title: Prevalence of chronic renal disease in adults attended by the family health strategy.
abstract: BACKGROUND
  Chronic Kidney Disease (CKD) is an important Brazilian public health issue that has as main etiologies, arterial hypertension and diabetes mellitus (DM). The precocious diagnosis is important, because it allows the implementation of preventive measures that retard or interrupt the progression to the most advanced stages of the CKD.
  
  
  OBJECTIVE
  Identify the prevalence and the associated factors to the CKD among adults served by the Family Health Strategy (FHS).
  
  
  METHODS
  Cross-sectional study with epidemiological, descriptive and observational design, realized with 511 adults older than 20 years, served by the FSH in a region of Goiania. CKD was defined as GFR < 60 mL/min/1.73m(2) and/or albuminuria ≥ 30 mg/g. The GFR was estimated by the Cockcroft-Gault equation and albuminuria by the ratio of albumin and urinary creatinine in the urine sample. The independent variables were age, sex, blood pressure, alcohol comsumption, DM, smoking and overweight/obesity.
  
  
  RESULTS
  The CKD prevalence was 32,53%. While GFR < 60ml/min/1.73 m(2) occurred in 10,64% and albuminuria in 25,29% of the sample. The analysis identified a significant association between the ages ≥ 60 and GFR < 60ml/min/1.73 m2 (p < 0,001); as the albuminuria ≥ 30 mg/g the association was found in the male gender (p = 0,043), DM (p = 0,002) and alcohol consumption (p = 0,035).
  
  
  CONCLUSIONS
  There was a high prevalence of CKD's early stages on FHS, taking in consideration the risk factors of age ≥ 60 years old, masculine gender, DM and alcohol consume. Therefore, a CKD screening and monitoring is suggested in adults who are served by the FHS.
authors.affiliation: Universidade Federal de Goiás, Brazil.
authors.forename: Edna Regina Silva
authors.initials: ER
authors.lastname: Pereira
authors.affiliation: Universidade Federal de Goiás, Brazil.
authors.forename: Aline de Castro
authors.initials: Ade C
authors.lastname: Pereira
authors.affiliation: Universidade Federal de Goiás, Brazil.
authors.forename: Guilherme Borges de
authors.initials: GB
authors.lastname: Andrade
authors.affiliation: Universidade Federal de Goiás, Brazil.
authors.forename: Alessandra Vitorino
authors.initials: AV
authors.lastname: Naghettini
authors.affiliation: Universidade Federal de Goiás, Brazil.
authors.forename: Fernanda Karolline Melchior Silva
authors.initials: FK
authors.lastname: Pinto
authors.affiliation: Universidade Federal de Goiás, Brazil.
authors.forename: Sandro Rodrigues
authors.initials: SR
authors.lastname: Batista
authors.affiliation: Universidade Federal de Goiás, Brazil.
authors.forename: Solomar Martins
authors.initials: SM
authors.lastname: Marques
mesh_terms: D000328:Adult; D000419:Albuminuria / Q000453:epidemiology; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005192:Family Health; D005260:Female; D005919:Glomerular Filtration Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D051436:Renal Insufficiency, Chronic / Q000453:epidemiology*; D055815:Young Adult