Ultrasonographic Renal Dimensions Amongst Adult Nigerian Diabetics: Correlation with Clinical, Anthropometric and Metabolic Risk Factors
Ključne besede:
kidney, ultrasonographic dimensions, Diabetes mellitusPovzetek
Diabetes is now becoming a major public health problem globally. It is increasingly associated with renal diseases, particularly chronic kidney disease worldwide. A simple, accurate, reproducible and non-invasive method of evaluation is necessary for early morphological assessment for timely intervention, diagnosis, treatment, and evaluation of renal diseases in diabetes mellitus. In this cross-sectional comparative study, among one hundred and four adult diabetic cases and fifty-three healthy controls, the ultrasonographic renal dimensions were determined and compared in both cases and controls. Correlations were sought between the renal dimensions and the clinical, anthropometric, and metabolic characteristics of the study population. The dimensions of the kidneys in diabetic cases versus controls were; lengths (9.94± 0.76cm vs 9.27 ± 0.90 and 10.28 ± 0.87cm vs 9.41± 1.02cm(p=<0.001), cortical thickness (1.77± 0.28cm vs 1.26± 0.49cm, p<0.001 and 1.89± 0.52cm vs 1.37± 0.78cm, p<0.001 and volumes (121.9± 39.50cm3 vs 107.8± 29.82cm, p=0.026 and 136.3± 45.09cm3 vs 118.8± 33.79cm3, (p=0.015) were significantly higher in Diabetes mellitus cases on the right and left respectively. The waist circumference, fasting blood sugar, postprandial blood sugar, cholesterol, and urinary albumin, all had correlations with the mean kidney length. Taking together, the ultrasonographic renal lengths, cortical thickness, and volumes are increased in diabetic disease without renal function compromise compared to age-, gender- and body mass index-matched non-diabetic controls. The clinical, anthropometric, and metabolic parameters of the diabetes cases also showed significant correlations with mean kidney length
Literatura
Adebamowo, S.N., Adeyemo, A.A., Tekola-Ayele, F., Doumatey, A.P., Bentley, A.R., Chen G., et al. (2016): Impact of Type 2 Diabetes on Impaired Kidney Function in Sub-Saharan African Populations. Front. Endocrinol. 7: 50. doi: 10.3389/fendo.2016. 00050.
Afkarian, M., Zelnick, L. R., Hall, Y. N., Heagerty, P. J., Tuttle, K., Weiss, N. S., and de Boer, I. H. (2016): Clinical manifestations of kidney disease among US adults with Diabetes. Journal of the American Medical Association 316: 602–610.
Ala M., Abd E., Osman H., Elzaki, A. and Elrahim E. (2013): Ultrasonographic renal size in individuals with known diabetes mellitus. Sch J app medsci 1: 690-92
Ali-Omer, M.A., Eljack, A.H., Gar-alnabi, M.E.M., Mahmoud, M.Z., Elseid, M. and Edam, GA (2014): Ultrasonographic Characteristics of Diabetes Impacts in Kidneys’ Morphology. Open Journal of Radiology 4: 301-308.
American Diabetes Association. (2003): The expert committee on the diagnosis and classification of diabetes mellitus: Follow-up report on the diagnosis of diabetes mellitus. Diabetes Care 26: 3160-3167.
Bakris GL (2011): Recognition, pathogenesis, and treatment of different stages of nephropathy in patients with type 2 diabetes mellitus. Mayo Clin Proc 86: 444–56.
Bakker, J., Olree, M., Kaatee, R., de Large, E.E., Mons, K.G., Beutler, J.J. and Beck, FJ (1999): Renal volume measurements; accuracy and reproducibility of Ultrasound compared with that of MR imaging. Radiology. 211, 623-628.
Blas E., Sivasankara Kurup A. & World Health Organization. (2010): Equity, social determinants and public health programmes / editors Erik Blas and A and Sivasankara Kurup. Geneva: World Health Organization. http://www.who.int/iris/handle/10665/44289
Bommer, C., Heesemann, E., Sagalova, V., Manne-Goehler, J., Atun, R., Bärnighausen, T. and Vollmer, S. (2017): The global economic burden of Diabetes in adults aged 20–79: a cost-of-illness study. Lancet Diabetes Endocrinol. 5:423-430.
Chen, L., Magliano, D.J., Zimmet, P.Z. (2011): The worldwide epidemiology of type 2 diabetes mellitus present and future perspectives. Nat Rev Endocrinol. 8: 28-236.
Chudleigh, R. A., Dunseath, G., Evans, W., Harvey, J. N., Evans, P., Ollerton, R., and Owens, D. R. (2007): How reliable is estimation of glomerular filtration rate at diagnosis of type 2 diabetes? Diabetes Care. 30, 300-5.
El-Reshaid, W. and Abdul-Fattah, H. (2014): Sonographic assessment of renal size in healthy adults. Med Princ Pract. 23: 432-436.
Fasanmade, O.A. and Dagogo-Jack, S. (2015): Diabetes Care in Nigeria. Annals of Global Health, 81: 821–82.
Fioretto, P., Caramori, M.L. and Mauer, M. (2008): The kidney in Diabetes: dynamic pathways of injury and repair. The Camillo Golgi lecture 2007. Diabetologia, 51: 1347-55.
Fiagbe, J., Takramah, W., Axame, W., Owusu, R., Parbey, P., Adjuik, M., Takase, M., Tarkang, E. and Kweku, M. (2017): Risk Factors Associated with Diabetes Mellitus among Adults in the Hohoe Municipality of Ghana. JAMMR. 23: 1-12.
Frank, B. (2011): Globalization of Diabetes. The role of diet, lifestyle and genes. Diab Care. 34: 1249-57
Global Burden of Disease Study group. (2015): 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 (London, England). 386(9995): 743-800.
Hameed, N.M., Zaidan, H.K., Jebor, M.A. and Al-Terehi, M.N. (2017): Relationship between Lipid Profile and Some Physiological Markers in Pre and Post-Menopausal Type II Diabetic Females. J Global Pharma Technol. 9: 222-233.
Harjutsalo V. and Groop, PH (2014): Epidemiology and risk factors for diabetic kidney disease. Adv Chronic Kidney Dis. 21: 260–6.
Ibrahim, H., Mondress, M., Tello, A., Fan, Y., Koopmeiners, J. and Thomas W. (2005): An alternative formula to the Cockcroft-Gault and the modification of diet in renal diseases formulas in predicting GFR in individuals with type 1 diabetes. J Am Soc Nephrol. 16: 1051-60.
International Diabetes federation. Diabetes: Facts and Figures. 6th ed. Updated 2014. Available at: www.idf.org/worlddiabetesday/toolkit/gp/factsfigures.
International Diabetes Federation. IDF Diabetes, 7 ed, Brussels: International Diabetes Federation; 2015. Available from: http://www.diabetesatlas.org.
Jha, V., Garcia-Garcia, G., Iseki, K., Li, Z., Naicker, S., Platt,ner B., et al. (2013): Chronic kidney disease: global dimension and perspectives. Lancet. 382(9888):260–72.
John, E.O., Igbinedion, B.O., Akhigbe, A.O. (2018): Comparative sonographic assessment of renal dimensions and clinico-biochemical parameters among diabetic and non-diabetic adults in Benin City, Nigeria. J Med Trop. 20: 17- 23.
KDOQI (2007): clinical practice guidelines and clinical practice recommendations for Diabetes and chronic kidney disease. Am J Kidney Dis. 49(S):12 154.
Korkmaz, M., Aras, B., Güneyli, S. and Yılmaz, M. (2018): Clinical significance of renal cortical thickness in patients with chronic kidney disease. Ultrasonography. 37: 50-54.
Kramer, H. and Molitch, M.E. (2005): Screening for Kidney disease in Adults with Diabetes. Diabetes Care. 28: 1813-6.
Larsson, S.C. and Wolk, A. (2011): Diabetes mellitus and incidence of kidney cancer: a meta-analysis of cohort studies. Diabetologia. 54: 1013–1018.
Manal, A.M., Samia, S., Abdulmageed, R.I. and Bayan KS (2014): Assessment of the Common Risk Factors Associated with Type 2 Diabetes Mellitus in Jeddah. International J Endocrinol. 2014: 1-9.
Mancini, M., Masulli, M., Liuzzi, R., Mainenti, P. P., Ragucci, M., Maurea, S., Riccardi, G. and Vaccaro, O. (2013): Renal Duplex Sonographic Evaluation of Type 2 Diabetic Patients. J Ultrasound Med. 32: 1033-1040.
Mbanya, J.C. and Ramiaya, K. (2006): Cost of Diabetes in Diseases and mortality in Sub-Sahara Africa. Second edition. Page 279-280. Publisher; The World bank, 1818H street, NW, Washington, DC 20433 USA.
Mittal, A., Sathian, B., Kumar, A., Chandrasekharan, N. and Sunka, A. (2010): Diabetes mellitus as a Potential Risk Factor for Renal Disease among Nepalese: A Hospital Based Case Control Study. Nepal J Epidemiol. 1: 22-25.
Modi, D., Rathod, G.B., Delwadia, K.N. and Goswami, H.M. (2016): Study of significance of glycosylated hemoglobin in diabetic patient. IAIM, 3(4):1-10.
Moorthy, K.H. and Venogopal, P. (2011): Measurement of renal dimensions in vivo: A critical appraisal. Indian J Urol. 27: 169-175.
Muthusami, P., Ananthakrishnan, R. and Santosh, P. (2014): Need for a nomogram of renal sizes in the Indian population- findings from a single center sonographic study. Indian J Med Res. 139: 686-639.
Oguejiofor, O., Odenigbo, C. and Onwukwe C. (2014): Diabetes in Nigeria: Impact, Challenges, Future Directions. Endocrinol Metab Synd 3:130.
Päivänsalo, M.J., Merikanto, J., Savolainen, M.J., Lilja, M., Rantala, A.O., Kauma, H., et al. (1998): Effect of hypertension, Diabetes and other cardiovascular risk factors on kidney size in middle-aged adults. Clin Nephrol. 50:161–168.
Pradeep, KD (2010): Renal function in diabetic nephropathy. World J Diabetes.1, 48-56.
Premaratne, E., McIsaac, R.J., Tsalamandris, C., Panagiotopoulos, S., Smith, T. and Jerums, G. (2005): Renal hyperfiltration in type 2 diabetes: effect of age-related decline in glomerular filtration rate. Diabetologia. 48: 2486-93.
Report of a WHO Consultation. Part 1 (1999): diagnosis and classification of Diabetes mellitus. Geneva, World Health Organization 1999 (WHO/ NCD/NCS/99.2).
Rigalleau, V., Garcia, M., Lasseur, C., Laurent, F., Montaudon, M., Raffaitin, C., Barthe, N., Beauvieux, M. C., Vendrely, B., Chauveau, P., Combe, C. and Gin, H. (2010): Large kidneys predict poor renal outcome in subjects with Diabetes and chronic kidney disease. BMC nephrology. 11, 3. doi:10.1186/1471-2369-11-3
Saeed, Z., Mirza, W., Sayani, R., Sheikh, A., Yazdani, I. and Hussain, S.A. (2012): Sonographic measurement of renal dimensions in adults and its correlates. Int J Collab Res Int Med Public Health. 4: 1626 41.
Sanusi, A.A., Arogundade, F.A., Famurewa, O. C., Akintomide, A.O., Soyinka, F.O., Ojo, O.E. and Akinsola, A. (2009): Relationship of ultrasonographically determined kidney volume with measured GFR, calculated creatinine clearance and other parameters in chronic kidney disease (CKD). Nephrology, dialysis, transplantation: official publication of the European Dialysis and Transplant Association - European Renal Association, 24(5), 1690–1694. https://doi.org/10.1093/ndt/gfp055
Sirivole, M.R. and Eturi, S. (2017): A study on blood urea and serum creatinine in Diabetes mellitus from Sangareddy District, Telangana, India. International Journal of Medical and Health Research. 3: 132-136.
Soheilipour, F., Jesmi, F., Rahimzadeh, N., Pishgahroudsari, M., Almassinokian, F. and Mazaherinezhad, A. (2016): Configuring a better estimation of kidney size in obese children and adolescents. Iran j Pediatr. 26: e 4700.
Vigersky, R.A. (2011): An overview of management issues in adult patients with type 2 diabetes mellitus. J Diabetes Sci Technol. 5; 245–250.
Wang, Y., Zhong, B., Li, Y., Qin, X., Wang, B., Xu, X., et al. (2017): Relationship of Diabetes with renal dysfunction in hypertensive adults. Medicine. 96: 24.
WHO Global Diabetes Scorecard, N. C. D. (2015): The International Diabetes Federation (IDF) response to the WHO first draft of the Framework for country action across sectors for health and health equity; 2015.
World Health Organization (WHO) 2011: Use of Glycated Haemoglobin (HbA1c) in the Diagnosis of Diabetes Mellitus: Abbreviated Report of a WHO Consultation. Geneva: World Health Organization; 2011. 2, Glycated haemoglobin (HbA1c) for the diagnosis of diabetes. Available from: https://www.ncbi.nlm.nih.gov/books/NBK304271/
World Health Organization Obesity and Diabetes: the slow-motion disaster Keynote address at the 47th meeting of the National Academy of Medicine. WHO 2016a.
World Health Organization. (2016): Global report on Diabetes. Geneva: World Health Organisation; 2016b.
Wu, Y., Ding, Y., Tanaka, Y. and Zhang W. (2014): Risk Factors Contributing to Type 2 Diabetes and Recent Advances in the Treatment and Prevention. International Journal of Medical Sciences. 11: 1185-1200.
Yamashita, S.R., von Atzingen, A.C., Iared, W., Bezerra, A.S., Ammirati, A.L., Canziani, M.E. and D'Ippolito, G. (2015): Value of renal cortical thickness as a predictor of renal function impairment in chronic renal disease patients. Radiologia brasileira, 48(1), 12–16.
Zira, JD (2017): Sonographic assessment of renal sizes, parenchymal thickness and volume in patients with type 2 diabetes mellitus. Pakistan J Radiol. 27: 213-218.
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