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Abstract: TH-PO713

The Association Between Household Income, Food Security, and Prevalence of CKD in Older Patients

Session Information

Category: Diversity and Equity in Kidney Health

  • 800 Diversity and Equity in Kidney Health

Authors

  • Bae, Jinsuk, University of Ulsan College of Medicine, Songpa-gu, Seoul, Korea (the Republic of)
  • Huh, Hyuk, Inje University Busan Paik Hospital, Busan, Korea (the Republic of)
  • Song, Jehun, University of Ulsan College of Medicine, Songpa-gu, Seoul, Korea (the Republic of)
  • Lee, Jong Soo, University of Ulsan College of Medicine, Songpa-gu, Seoul, Korea (the Republic of)
  • Koo, Ho seok, Inje University Seoul Paik Hospital, Jung-gu, Korea (the Republic of)
  • Yoo, Kyung Don, University of Ulsan College of Medicine, Songpa-gu, Seoul, Korea (the Republic of)
Background

This study aimed to clarify the association between food security and the prevalence of chronic kidney disease in Korean older patients.

Methods

We analyzed the variables of The Korea National Health and Nutrition Examination Survey V (2010–2012), and VI (2013–2015) while merging data from the food security questionnaire for four years. We included 15,945 participants, performed propensity score-matched analysis by quartile of household income (i.e., low, low-mid, high-mid, high) and sex, and presented the results by age group (Figure 1).

Results

Systolic blood pressure and proportion of current smokers were significantly higher in the elderly group, compared with the middle-aged group. The prevalence of hypertension, diabetes mellitus (DM), metabolic syndrome, and chronic kidney disease (CKD) did not differ significantly by income level in the elderly group. The food security questionnaire revealed that food security insurance was significantly lower in the low-income level (1st quartile), compared with that in the high-income level (4th quartile). The logistic regression analysis for the association between the prevalence of chronic disease and food insecurity confirmed no significant association between hypertension and DM.

Conclusion

There might be a correlation between self-reported food insecurity and the incidence of chronic kidney disease (CKD), particularly in the elderly populations older than 65 years.