus Salehin, Sojib Bin Zaman, Tania Tansi, Rajat Das Gupta, Lingkan Barua, Palash Chandra Banik and Riaz Uddin
Additional contact information
Sheikh Mohammed Shariful Islam: Institute for Physical Activity and Nutrition, Deakin University, Burwood, VIC 3125, Australia
Masudus Salehin: School of Health, Federation University Australia, Berwick, VIC 3806, Australia
Sojib Bin Zaman: Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC 3168, Australia
Tania Tansi: Bangladesh College of Home Economics, University of Dhaka, Dhaka 1215, Bangladesh
Rajat Das Gupta: Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
Lingkan Barua: Department of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka 1216, Bangladesh
Palash Chandra Banik: Department of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka 1216, Bangladesh
Riaz Uddin: Institute for Physical Activity and Nutrition, Deakin University, Burwood, VIC 3125, Australia

IJERPH, 2021, vol. 18, issue 23, 1-12

Abstract: Diabetes and chronic kidney disease (CKD) are a major public health burden in low- and middle-income countries. This study aimed to explore factors associated with CKD in patients with type 2 diabetes (T2D) in Bangladesh. A cross-sectional study was conducted among 315 adults with T2D presenting at the outpatient department of Bangladesh Institute of Health Sciences (BIHS) hospital between July 2013 to December 2013. CKD was diagnosed based on the estimated glomerular filtration rate using the ‘Modification of Diet in Renal Disease’ equations and the presence of albuminuria estimated by the albumin-to-creatinine ratio. Multivariate logistic regression analysis was used to determine the factors associated with CKD. The overall prevalence of CKD among patients with T2D was 21.3%. In the unadjusted model, factors associated with CKD included age 40–49 years (OR: 5.7, 95% CI: 1.3–25.4), age 50–59 years (7.0, 1.6–39), age ≥60 years (7.6, 1.7–34), being female (2.2, 1.2–3.8), being hypertensive (1.9, 1.1–3.5), and household income between 10,001 and 20,000 Bangladeshi taka, BDT (2.9, 1.0–8.2) compared with income ≤10,000 BDT. However, after adjustment of other covariates, only the duration of hypertension and household income (10,001–20,000 BDT) remained statistically significant. There is a need to implement policies and programs for early detection and management of hypertension and CKD in T2D patients in Bangladesh.

Keywords: type 2 diabetes mellitus; chronic kidney diseases; hypertension; risk factors; Bangladesh (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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