RISK FACTORS OF CHRONIC KIDNEY DISEASE AMONG INDONESIAN PROSPECTIVE HAJJ PILGRIMS (DATA ANALYSIS OF SISKOHATKES 2024)
Faktor Risiko Gagal Ginjal Kronis pada Calon Jemaah Haji Indonesia (Analisis Data Siskohatkes 2024)
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Background: Chronic Kidney Disease (CKD) is an escalating global public health issue. By 2024, CKD ranked sixth among the top ten causes of death among Indonesian hajj pilgrims and served as a comorbidity for the two leading causes of mortality, hypertension and cardiovascular diseases. Purpose: This study aims to identify the risk factors of CKD among Indonesian prospective hajj pilgrims in 2024. Methods: A cross-sectional design was utilized using secondary data from the Integrated Hajj Computerized System for Health Sector (Siskohatkes) for all registered pilgrims in 2024. A total of 217,476 participants were enrolled using purposive sampling. Data were analyzed using multivariate logistic regression. Results: The prevalence of CKD among prospective Indonesian hajj pilgrims was 0.2%. Multivariate analysis revealed significant risk factors, including family history of CKD (aPOR = 3.51; 95% CI: 1.30–9.48), diabetes mellitus (aPOR = 2.25; 95% CI: 1.82–2.78) male (aPOR = 2.10; 95% CI: 1.71–2.57), age ≥ 60 years (aPOR = 1.93; 95% CI: 1.48–2.52), and hypertension (aPOR = 1,90; 95% CI: 1,48–2,44). Conclusions: This study highlights risk factors for CKD among prospective Indonesian hajj pilgrims, with a family history of CKD being the most dominant risk factor. The Indonesian Hajj Health Center is advised to standardize the diagnostic methods for CKD and integrate health information systems to serve as a reference for comparison of examination results.
Levey AS, Eckardt KU, Dorman NM, Christiansen SL, Hoorn EJ, Ingelfinger JR, et al. Nomenclature for kidney function and disease: report of a Kidney Disease: Improving Global Outcomes (KDIGO) Consensus Conference. Kidney Int. 2020 Jun 1;97(6):1117–29.
Kovesdy CP. Epidemiology of chronic kidney disease: an update 2022. Kidney Int Suppl (2011). 2022 Apr;12(1):7–11.
Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2021 (GBD 2021) Results. Seattle; 2022 [cited 2024 Oct 22].
Bikbov B, Purcell CA, Levey AS, Smith M, Abdoli A, Abebe M, et al. Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 2020 Feb 29;395(10225):709–33.
Ministry of Health of the Republic of Indonesia. National Basic Health Research Report (RISKESDAS) 2018. 2018.
Hustrini NM, Susalit E, Rotmans JI. Prevalence and risk factors for chronic kidney disease in Indonesia: An analysis of the National Basic Health Survey 2018. J Glob Health. 2022 Oct 14;12:04074.
Febriyanti N, Adisasmita AC. Trend Epidemiologi Deaths of Indonesian Hajj pilgrims in 2017-2023. Jurnal Epidemiologi Kesehatan Indonesia. 2023;7(2):85–91.
Ministry of Health of the Republic of Indonesia. Indonesia's Health Profile in 2023. Jakarta: Ministry of Health of the Republic of Indonesia; 2024.
Ministry of Health of the Republic of Indonesia. Hajj health check policy. Ministry of Health of the Republic of Indonesia. Jakarta; 2024.
Saudi Arabia Ministry of Health. Statistical Yearbook 2023. 2023 [cited 2025 Jan 15].
Ali N, Ul Abideen Z. Management of chronic disease during Hajj period. Journal of the British Islamic Medical Association. 2024 Apr;16(6).
Kim JY, Chun S youn, Lim H, Chang TI. Association between familial aggregation of chronic kidney disease and its incidence and progression. Sci Rep. 2023 Mar 29;13(1):5131.
Zhang J, Thio CHL, Gansevoort RT, Snieder H. Familial aggregation of CKD and heritability of kidney biomarkers in the general population: the lifelines cohort study. American Journal of Kidney Diseases. 2021 Jun;77(6):869–78.
Carlassara L, Zanoni F, Gharavi AG. Familial aggregation of CKD: gene or environment? American Journal of Kidney Diseases. 2021 Jun;77(6):861–2.
Saminathan TA, Hooi LS, Mohd Yusoff MF, Ong LM, Bavanandan S, Rodzlan Hasani WS, et al. Prevalence of chronic kidney disease and its associated factors in Malaysia; Findings from a nationwide population-based cross-sectional study. BMC Nephrol. 2020 Aug 14;21(1).
Poudyal A, Karki KB, Shrestha N, Aryal KK, Mahato NK, Bista B, et al. Prevalence and risk factors associated with chronic kidney disease in Nepal: evidence from a nationally representative population-based cross-sectional study. BMJ Open. 2022 Mar 21;12(3):e057509.
Ko HJ, Ahn SK, Han S, Kim MJ, Na KR, Park H, et al. The factors influencing chronic kidney disease incidence: database from the Korean National Health Insurance Sharing Service (NHISS). J Clin Med. 2024 Apr 9;13(8):2164.
Central Bureau of Statistics. Executive summary of Indonesian population expenditure and consumption in March 2024. Vol. 16. Jakarta: Central Bureau of Statistics; 2024 [cited 2025 Jan 9].
Gembillo G, Ingrasciotta Y, Crisafulli S, Luxi N, Siligato R, Santoro D, et al. Kidney disease in diabetic patients: from pathophysiology to pharmacological aspects with a focus on Therapeutic Inertia. Int J Mol Sci. 2021 May 1;22(9):4824.
Zahra ASA, Simanjorang C. Risk factors of chronic kidney disease in Indonesian patients with diabetes mellitus. Media Kesehatan Masyarakat Indonesia. 2024 Sep 30;20(3):102–11.
Jankowska M, Soler MJ, Stevens KI, Torra R. Why do we keep ignoring sex in kidney disease? Clin Kidney J. 2023 Nov 30;16(12):2327–35.
Franco-Acevedo A, Echavarria R, Melo Z. Sex differences in renal function: participation of gonadal hormones and prolactin. Endocrines. 2021 Jul 5;2(3):185–202.
Zhao J V., Schooling CM. The role of testosterone in chronic kidney disease and kidney function in men and women: a bi-directional Mendelian randomization study in the UK Biobank. BMC Med. 2020 Dec 4;18(1):122.
Muiru AN, Charlebois ED, Balzer LB, Kwarisiima D, Elly A, Black D, et al. The epidemiology of chronic kidney disease (CKD) in rural East Africa: A population-based study. PLoS One. 2020 Mar 4;15(3):e0229649.
Farrell DR, Vassalotti JA. Screening, identifying, and treating chronic kidney disease: why, who, when, how, and what? BMC Nephrol. 2024 Jan 25;25(1):25–34.
Chou YH, Chen YM. Aging and renal disease: old questions for new challenges. Aging Dis. 2021;12(2):515.
van der Burgh AC, Rizopoulos D, Ikram MA, Hoorn EJ, Chaker L. Determinants of the evolution of kidney function with age. Kidney Int Rep. 2021 Dec;6(12):3054–63.
Dong B, Zhao Y, Wang J, Lu C, Chen Z, Ma R, et al. Epidemiological analysis of chronic kidney disease from 1990 to 2019 and predictions to 2030 by Bayesian age-period-cohort analysis. Ren Fail. 2024 Dec 31;46(2).
Flammia RS, Anceschi U, Tufano A, Tuderti G, Ferriero MC, Brassetti A, et al. Is hypertension associated with worse renal functional outcomes after minimally invasive partial nephrectomy? results from a multi-institutional cohort. J Clin Med. 2022 Feb 25;11(5):1243.
Quintela BCSF, Carioca AAF, de Oliveira JGR, Fraser SDS, da Silva Junior GB. Dietary patterns and chronic kidney disease outcomes: A systematic review. Nephrology. 2021 Jul 28;26(7):603–12.
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