<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1812-9528</journal-id>
<journal-title><![CDATA[Memorias del Instituto de Investigaciones en Ciencias de la Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Mem. Inst. Investig. Cienc. Salud]]></abbrev-journal-title>
<issn>1812-9528</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Investigaciones en Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1812-95282023000100001</article-id>
<article-id pub-id-type="doi">10.18004/mem.iics/1812-9528/2023.e21122301</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Insuficiencia renal crónica por fórmula MDRD-4: Prevalencia y factores de riesgo asociados en Villarrica, Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Chronic renal failure by MDRD-4 formula: Prevalence and associated risk factors in Villarrica, Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Roa]]></surname>
<given-names><![CDATA[Sandra Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa-de Sforza]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Roa]]></surname>
<given-names><![CDATA[Alexis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Holding Research Lab División Investigación Clínica División Promoción a la salud]]></institution>
<addr-line><![CDATA[Villarrica ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Instituto de Investigaciones en Ciencias de la Salud Departamento de Bioquímica Clínica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>21</volume>
<numero>1</numero>
<fpage>1</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1812-95282023000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1812-95282023000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1812-95282023000100001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La insuficiencia renal crónica (IRC) contribuye a la morbilidad y mortalidad por enfermedades no transmisibles. En Paraguay la tasa de años de vida ajustados por discapacidad para insuficiencia renal (AVAD-IR) aumentó más del 50%, incrementando sustancialmente la tasa de mortalidad. El objetivo de este estudio fue determinar la prevalencia de IRC presuntiva (IRCp) aplicando la fórmula MDRD-4 en Villarrica, Paraguay, año 2022. El estudio fue poblacional de corte transversal en residentes adultos, aparentemente sanos, de entre 19 y 70 años, tanto hombres como mujeres que aceptaron participar mediante consentimiento informado. Se diseñó un muestreo multietápico y se registró una muestra final de 520 participantes. La prevalencia reportada fue de 9,6 %(IC95%: 7,4 - 12,5 %) siendo IRCp oculta en el 54% de los casos. La población de estudio fue mayormente joven con una edad media de 44 años, con sobrepeso siendo IMC promedio de 28,1 Kg/m2 y predominaron las mujeres en un 62%. Se reportó alta frecuencia de antecedentes urológicos (40%) y sistémicos (33%). Se asoció al IRCp: edad &gt; a 65 años(OR:3,6), sexo mujer(OR: 2,4), IMC &gt; a 25 kg/m2(OR: 2,7), antecedente de enfermedad sistémica(OR:3,1) y medicación actual(OR: 3,5). La prevalencia reportada fue consistente con la del consorcio internacional de investigadores GBD-CKD que refirió una prevalencia del 9,1 % para enfermedad renal según su carga mundial. Por lo tanto, el monitoreo de factores de riesgo asociados debe abordarse de manera exhaustiva tanto en el diagnóstico como en promoción a la salud a fin de garantizar calidad en salud pública.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Chronic renal failure (CRF) contributes to morbidity and mortality of noncommunicable diseases. In Paraguay, the rate of Disability Adjusted Life Years for kidney failure (DALY-IR) increased by more than 50%, substantially increasing the mortality rate. The objective of this study was to determine the prevalence of presumptive CRF (CRFp) applying the MDRD-4 formula in Villarrica, Paraguay, in 2022. The study was a cross-sectional population study in adult residents, apparently healthy, between 19 and 70 years of age, both men and women who agreed to participate through informed consent. A multistage sampling was designed and a final sample of 520 participants was recorded. The reported prevalence was 9.6% (95%CI: 7.4-12.5%), with pCRF hidden in 54% of cases. The study population was mostly young with a mean age of 44 years, overweight with an averange BMI of 28.1 Kg/m2 and 62% of women predominated. A high frequency of urological (40%) and systemic (33%) history was reported. CRFp was associated with: age &gt; 65 years (OR: 3.6), female sex (OR: 2.4), BMI &gt; 25 kg/m2 (OR: 2.7), history of systemic disease (OR: 3.1) and current medication (OR: 3.5). The reported prevalence was consistent with that of the GBD-CKD international research consortium that reported a prevalence of 9.1% for kidney disease according to its global burden. Therefore, the monitoring of associated risk factors must be comprehensively addressed both in diagnosis and in health promotion in order to guarantee quality in public health.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[epidemiología]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia renal]]></kwd>
<kwd lng="es"><![CDATA[filtración glomerular]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
<kwd lng="en"><![CDATA[renal failure]]></kwd>
<kwd lng="en"><![CDATA[glomerular filtration]]></kwd>
</kwd-group>
</article-meta>
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