Impact of High, Low, and Non-Optimum Temperatures on Chronic Kidney Disease in a Changing Climate, 1990–2019: A Global Analysis

Details

• Personal Author:
  Delclos GL ; Gimeno Ruiz de Porras D ; He L ; Hu M ; Liu C ; Luo B ; Wang B ; Xue B ; Zhang K
• Description:
  Background: Although a few studies have reported the relationship between high and low temperatures and chronic kidney disease (CKD), the global burden of CKD attributable to extreme heat and cold in recent decades remains unknown. Methods: Based on the Global Burden of Disease Study (GBD) 2019, we obtained data on age-standardized mortality rates (ASMR) and age-standardized rates of disability-adjusted life years (ASDR) per 100 000 population of the CKD attributable to non-optimum temperatures from 1990 to 2019. The annual mean temperature of each country was used to divide each country into five climate zones (tropical, subtropical, warm-temperate, cool-temperate, and boreal). The locally weighted regression model was used to estimate the burden for different climate zones and Socio-demographic index (SDI) regions. Results: In 1990, the ASMR and ASDR due to high temperature estimated -0.01 (95% UI, -0.74 to 0.44) and -0.32 (-21.66 to 12.66) per 100 000 population, respectively. In 2019, the ASMR and ASDR reached 0.10 (-0.28 to 0.38) and 2.71 (-8.07 to 10.46), respectively. The high-temperature burden increased most rapidly in tropical and low SDI regions. There were 0.99 (0.59 to 1.39) ASMR attributable to low-temperature in 1990, which increased to 1.05 (0.61-1.49) in 2019. While the ASDR due to low temperature declined from 22.03 (12.66 to 30.64) in 1990 to 20.43 (11.30 to 29.26) in 2019. Overall, the burden of CKD attributable to non-optimal temperatures has increased from 1990 to 2019. CKD due to hypertension and diabetes mellitus were the primary causes of CKD death attributable to non-optimum temperatures in 2019 with males and older adults being more susceptible to these temperatures. Conclusions: The CKD burden due to high, low, and non-optimum temperatures varies considerably by regions and countries. The burden of CKD attributable to high temperature has been increasing since 1990. [Description provided by NIOSH]
• Subjects:
  Climate Change Cold Temperature Hot Temperature Morbidity Mortality Occupational Health Safety Temperature
• Keywords:
  Author Keywords: Chronic Kidney Disease Climate Change Climate Zones Cold Environments Global Burden Hot Environments Kidney Disorders Morbidity Rates Mortality Data Socio-demographic Indexes Temperature Effects

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• ISSN:
  0013-9351
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; New York ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  212
• NIOSHTIC Number:
  nn:20066976
• Citation:
  Environ Res 2022 Sep; 212(Pt A):113172
• Contact Point Address:
  Kai Zhang, Department of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, One University Place, Rensselaer, NY, 12144, USA
• Email:
  kzhang9@albany.edu
• Federal Fiscal Year:
  2022
• Performing Organization:
  University of Texas Health Science Center, Houston
• Peer Reviewed:
  True
• Part Number:
  A
• Start Date:
  20050701
• Source Full Name:
  Environmental Research
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ed726acbdb86a3874e69b4c03adb4c26136bd014e662457da4d6da99da87a0aeaff198c9093386b8792f33f951c1ed823117b442bff4b7252ef30f057697a4d4
• Download URL:
  https://stacks.cdc.gov/view/cdc/231232/cdc_231232_DS1.pdf
• File Type:
  [PDF - 7.04 MB ]