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The Association of Betel Nut Chewing with Chronic Kidney Disease: A Retrospective 7-year Study in Taiwan.
MedLine Citation:
PMID:  21736664     Owner:  NLM     Status:  Publisher    
Aim:  Only few studies have reported that betel nut (BN) chewing is independently associated with chronic kidney disease (CKD); however, the sample size was relatively small. This study was to explore further the association between BN chewing and CKD using a larger case series. Methods:  We retrospectively reviewed the records of a health check-up program from 2003 to 2009. Laboratory tests, medical history and status of cigarette smoking, alcohol drinking and BN chewing were compared between CKD and non-CKD groups. We checked interaction effects between BN chewing and all other covariates, and conducted multivariate logistic regression analysis to explore the risk of CKD with BN chewing. Results:  27482 participants (15491 females and 11991 males, mean age 58.02 ± 11.85 years) were included in the study, of whom 4519 (16.4%) had CKD and 1608 (5.9%) chewed BN. CKD prevalence in the chewers was higher than in the non-chewers in all age groups per decade. BN chewing was significantly associated with CKD in overall subjects (OR = 1.23, p= 0.027) and also in the male (OR = 1.23, p= 0.035), non-drinking (OR = 1.62, p= 0.000), non-diabetic (OR = 1.27, p= 0.021), and non-proteinuric groups (OR = 1.30, p= 0.013). This relationship was insignificant in female, drinking, diabetic and proteinuric groups. Conclusion:  The association between BN chewing and CKD seemed conditional on demographics, health behaviors, and underlying co-morbidities. This association should be interpreted cautiously.
Yueh-Han Hsu; Wen-Hsin Liu; Wei Chen; Yi-Chun Kuo; Chih-Yen Hsiao; Peir-Haur Hung; Ing-Ching Jong; Pei-Chun Chiang; Chih-Cheng Hsu
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-7-7
Journal Detail:
Title:  Nephrology (Carlton, Vic.)     Volume:  -     ISSN:  1440-1797     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-7-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9615568     Medline TA:  Nephrology (Carlton)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors. Nephrology © 2011 Asian Pacific Society of Nephrology.
Division of Nephrology, Department of Internal Medicine, Chia-Yi Christian Hospital, Chia-Yi, Taiwan Department of Nursing, Min-Hwei College of Health Care Management, Tainan, Taiwan Division of Family Medicine, Chia-Yi Christian Hospital, Chia-Yi, Taiwan Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chia-Yi Christian Hospital, Chia-Yi, Taiwan Department of Respiratory Therapy, China Medical University, Taichung, Taiwan Institute of Population Health Sciences, National Health Research Institutes, Zhunan, Taiwan Department of Health Services Administration, China Medical University and Hospital, Taichung, Taiwan.
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