Knowledge of the General Population about Chronic Kidney Disease
Maryem Labrassi*, Fadili Wafaa, Lamiae El Abbady, Meriem Chettati and Inass Laouad
Department of Nephrology, Mohamed VI Medical University Hospital, Cadi Ayyad University, Marrakesh, Morocco
*Corresponding Author: Maryem Labrassi, Department of Nephrology, Mohamed VI Medical University Hospital, Cadi Ayyad University, Marrakesh, Morocco.
April 12, 2021; Published: April 23, 2021
Chronic kidney disease (CKD) is a major public health problem in Morocco and around the world. Public awareness is a determinant factor in the adoption of early programs of this disease.
The objectives of our work were to determine the general population’s knowledge of the CKD using a questionnaire, and to determine the impact of the participants' epidemiological characteristics on their level of knowledge.
We have managed a descriptive cross-sectional study using a survey carried out among consultants and their companions at primary health care centers in Marrakech. Our study included 200 volunteers aged over 18 years old, not working in the medical field, and having no personal history of nephropathy.
The predominant age group in our survey was between 18 and 29 years (43.5% of cases), with a female predominance 81.5% of the participants were from urban origin and 54.5% of the participants were married. Most of the subjects were schooled (85%), of which 34.5% had completed higher education. High blood pressure and diabetes were found in respectively 12.5% and 18.5% of participants in our study.
In univariate statistical analysis, the factors significantly related to the knowledge of the participants in our study about CKD were: the presence of a family history of CKD, and the personal history of medical intake, diabetes and hypertension.
The consequences of CKD amplify its socio-economic impact and deplete public health resources, hence the crucial need for the participation of the different actors of the health system for the implementation of public awareness programs on CKD. They should be more targeted to people with risk factors of CKD.
Keywords: Chronic Kidney Disease; Public Awareness; Risk Factor; Questionnaire; Prevention References
“Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease” (2012).
Jha V., et al. “Chronic kidney disease: global dimension and perspectives”. Lancet 9888 (2013): 260-272.
Johnson DW., et al. “KHA-CARI guideline: early chronic kidney disease: detection, prevention and management". Nephrology (Carlton Vic) 5 (2013): 340-350.
Veluswamy SK., et al. “Awareness of chronic disease related health benefits of physical activity among residents Of a rural South Indian region: A crosssectional study”. International Journal of Behavioral Nutrition and Physical Activity 11 (2014):
Wright Nunes J A., et al. “Associations among perceived and objective disease knowledge and satisfaction with physician communication in patients with chronic kidney disease”. Kidney International12 (2011): 1344-1351.
Tan AU., et al. “Patient perception of risk factors associated with chronic kidney disease morbidity and mortality ”. Ethnicity and Disease 20 (2010): 106-110.
Zhang L., et al. “Prevalence of chronic kidney disease in China, a cross-sectional survey”. Lancet 379 (2012): 815-822.
Gheewala P A., et al. “Public knowledge of chronic kidney disease evaluated using a validated questionnaire: a cross-sectional study”. BMC Public Health 1 (2018).
Wright J A., et al. “Development and Results of a Kidney Disease Knowledge Survey Given to Patients With CKD”. American Journal of Kidney Diseases 3 (2011): 387-395.
Chow KM., et al. “Public lacks knowledge on chronic kidney disease: telephone survey”. Hong Kong Medical Journal2 (2014): 139-144.
Strippoli GF., et al. “Fluid and nutrient intake and risk of chronic kidney disease". Nephrology 16 (2011): 326-334.
Yuzbashian E., et al. “Sugar-sweetened beverage consumption and risk of incident chronic kidney disease: Tehran Lipid and Glucose Study”. Nephrology (Carlton) 21 (2015): 608-616.
Bach KE., et al. “Healthy dietary patterns and incidence of CKD: a meta-analysis of cohort studies". Clinical Journal of the American Society of Nephrology 14 (2019): 1441-1449.
Ajjarapu AS., et al. “Dietary patterns and renal health outcomes in the general population: a review focusing on prospective studies”. Nutrients 11 (2019):
Kalantar-Zadeh K., et al. “North American experience with Low protein diet for Non-dialysis-dependent chronic kidney disease”. BMC Nephrology 17 (2016): 90.
White SL., et al. “Limited knowledge of kidney disease in a survey of AusDiab study participants ”. The Medical journal of Australia 4 (2008): 204-208.
Oluyombo R., et al. “Awareness, knowledge and perception of chronic kidney disease in a rural community of south-West Nigeria”. Nigerian Journal of Clinical Practice 2 (2016): 161-169.
Joshi S., et al. “Adequacy of Plant-Based Proteins in Chronic Kidney Disease”. Journal of Renal Nutrition2 (2019): 112-117.
Drewnowski A., et al. “Water and beverage consumption among adultes in the United States : Cross-sectional study using data from NHANES 2005-2010". BMC Public Health 13 (2013): 1068-1077.
Strippoli GF., et al. “Fluid and nutrient intake and risk of chronic kidneydisease”. Nephrology (Carlton)3 (2011): 326-334.
Clark WF., et al. “Urine volume and change in estimated GFRin a community-based cohort study”. Clinical Journal of the American Society of Nephrology 11 (2011): 2634-2641.
Sontrop JM., et al. “Association between water intake,chronic kidney disease, and cardiovascular disease: a cross-sectional analysis of NHANES data”. American Journal of Nephrology 5 (2013): 434-442.
Roomizadeh P., et al. “Limited knowledge of chronic kidney disease and its main risk factors among Iranian community: an appeal for promoting national public health education programs”. International Journal of Health Policy and Management4 (2014): 161-166.
Levey AS., et al. “The definition, classification, and prognosis of chronic kidney disease : KDIGO Controversies Conference report”. Kidney International1 (2011): 17-28.
Vos T., et al. “Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the global burden of disease study 2013". Lancet 9995 (2013): 743-800.
Sugiura T., et al. “Dietary salt intake is a significant determinant of impaired kidney function in the general population”. Kidney Blood Press Research 43 (20183): 1245-1254.
Sumaili E K., et al. “High prevalence of undiagnosed chronic kidney disease among at-risk population in Kinshasa", the Democratic Republic of Congo”. BMC Nephrology 10 (2009):
Mohamed R E F., et al. “Profil des insuffisants rénaux chroniques diabétiques à l'initiation de l'hémodialyse au service de Néphrologie et dialyse de l'hôpital militaire de Rabat, Maroc". Pan African Médical Journal 15 (2013):
Yaw A A., et al. “Clinical and demographic characteristics of chronic kidney disease patients in a tertiary facility in Ghana”. Pan African Medical Journal 18 (2014): 274.
Keller N., et al. “Sodium, hypertension, maladies rénales et santé publique". Néphrologie and Thérapeutique 14 (2018): S93-S98.
Ohta Y., et al. “High salt intake promotes a decline in renal function in hypertensive patients: a 10-year observational study”. Hypertens Reseacrh 36 (2013): 172-176.
Wong MM., et al. “The science of salt: a regularly updated systematic review of salt and health outcomes (December 2015-March 2016)”. Journal of Clinical Hypertension (Greenwich)3 (2017): 322-332.
Levey AS., et al. “Chronic kidney disease as a global public health-problem approaches and initiatives - a position statement from Kidney Disease Improving Global Outcomes". Kidney International 72 (2007): 247-259. Citation