Prevalence of Microalbuminuria and Overt Proteinuria in Hypertension and Their Relations with Renal Function in a Rural Population of Bangladesh

Authors

  • ANME Karim Assistant Professor, Department of Nephrology, Rangpur Medical College.
  • D Das Associate Professor, Department of Medicine, Dhaka Medical College.
  • M Salahuddin Chittagong Medical College.
  • GA Marjan Department of Radiology and Imaging, Dhaka Medical College
  • MN Islam Associate Professor, Department of Nephrology, Dhaka Medical College.
  • AK Shaha Assistant Professor, Department of Nephrology, Dhaka Medical College
  • RD Gupta Assistant Professor, Department of Nephrology, Dhaka Medical College
  • SM Islam Chittagong Medical College.
  • R Amin Department of Radiology and Imaging, Dhaka Medical College
  • HU Rashid Ex- Professor and Chairman, Department of Nephrology, BSMMU

DOI:

https://doi.org/10.3329/bjmed.v24i2.18700

Keywords:

Hypertension, microalbuminuria, overt proteinuria, prevalence

Abstract

Hypertension is the third leading cause of chronic kidney disease (CKD) in Bangladesh. Microalbuminuria and overt proteinuria are the markers of the CKD. So detection of microalbuminuria and overt proteinuria in hypertensive subjects will help to identify the patient at risk of developing progressive renal impairment. This cross sectional study was carried out in a rural area of Bangladesh.1134 adult population (age between 18 and 65 years) were screened. A total of 217 (19.1%) were detected hypertensive; spot urine dipstick test was done among them. Those who where dipstick negative further studied for presence of microalbumin [ mg/L ]. Blood glucose level, serum creatinine, and estimated glomerular filtration rate (eGFR) were evaluated. A group of normotensive people (n=245) taken as comparison group. Microalbuminuria and overt proteinuria were present in 26.4% and 9.7% of the hypertensive subjects, respectively. Correlation between microalbuminuria and eGFR showed that two variables exhibited a tendency for negative relationship, although correlation was not statistically significant (P=0.186, r=-0.064). Overt proteinuric subjects showed no statistically significant deterioration of eGFR (81.6±21.1). Microalbuminuria and overt proteinuria are prevalent among the hypertensive rural Bangladeshi people. So early detection of microalbuminuria and overt proteinuria will help to prevent or delay the development of end stage renal disease.

DOI: http://dx.doi.org/10.3329/bjmed.v24i2.18700

Bangladesh J Medicine 2013; 24 : 59-64

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Published

2014-04-25

How to Cite

Karim, A., Das, D., Salahuddin, M., Marjan, G., Islam, M., Shaha, A., Gupta, R., Islam, S., Amin, R., & Rashid, H. (2014). Prevalence of Microalbuminuria and Overt Proteinuria in Hypertension and Their Relations with Renal Function in a Rural Population of Bangladesh. Bangladesh Journal of Medicine, 24(2), 59–64. https://doi.org/10.3329/bjmed.v24i2.18700

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Original Articles