title: The burden of hypertension and kidney disease in Northeast India: the Institute for Indian Mother and Child noncommunicable diseases project.
abstract: Chronic noncommunicable diseases (NCDs) such as hypertension, atherosclerosis, acute myocardial infarction, stroke, diabetes, obesity, and chronic kidney disease are the major cause of death not only in high income, but also in medium and low income countries. Hypertension and diabetes, the most common causes of chronic kidney disease, are particularly common in southeast Asian Countries. Because early intervention can markedly slow the progression of these two killer diseases, assessment of their presence through screening and intervention program is a priority. We summarize here results of the screening activities and the perspectives of a noncommunicable diseases project started in West Bengal, India, in collaboration with the Institute for Indian Mother and Child (IIMC), a nongovernmental voluntary organization committed to promoting child and maternal health. We started investigating hypertension and chronic kidney disease with screen in school-age children and in adults >30 years old. We found a remarkable prevalence of hypertension, even in underweight subjects, in both children and adult populations. A glomerular filtration rate <60 mL/min was found in 4.1% of adult subjects significantly higher than that of 0.8% to 1.4% reported 10 years ago. Increased awareness and intervention projects to identify NCDs and block their progression are necessary in all countries.
authors.affiliation: Nephrology and Dialysis Unit, San Carlo Borromeo Hospital, Graduate School of Nephrology, University of Milan, Via Pio II, 3-20153 Milano, Italy.
authors.forename: Maurizio
authors.identifier: 0000-0002-2011-2160
authors.initials: M
authors.lastname: Gallieni
authors.affiliation: Dialysis Unit, I.R.C.C.S. Policlinico San Donato, 20097 San Donato Milanese, Italy.
authors.forename: Angela
authors.initials: A
authors.lastname: Aiello
authors.affiliation: Nephrology and Dialysis Unit, San Gerardo Hospital, Graduate School of Nephrology, University of Milano Bicocca, 20090 Monza, Italy.
authors.forename: Benedetta
authors.initials: B
authors.lastname: Tucci
authors.affiliation: Nephrology and Dialysis Unit, San Gerardo Hospital, Graduate School of Nephrology, University of Milano Bicocca, 20090 Monza, Italy.
authors.forename: Valeria
authors.initials: V
authors.lastname: Sala
authors.affiliation: Institute for Indian Mother and Child, Teghoria, Sonarpur, Kolkata, West Bengal 700150, India.
authors.forename: Sujit K
authors.initials: SK
authors.lastname: Brahmochary Mandal
authors.affiliation: Project for People, 20125 Milan, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Doneda
authors.affiliation: Nephrology and Dialysis Unit, San Gerardo Hospital, Graduate School of Nephrology, University of Milano Bicocca, 20090 Monza, Italy.
authors.forename: Simonetta
authors.initials: S
authors.lastname: Genovesi
mesh_terms: D000328:Adult; D001835:Body Weight; D002648:Child; D005260:Female; D005919:Glomerular Filtration Rate; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D007194:India / Q000453:epidemiology; D007674:Kidney Diseases / Q000453:epidemiology* / Q000503:physiopathology; D009035:Mothers; D015995:Prevalence; D011507:Proteinuria / Q000503:physiopathology