CENTRAL ASIAN JOURNAL OF NEPHROLOGY
Original Article

Study of the Prevalence and Risk Factors of Chronic Kidney Disease in the Kyrgyz Republic

Central Asian Journal of Nephrology, 1(2), 2025, cajn009, https://doi.org/10.63946/cajn/17472
Publication date: Dec 01, 2025
Full Text (PDF)

ABSTRACT

Background: Chronic kidney disease (CKD) is an increasing global health concern and a major contributor to cardiovascular morbidity and mortality. Although its global prevalence is estimated at about 13%, data from Central Asia are limited.
Objective: To assess the prevalence, structure, and key determinants of CKD among adults in the Kyrgyz Republic.
Methods: A population-based cross-sectional study was conducted among adults aged ≥18 years across different regions. CKD was defined according to Kidney Disease: Improving Global Outcomes (KDIGO) criteria as an estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m² and/or a urinary albumin-to-creatinine ratio (UACR) ≥30 mg/g. Disease severity was staged by eGFR and albuminuria categories. Logistic regression identified independent predictors of CKD.
Results: The overall CKD prevalence was 10.8%, comparable to global estimates. Prevalence increased with age, reaching 25.0% among participants ≥70 years, of whom 64.3% had reduced kidney function. CKD was more common in women than in men (p<0.001). Major etiologic factors included diabetes mellitus (29%), chronic glomerulonephritis (23%), chronic pyelonephritis (17%), and hypertension (10%). In multivariable analysis, diabetes, hypertension, dyslipidemia, obesity (BMI ≥30), and rural residence were independent predictors of CKD (p<0.05).
Conclusion: CKD is highly prevalent among adults in the Kyrgyz Republic. Risk factors align with international data, but regional patterns show higher rates of chronic glomerulonephritis and pyelonephritis. Strengthening early detection, integrating CKD screening into national health programs, and focusing on high-risk groups—older adults, women, and rural populations—are crucial to reducing the CKD burden in Kyrgyzstan.

KEYWORDS

Chronic Kidney Disease Prevalence Risk Factors Diabetes Hypertension Dyslipidemia Obesity Kyrgyz Republic Central Asia

CITATION (Vancouver)

Aiypova D, Budaichieva A, Tatenova S, Omurbekova T, Korolyova Y, Kulubaev S, et al. Study of the Prevalence and Risk Factors of Chronic Kidney Disease in the Kyrgyz Republic. Central Asian Journal of Nephrology. 2025;1(2):cajn009. https://doi.org/10.63946/cajn/17472
APA
Aiypova, D., Budaichieva, A., Tatenova, S., Omurbekova, T., Korolyova, Y., Kulubaev, S., Kaliev, R., & Kasmalieva, A. (2025). Study of the Prevalence and Risk Factors of Chronic Kidney Disease in the Kyrgyz Republic. Central Asian Journal of Nephrology, 1(2), cajn009. https://doi.org/10.63946/cajn/17472
Harvard
Aiypova, D., Budaichieva, A., Tatenova, S., Omurbekova, T., Korolyova, Y., Kulubaev, S., . . . Kasmalieva, A. (2025). Study of the Prevalence and Risk Factors of Chronic Kidney Disease in the Kyrgyz Republic. Central Asian Journal of Nephrology, 1(2), cajn009. https://doi.org/10.63946/cajn/17472
AMA
Aiypova D, Budaichieva A, Tatenova S, et al. Study of the Prevalence and Risk Factors of Chronic Kidney Disease in the Kyrgyz Republic. Central Asian Journal of Nephrology. 2025;1(2), cajn009. https://doi.org/10.63946/cajn/17472
Chicago
Aiypova, Dinara, Asel Budaichieva, Saltanat Tatenova, Taalaigul Omurbekova, Yuliya Korolyova, Sultanbek Kulubaev, Rysbek Kaliev, and Ayzhan Kasmalieva. "Study of the Prevalence and Risk Factors of Chronic Kidney Disease in the Kyrgyz Republic". Central Asian Journal of Nephrology 2025 1 no. 2 (2025): cajn009. https://doi.org/10.63946/cajn/17472
MLA
Aiypova, Dinara et al. "Study of the Prevalence and Risk Factors of Chronic Kidney Disease in the Kyrgyz Republic". Central Asian Journal of Nephrology, vol. 1, no. 2, 2025, cajn009. https://doi.org/10.63946/cajn/17472

REFERENCES

  1. Hill NR, Fatoba ST, Oke JL, Hirst JA, O'Callaghan CA, Lasserson DA, Hobbs FDR. Global prevalence of chronic kidney disease: a systematic review and meta-analysis. PLoS One. 2016;11:e0158765. DOI: 10.1371/journal.pone.0158765
  2. Wang L, He Y, Han C, Zhu P, Zhou Y, Tang R, He W. Global burden of chronic kidney disease and risk factors, 1990–2021: an update from the Global Burden of Disease Study 2021. Front Public Health. 2025;13:1542329. DOI: 10.3389/fpubh.2025.1542329
  3. Zhao Z, Bai X. Global trends in chronic kidney disease mortality and disability-adjusted life years attributable to low physical activity (1990–2021): a growing public health challenge. Public Health. 2025;13. DOI: 10.1186/s12882-025-04117-z
  4. Deng L, Guo S, Liu Y, Zhou Y, Liu Y, Zheng X, et al. Global, regional, and national burden of chronic kidney disease and its underlying etiologies from 1990 to 2021: a systematic analysis for the Global Burden of Disease Study 2021. BMC Public Health. 2025;25:636. DOI: 10.1186/s12889-025-21851-z
  5. GBD 2015 Mortality and Causes of Death Collaborators. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388:1459–1544. DOI: 10.1016/S0140-6736(16)31012-1
  6. GBD Chronic Kidney Disease Collaboration. Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2020;395:709–733. DOI: 10.1016/S0140-6736(20)30045-3
  7. Li PK, Garcia-Garcia G, Lui SF, Andreoli S, Fung WWS, Hradsky A, et al. Kidney health for everyone everywhere: from prevention to detection and equitable access to care. Can J Kidney Health Dis. 2020;7:2054358120910569. DOI: 10.1177/2054358120910569
  8. Gansevoort RT, Correa-Rotter R, Hemmelgarn BR, Jafar T, Heerspink HJL, Mann JF, et al. Chronic kidney disease and cardiovascular risk: epidemiology, mechanisms, and prevention. Lancet. 2013;382:339–352. DOI: 10.1016/S0140-6736(13)60595-4
  9. Go AS, Chertow GM, Fan D, McCulloch CE, Hsu CY. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med. 2004;351:1296–1305. DOI: 10.1056/NEJMoa041031
  10. Foreman KJ, Marquez N, Dolgert A, Fukutaki K, Fullman N, McGaughey M, et al. Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016–2040 for 195 countries and territories. Lancet. 2018;392:2052–2090. DOI: 10.1016/S0140-6736(18)31694-5
  11. Xie Y, Bowe B, Mokdad AH, Xian H, Yan Y, Li T, et al. Analysis of the Global Burden of Disease study highlights global, regional, and national trends of chronic kidney disease epidemiology from 1990 to 2016. Kidney Int. 2018;94:567–581. DOI: 10.1016/j.kint.2018.04.011
  12. Nanda M, Sharma R, Jani C. The burden of chronic kidney disease in Asia, 1990–2019: examination of estimates from Global Burden of Disease 2019 study. Nephrology (Carlton). 2022;27:610–620. DOI: 10.1111/nep.14051
  13. Liyanage T, Toyama T, Hockham C, Ninomiya T, Perkovic V, Woodward M, et al. Prevalence of chronic kidney disease in Asia: a systematic review and analysis. BMJ Glob Health. 2022;7:e007525. DOI: 10.1136/bmjgh-2021-007525
  14. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int. 2024;105(4S):S1–S150. DOI: 10.1016/j.kint.2023.10.018
  15. Levey AS, Stevens LA, Schmid CH, Zhang YL Castro 3rd AF, Feldman HI, et al. CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration). A new equation to estimate glomerular filtration rate. Ann Intern Med. 2009;150(9):604–612. DOI: 10.7326/0003-4819-150-9-200905050-00006
  16. Nursultanova L, Kabulbayev K, Ospanova D, Tazhiyeva A, Datkhayev U, Saliev T, et al. Prevalence of chronic kidney disease in Kazakhstan: evidence from a national cross-sectional study. Sci Rep. 2023;13(1):14710. DOI: 10.1038/s41598-023-42031-2
  17. Makmun A, Satirapoj B, Tuyen DG, Foo MWY, Danguilan R, Gulati S, et al. The burden of chronic kidney disease in Asia region: a review of the evidence, current challenges, and future directions. Kidney Research and Clinical Practice. 2025; 44(3):411-433. DOI: 10.23876/j.krcp.23.194
  18. Rasulev Y, Daminov B, Tursunbayev A. Epidemiology of chronic kidney disease in the Republic of Uzbekistan. Nephrology Dialysis Transplantation. 2023;38(1):2537. DOI: 10.1093/ndt/gfad063d_2537
  19. Guo J, Jiao W, Xia S, Xiang X, Zhang Y, Ge X, et al. The global, regional, and national patterns of change in the burden of chronic kidney disease from 1990 to 2021. BMC Nephrol. 2025;26:136. DOI: 10.1186/s12882-025-04028-z
  20. Hockham C, Bao L, Tiku A, Badve SV, Bello AK, Jardine MJ, et al. Sex differences in chronic kidney disease prevalence in Asia: a systematic review and meta-analysis. Clin Kidney J. 2022;15(6):1144–1151. DOI: 10.1093/ckj/sfac030
  21. Kovesdy CP. Epidemiology of chronic kidney disease: an update 2022. Kidney Int Suppl (2011). 2022;12(1):7–11. DOI: 10.1016/j.kisu.2021.11.003
  22. Vosters TG, Kingma FM, Stel VS, Jager KJ, van Ittersum FJ, van den Born BJH, et al. The association and contribution of genderrelated characteristics to prevalent chronic kidney disease in women and men in a multiethnic population - The HELIUS study. BMC Public Health. 2025; 25(1):853.. DOI: 10.1186/s12889-025-22112-9
  23. Lewandowski MJ, Krenn S, Kurnikowski A, Bretschneider P, Sattler M, Schwaiger E. Chronic kidney disease is more prevalent among women but more men than women are under nephrological care: Analysis from six outpatient clinics in Austria. Wien Klin Wochenschr. 2023; 135(3-4):89-96. DOI: 10.1007/s00508-022-02074-3
  24. Centers for Disease Control and Prevention (CDC). Chronic Kidney Disease Surveillance System — United States, 2023. https://www.cdc.gov/kidneydisease/publications-resources/ckd-national-facts.html
  25. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Chronic Kidney Disease (CKD) in the United States, 2023. Bethesda (MD): U.S. Department of Health and Human Services; 2023. https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-management/kidney-disease/ckd-surveillance
  26. Garofalo C, Borrelli S, Minutolo R, Chiodini P, De Nicola L, Conte G. A systematic review and meta-analysis suggests obesity predicts onset of chronic kidney disease in the general population. Kidney Int. 2017;91(5):1224–1235. DOI: 10.1016/j.kint.2016.12.013
  27. Lacount S, Tannock LR. Dyslipidemia in Chronic Kidney Disease. In: Feingold KR, Ahmed SF, Anawalt B, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000–2025. https://www.ncbi.nlm.nih.gov/books/NBK305899/
  28. Wu YL, Wu YC, Akhmetzhanov AR, Wu MY, Lin YF, Lin CC. Urban-rural health disparity among patients with chronic kidney disease: a cross-sectional community-based study from 2012 to 2019. BMJ Open. 2024;14(7):e082959. DOI: 10.1136/bmjopen-2023-082959
  29. O’Callaghan-Gordo C, Shivashankar R, Anand S, Ghosh S, Glaser J, Gupta R, et al. Prevalence of and risk factors for chronic kidney disease of unknown aetiology in India: secondary data analysis of three population-based cross-sectional studies. BMJ Open. 2019;9:e023353. DOI: 10.1136/bmjopen-2018-023353
  30. Al-Rubeaan K, Siddiqui K, Al-Ghonaim M, Youssef AM, AlNaqeb D. The Saudi Diabetic Kidney Disease study (Saudi-DKD): clinical characteristics and biochemical parameters. Annals of Saudi Medicine. 2018; 38(1):46-56. DOI: 10.5144/0256-4947.2018.03.01.1010
  31. Jakab M, Landin E, Akkazieva B. Effectiveness of the Health Care System in the Control of Hypertensive Disease in Kyrgyzstan // Policy Research Document. 2007. No. 44. 24 p.
  32. Prevalence and hypertension cascade data are from the Kyrgyzstan 2013 STEPwise approach to noncommunicable disease risk factor surveillance (STEPS) survey. https://extranet.who.int/ncdsmicrodata
  33. Polupanov A.G., Kontsevaya A.V., Khalmatov A.N., Altymysheva A.T., Suvorova E.I., Romanova T.A., et al. Ethnic features of arterial hypertension prevalence in small-town and countryside residents of the Kyrgyz Republic: results of the international study INTEREPID. Cardiovascular therapy and prevention. 2013; 12(6):4-8. DOI: 10.15829/1728-8800-2013-6-4-8
  34. Arykova A, Laatikainen T, Borubaev M, Duishenalieva M, Altymysheva A, Polupanov A. Using electronic health records in assessing the prevalence of hypertension in Kyrgyzstan. Eur J Public Health. 2024;34(3): doi: 10.1093/eurpub/ckae144.1211

LICENSE

Creative Commons License
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.