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Associations between Water Quality Measures and Chronic Kidney Disease Prevalence in Taiwan

Author

Listed:
  • Kuan Y. Chang

    (Department of Computer Science and Engineering, National Taiwan Ocean University, Keelung 202, Taiwan
    These authors contributed equally to this work.)

  • I-Wen Wu

    (Division of Nephrology, Keelung Chang Gung Memorial Hospital, Keelung 204, Taiwan
    These authors contributed equally to this work.)

  • Bo-Ruei Huang

    (Department of Computer Science and Engineering, National Taiwan Ocean University, Keelung 202, Taiwan)

  • Jih-Gau Juang

    (Department of Communications, Navigation and Control Engineering, National Taiwan Ocean University, Keelung 202, Taiwan)

  • Jia-Chyi Wu

    (Department of Communications, Navigation and Control Engineering, National Taiwan Ocean University, Keelung 202, Taiwan)

  • Su-Wei Chang

    (Clinical Informatics and Medical Statistics Research Center, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan
    Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan)

  • Chung Cheng Chang

    (Department of Electrical Engineering, National Taiwan Ocean University, Keelung 202, Taiwan)

Abstract

To determine the relationships between exposure to environmental contaminants in water and chronic kidney disease (CKD), we investigated the associations of 61 water attributes with the prevalence of CKD and End-Stage Renal Disease (ESRD) using data from 2005 to 2011 from all 22 counties and cities in the main island of Taiwan. We acquired patient information from the Taiwan Longitudinal Health Insurance Database to calculate the age-standardized CKD and ESRD prevalence rates and linked the patients’ residences to the water quality monitoring data, which were sampled periodically for a total of over 45,000 observations obtained from the Taiwan Environmental Water Quality Information Database. The association analysis adjusting for gender, age, and annual effects showed that the zinc (Zn), ammonia, chemical oxygen demand (COD), and dissolved oxygen in rivers were weakly correlated with CKD (τ = 0.268/0.250/0.238/−0.267, p = 6.01×10 −6 /2.52×10 −5 /6.05×10 −5 /3.30×10 −5 , respectively), but none for ESRD. The importances of Zn and COD in rivers were also demonstrated in a CKD regression model. Moreover, an unusually high CKD prevalence was related to arsenic contamination in groundwater. A further prospective cohort study would improve our understanding of what level of environmental water with risky properties could affect the development of CKD.

Suggested Citation

  • Kuan Y. Chang & I-Wen Wu & Bo-Ruei Huang & Jih-Gau Juang & Jia-Chyi Wu & Su-Wei Chang & Chung Cheng Chang, 2018. "Associations between Water Quality Measures and Chronic Kidney Disease Prevalence in Taiwan," IJERPH, MDPI, vol. 15(12), pages 1-15, December.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2726-:d:187467
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    References listed on IDEAS

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    1. Channa Jayasumana & Sarath Gunatilake & Priyantha Senanayake, 2014. "Glyphosate, Hard Water and Nephrotoxic Metals: Are They the Culprits Behind the Epidemic of Chronic Kidney Disease of Unknown Etiology in Sri Lanka?," IJERPH, MDPI, vol. 11(2), pages 1-23, February.
    2. Nathan R Hill & Samuel T Fatoba & Jason L Oke & Jennifer A Hirst & Christopher A O’Callaghan & Daniel S Lasserson & F D Richard Hobbs, 2016. "Global Prevalence of Chronic Kidney Disease – A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-18, July.
    3. Ta-Chien Chan & I.-Chun Fan & Michael Shi-Yung Liu & Ming-Daw Su & Po-Huang Chiang, 2014. "Addressing Health Disparities in Chronic Kidney Disease," IJERPH, MDPI, vol. 11(12), pages 1-18, December.
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    Cited by:

    1. Stanislav Rapant & Veronika Cvečková & Katarína Fajčíková & Igor Hajdúk & Edgar Hiller & Beáta Stehlíková, 2019. "Hard Water, More Elastic Arteries: A Case Study from Krupina District, Slovakia," IJERPH, MDPI, vol. 16(9), pages 1-14, April.
    2. Patrick Levallois & Cristina M. Villanueva, 2019. "Drinking Water Quality and Human Health: An Editorial," IJERPH, MDPI, vol. 16(4), pages 1-4, February.

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