Healthy Behaviors, Risk Factor Control and Awareness of Chronic Kidney Disease
Open Access
- 31 January 2013
- journal article
- Published by S. Karger AG in American Journal of Nephrology
- Vol. 37 (2), 135-143
- https://doi.org/10.1159/000346712
Abstract
Background/Aims: The association between chronic kidney disease (CKD) awareness and healthy behaviors is unknown. We examined whether CKD self-recognition is associated with healthy behaviors and achieving risk-reduction targets known to decrease risk of cardiovascular morbidity and CKD progression. Methods: CKD awareness, defined as a ‘yes’ response to ‘Has a doctor or other health professional ever told you that you had kidney disease?’, was examined among adults with CKD (eGFR 2) who participated in the REasons for Geographic And Racial Differences in Stroke (REGARDS) study. Odds of participation in healthy behaviors (tobacco avoidance, avoidance of regular nonsteroidal anti-inflammatory drug use, and physical activity) and achievement of risk-reduction targets (angiotensin-converting enzyme inhibitor/angiotensin receptor blocker use, systolic blood pressure control and glycemic control among those with diabetes) among those aware versus unaware of their CKD were determined by logistic regression, controlling for sociodemographics, access to care and comorbid conditions. Systolic blood pressure control was defined as Results: Of 2,615 participants, only 6% (n = 166) were aware of having CKD. Those who were aware had 82% higher odds of tobacco avoidance compared to those unaware (adjusted OR = 1.82, 95% CI 1.02–3.24). CKD awareness was not associated with other healthy behaviors or achievement of risk-reduction targets. Conclusions: Awareness of CKD was only associated with participation in one healthy behavior and was not associated with achievement of risk-reduction targets. To encourage adoption of healthy behaviors, a better understanding of barriers to participation in CKD-healthy behaviors is needed.Keywords
This publication has 25 references indexed in Scilit:
- Development and Results of a Kidney Disease Knowledge Survey Given to Patients With CKDAmerican Journal of Kidney Diseases, 2011
- Association of CKD With Disability in the United StatesAmerican Journal of Kidney Diseases, 2011
- Exercise therapy correlates with improving renal function through modifying lipid metabolism in patients with cardiovascular disease and chronic kidney diseaseJournal of Cardiology, 2010
- Analgesic use and the risk for progression of chronic kidney diseasePharmacoepidemiology and Drug Safety, 2010
- The Role of Health Literacy and Written Medicine Information in Nonsteroidal Antiinflammatory Drug Risk AwarenessAnnals of Pharmacotherapy, 2010
- Prevalence of Major Depressive Episode in CKDAmerican Journal of Kidney Diseases, 2009
- A New Equation to Estimate Glomerular Filtration RateAnnals of Internal Medicine, 2009
- Diabetes Mellitus and CKD Awareness: The Kidney Early Evaluation Program (KEEP) and National Health and Nutrition Examination Survey (NHANES)American Journal of Kidney Diseases, 2009
- Educational Interventions in Kidney Disease Care: A Systematic Review of Randomized TrialsAmerican Journal of Kidney Diseases, 2008
- Changes in lifestyle after hypertension diagnosis in CanadaCanadian Journal of Cardiology, 2008