Prevalence of Chronic Kidney Disease in Thai Adult Population
Anutra Chittinandana MD*, Worawon Chailimpamontree MD*, Preecha Chaloeiphap MD**
Affiliation : * Renal Division, Department of Medicine, Bhumibol Adulyadej Hospital ** Department of Preventive Medicine, Royal Thai Air Force
Objective : Chronic kidney disease (CKD) is a major public health problem worldwide. Until now, no large-
scale data about the prevalence of pre-dialysis CKD has been reported in Thailand.
Materials and Methods : The clinical and laboratory data from the ground air force personnel who were
routinely checked up during 2002-2003 were collected and descriptively analyzed. The pilots and air crews
were excluded. All personnel were working in Bangkok.
Results : 15,612 RTAF personnel completed the annual check up. Eighty-two percent were male. The average
age was 45.7 (cid:31) 8 (19 - 65) years. According to the classification of stages of CKD by Kidney Disease Outcome
Quality Initiative (K/DOQI), the prevalence of CKD is 9.1% by Cockcroft Gault formula and 4.6% by Modifi-
cation of Diet in Renal Disease.
Patients with diabetes mellitus, hypertension, hypercholesterolemia and proteinuria were found in
8.2%, 45.8 %, 28.2 % and 1.8% respectively. CKD patients were older, had higher body weight, Body Mass
Index (BMI), blood pressure and blood sugar than non CKD personnel.
Conclusion : CKD were not uncommon among RTAF personnel. The Cockcroft-Gault and MDRD equations
were different in detecting CKD in the present study. The appropriate equation to determine GFR in Thai
population should be evaluated. Low sensitivity of dipstick proteinuria may cause the low prevalence of stage
1 and 2 CKD.
Keywords : Prevalence, Chronic kidney disease, Glomerular filtration rate, Creatinine clearance
