Asset Details
Do you wish to reserve the book?
Chronic kidney disease among agricultural workers in El Salvador
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Chronic kidney disease among agricultural workers in El Salvador
Do you wish to request the book?
Chronic kidney disease among agricultural workers in El Salvador
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Chronic kidney disease among agricultural workers in El Salvador
2011
Overview
Objectives Chronic kidney disease (CKD) unrelated to conventional risk factors occurs in Central America, mostly in younger, male agricultural workers. We explored residence and occupation at different altitudes in El Salvador as surrogates for heat stress. Methods In a population-based survey we determined prevalences of elevated serum creatinine (S-Cr) (≥1,2 and 0.9 mg/dl in males and females), CKD ≥ stage 3 (glomerular filtration rate <60 ml/min/1.73 m2) and proteinuria among occupational subgroups of the populations age 20–60 of five Salvadorian communities, together 256 men and 408 women (participation 73%). Logistic regressions assessed associations between kidney function and agricultural occupations by altitude and sex, adjusting for conventional risk factors. Results Among men of the coastal communities with current sugarcane and past cotton production, 30% had elevated S-Cr and 19% CDK ≥ stage 3 compared to 4% and 1% in the communities above 500 m with sugarcane, coffee and service-oriented economies. Prevalence of elevated S-Cr among male sugarcane and cotton workers in the coastal lowlands with extremely hard and hot working conditions was 33% vs 4% among sugarcane farmers at 500 m (approximately 4oC lower) and 4% among subsistence farmers. Women followed a weaker but similar pattern. For 10-year increments in coastal sugarcane or cotton plantation work, the occurrence of elevated S-Cr tripled among men and doubled among women. Proteinuria was infrequent and of low grade indicating tubulointerstitial nephropathy. Conclusions Agricultural work on lowland sugarcane and cotton plantations was associated with CKD among men and women, possibly related to strenuous and hot work with repeated dehydration.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group LTD
Subject
