Environmental impact on the onset of hypertension-induced end-stage renal disease

ABSTRACT

This study intends to assess the impact of environmental factors on the onset of hypertension-induced end-stage renal disease (ESRD) and to compare the level of oxidative stress with nonhypertensive diabetic ESRD.

ESRD patients were evaluated along with healthy controls through questionnaire for demographic, nutritional and lifestyle variables. Oxidants were measured along with antioxidants. Multiple linear regression (MLR) models were applied to analyze association of studied variables with oxidants and antioxidants.

Most of the hypertensive nephrosclerotic patients were residing in locality that was either closer to industrial belt or polluting water bodies, belonging to low socioeconomic status that invariably affected their lifestyle and nutritional status. Hypertensive ESRD patients showed more pronounced oxidative stress than diabetic ESRD. Several of the studied variables were significantly associated with oxidants and antioxidants.

Demographic, nutritional and lifestyle variables appeared to have suggestive effect on the onset of hypertensive nephrosclerosis.

KEYWORDS:

• Hypertension
• renal disease
• dialysis
• environmental exposure
• nutritional status
• oxidative stress

Supplemental data

Supplemental data for this article can be accessed here.

Competing interests

The authors declare that they have no competing interests.

Additional information

Funding

None.

Notes on contributors

Syed Sultan Beevi

S.S.B. and V.K.V. contributed to the design and implementation of the research, analysis of data and writing of this article. K.A. performed the experiment and collected patients’ data under the supervision of S.S.B. and V.K.V. V.S.R. contributed to patients’ recruitment, manuscript editing and assisted in preparation and organization of questionnaire.