Jing Chen1. 1. Department of Medicine, Tulane University School of Medicine, New Orleans, Louisiana 70112, USA.
Abstract
PURPOSE OF REVIEW: Hypertension and chronic kidney disease have become major public health challenges in China. RECENT FINDINGS: It is estimated that approximately 153 million Chinese adults had hypertension in 2002. It is also estimated that 2.33 million total cardiovascular deaths and 1.27 million premature cardiovascular deaths were attributable to increased blood pressure in 2005 in China. Approximately 39% of Chinese adult populations are highly sensitive to dietary sodium intake, a risk factor for hypertension and cardiovascular disease. The prevalence of chronic kidney disease varied greatly among studies due to differences in study populations and definitions of chronic kidney disease. A large prospective cohort study estimates that incidence and mortality of end-stage renal disease was 30.7 and 20.9 per 100,000 person-years among Chinese adults aged 40 years and older. Hypertension and the metabolic syndrome have been documented as risk factors for chronic kidney disease. In addition, a J-shaped association between body weight and incidence of end-stage renal disease and an inverse association between alcohol consumption and risk of end-stage renal disease were documented. SUMMARY: These results underscore the urgent need to develop national strategies for the prevention, detection, and treatment of hypertension and chronic kidney disease.
PURPOSE OF REVIEW: Hypertension and chronic kidney disease have become major public health challenges in China. RECENT FINDINGS: It is estimated that approximately 153 million Chinese adults had hypertension in 2002. It is also estimated that 2.33 million total cardiovascular deaths and 1.27 million premature cardiovascular deaths were attributable to increased blood pressure in 2005 in China. Approximately 39% of Chinese adult populations are highly sensitive to dietary sodium intake, a risk factor for hypertension and cardiovascular disease. The prevalence of chronic kidney disease varied greatly among studies due to differences in study populations and definitions of chronic kidney disease. A large prospective cohort study estimates that incidence and mortality of end-stage renal disease was 30.7 and 20.9 per 100,000 person-years among Chinese adults aged 40 years and older. Hypertension and the metabolic syndrome have been documented as risk factors for chronic kidney disease. In addition, a J-shaped association between body weight and incidence of end-stage renal disease and an inverse association between alcohol consumption and risk of end-stage renal disease were documented. SUMMARY: These results underscore the urgent need to develop national strategies for the prevention, detection, and treatment of hypertension and chronic kidney disease.
Authors: Patricia M Kearney; Megan Whelton; Kristi Reynolds; Paul Muntner; Paul K Whelton; Jiang He Journal: Lancet Date: 2005 Jan 15-21 Impact factor: 79.321
Authors: Kristi Reynolds; Dongfeng Gu; Paul Muntner; John W Kusek; Jing Chen; Xigui Wu; Xiufang Duan; Chung-Shiuan Chen; Michael J Klag; Paul K Whelton; Jiang He Journal: J Am Soc Nephrol Date: 2007-05-02 Impact factor: 10.121
Authors: Jing Chen; Dongfeng Gu; Cashell E Jaquish; Chung-Shiuan Chen; D C Rao; Depei Liu; James E Hixson; L Lee Hamm; C Charles Gu; Paul K Whelton; Jiang He Journal: Arch Intern Med Date: 2008-09-08