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Year : 2013  |  Volume : 26  |  Issue : 1  |  Page : 18-22

The role of microalbuminuria in population screening for chronic kidney disease in an Egyptian village

1 Department of Public Health and Community Medicine, Faculty of Medicine Menoufia University, Menufia, Egypt
2 Department of Public Health and Community Medicine, National liver Institute, Menufia, Egypt

Correspondence Address:
Zeinab A. Kasemy
MSc, Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Yassin Abdel Ghaffar St, Branched from Gamal Abd El Naser St, 32511 Menufia
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Source of Support: None, Conflict of Interest: None

DOI: 10.7123/01.MMJ.0000429484.86621.34

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The study aimed at determining the prevalence of and risk factors for chronic kidney disease (CKD) using microalbuminuria (MA) as a screening test in a rural area in Gharbia Governorate.


CKD is being increasingly recognized as a public health problem. There is still paucity of data on the prevalence of and risk factors for CKD by using MA as a screening test in the Middle East.


A randomly chosen sample of 320 apparently healthy individuals were interviewed in Shennera village in Gharbia Governorate using a structured questionnaire including information about risk factors for MA. They were also subjected to laboratory investigations including analyses of microalbumin, creatinine, and random blood sugar levels and lipid profile.


The mean age of the studied sample was 35.7±13.7 years; 50.9% were male. Only 85% of the sample had sufficient income. The prevalence of MA was 14.4%. The prevalence of CKD (estimated glomerular filtration rate<60 ml/min/1.73 m2+MA) was 15.6%, but those with elevated creatinine levels comprised 2.8% of the studied group. MA showed an increasing trend with age. The prevalence of MA was significantly higher among diabetic patients, hypertensive patients, obese individuals, cardiovascular disease patients, and smokers. The independent predictor variables associated with the presence of MA in a mutually adjusted logistic regression model were diabetes (odds ratio=8.62, 95% confidence interval: 2.62–28.31) and hypertension (odds ratio=4.92, 95% confidence interval: 1.63–14.86).


Screening of MA seemed to be an easy, equally, or even more efficient method for early identification of significant numbers of individuals with CKD compared with other conventional methods, particularly among those with uncontrolled or undetected diseases such as diabetes or hypertension.

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