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Prevalence of Albuminuria in Children Living in a Rural Agricultural and Fishing Subsistence Community in Lake Chapala, Mexico

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Listed:
  • Felipe Lozano-Kasten

    (Public Health Department, University of Guadalajara, C.P. 44340 Guadalajara, Jalisco, Mexico)

  • Erick Sierra-Diaz

    (Public Health Department, University of Guadalajara, C.P. 44340 Guadalajara, Jalisco, Mexico)

  • Alfredo De Jesus Celis-de la Rosa

    (Public Health Department, University of Guadalajara, C.P. 44340 Guadalajara, Jalisco, Mexico)

  • María Margarita Soto Gutiérrez

    (Public Health Department, University of Guadalajara, C.P. 44340 Guadalajara, Jalisco, Mexico)

  • Alejandro Aarón Peregrina Lucano

    (Public Health Department, University of Guadalajara, C.P. 44340 Guadalajara, Jalisco, Mexico)

  • Research Group on Social and Environmental Determinants in Childhood

    (Public Health Department, University of Guadalajara, C.P. 44340 Guadalajara, Jalisco, Mexico)

Abstract

The occurrence of Chronic Kidney Disease (CKD) of unknown etiology in autochthonous child populations residing along the Lake Chapala lakeshore is endemic (Jalisco, México). The objective of this study was to determine the prevalence of albuminuria in the pediatric population and to measure the glomerular filtration rate in children with two positive albuminuria tests. Urinary albumin was measured in 394 children. Subjects with two or more positive albuminuria test donated blood samples for the determination of serum biomarkers. From a rural community with 565 children under the age of 17 years, 394 (69.7%) participated with first morning urine samples. A total of 180 children were positive (with two or more positive albuminuria tests). The prevalence of albuminuria among the children participating in the study was 45.7%. Of the 180 children with persistent albuminuria, 160 (88.9%) were tested for serum creatinine, urea, and cystatin C. The 68.1% of the children studied, were found in stages 3a and 3b of the Kidney Disease Improving Global Outcomes (KDIGO) classification (mean glomerular filtration rate (GFR) 51.9 and 38.4 mL/min/1.73 m 2 respectively). The lowest frequencies were for classifications 1 and 4. None of the subjects was classified as grade 5. The prevalence of albuminuria in children from this rural community is 3–5 times higher than reported in international literature. Regarding GFR, more than 50% of children studied are under 60 mL/min/1.73 m 2 . It is a priority to find the causes of albuminuria and CKD in this Mexican region.

Suggested Citation

  • Felipe Lozano-Kasten & Erick Sierra-Diaz & Alfredo De Jesus Celis-de la Rosa & María Margarita Soto Gutiérrez & Alejandro Aarón Peregrina Lucano & Research Group on Social and Environmental Determinan, 2017. "Prevalence of Albuminuria in Children Living in a Rural Agricultural and Fishing Subsistence Community in Lake Chapala, Mexico," IJERPH, MDPI, vol. 14(12), pages 1-9, December.
  • Handle: RePEc:gam:jijerp:v:14:y:2017:i:12:p:1577-:d:122953
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    References listed on IDEAS

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    1. Erick Sierra-Diaz & Alfredo De Jesus Celis-de la Rosa & Felipe Lozano-Kasten & Alejandro Bravo-Cuellar & Mariana Garcia-Gutierrez & Hernandez-Flores Georgina, 2017. "Non-Traditional Risk Factors of Albuminuria in the Pediatric Population: A Scoping Review," IJERPH, MDPI, vol. 14(10), pages 1-11, October.
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    Cited by:

    1. Erick Sierra-Diaz & Alfredo de Jesus Celis-de la Rosa & Felipe Lozano-Kasten & Leonardo Trasande & Alejandro Aarón Peregrina-Lucano & Elena Sandoval-Pinto & Humberto Gonzalez-Chavez, 2019. "Urinary Pesticide Levels in Children and Adolescents Residing in Two Agricultural Communities in Mexico," IJERPH, MDPI, vol. 16(4), pages 1-8, February.

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