气候与肾损伤:科罗拉多州气象因素对肾功能的影响概览

F. Macaluso, Amber M. Vaughn, Stefan Wheat, Richard F. Hamman, Katherine A. James
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摘要

急性肾损伤(AKI)和慢性肾脏病(CKD)是严重的健康问题,给全球健康带来巨大负担。有证据表明,尽管肾损伤和肾脏疾病的传统风险因素有所下降,但美国的慢性肾脏病发病率却在上升,对某些人群的影响尤为严重。气候变化导致的气象因素变化可能是造成肾损伤增加的部分原因。这项研究评估了科罗拉多州圣路易斯谷成人急性肾损伤(AKI)与气象因素之间的关系,并对人口和健康因素进行了控制。在控制年龄、性别、高血压病史和糖尿病病史的情况下,相对湿度是预测急性肾损伤的重要因素。在美国,天气模式的变化可能会增加急性肾损伤的风险以及随后发展成慢性肾脏病的风险。这些发现可能有助于公共卫生从业人员和医疗专业人员识别随着季节性天气模式的变化而面临急性或慢性肾损伤风险的人群。进一步的研究应探讨高温、热应激和脱水在美国慢性肾脏病发病中的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Climate and Kidney Injury: A look at the impact of meteorological factors on kidney function within Colorado
Acute Kidney Injury (AKI) and Chronic Kidney Disease (CKD) are serious health conditions with an enormous global health burden. There is evidence to suggest that CKD rates are increasing within the U.S. despite declines in traditional risk factors for kidney injury and disease, disproportionately impacting certain populations. Changes in meteorological factors because of climate change may be partially responsible for this increase in kidney injury. This study evaluated the association between acute kidney injury (AKI) and meteorological factors controlling for demographic and health factors among adults within the San Luis Valley, Colorado, a rural, bi-ethnic agrarian community at increased risk for health impacts from climate change, over a 15-year period. Relative humidity was a significant predictor of AKI controlling for age, sex, history of hypertension, and history of diabetes. Changing weather patterns may increase risk of AKI and the subsequent development of CKD within the U.S. These findings may help public health practitioners and medical professionals to identify populations at risk of incurring acute or chronic kidney injury as seasonal weather patterns change. Further research should investigate the role of heat, heat stress, and dehydration in developing CKD in the U.S.
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