探討成年人生活型態對慢性腎病（CKD）的影響：以eGFR判定CKD第三期以上之研究對象為例

To Explore the Effects of Lifestyle on Chronic Kidney Disease (CKD) in Adult: eGFR judged above CKD stage III as an example of research subjects

"目標：末期腎臟病患消耗許多健保資源，幸而因慢性腎臟病引起的不良後果，是可透過早期偵測早期治療來預防或延緩其發生。本研究目的乃透過健康檢查中心年度健康檢查之資料，探討臺灣民眾生活型態與慢性腎臟病之相關因子。方法：以2011至2015年間在臺灣地區參加兩次以上的某大型健康檢查機構之會員，經篩選資料完整數據共41,437筆，其中1,251筆為CKD第三期，另40,186筆為無CKD相關疾病之族群，對其性別、年齡、身體質量指數（BMI）、生活型態、是否罹患慢性腎病等資料，並採用描述性統計、卡方檢定及邏輯式迴歸等統計方法進行資料分析。慢性腎臟病則是以腎絲球過濾率＜60 mL／min／1.73m2為界定標準。結果：男性罹患慢性腎病風險高於女性；年齡越高、BMI體位越胖，罹患慢性腎病風險越高。慢性腎臟病潛在危險因素有性別、年齡、BMI、飲用含糖飲料習慣及運動次數。結論：參加成人健康檢查的民眾，應計算腎絲球過濾率，達慢性腎臟病第三期以上者，並應提示於健康報告中，對於具有慢性腎臟病相關因子的民眾，尤其是高齡者，應建議其接受醫療院所追蹤診療，以早期發現，早期治療。更應控制個人生活型態，促進健康生活。"

Goal: Patients with end-stage kidney disease (including Kidney failure, Dialysis) spend many health insurance budgets each year and a lot of health care resources. Fortunately, the adverse consequences caused by chronic kidney disease (CKD) can be prevented or delayed through early detection and early treatment. The purpose of this study is to explore the factors related to the lifestyle of Taiwanese people and chronic kidney disease based on the adult health examination data of the health screening center. Methods: A total of 41,437 people who participated in the huge health screening institute in Taiwan from 2011 to 2015 were selected as the research subjects. The 1,251 subjects were CKD Phase III group and another 40,186 were subjects was of non-CKD group, and their gender, age, body mass index (BMI), lifestyle, and whether they suffered from chronic kidney disease, etc. Statistical methods such as descriptive statistics, chi-square test and logistic regression are used for data analysis. CKD is defined by the estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73m2. Results: Men are at a higher risk of CKD than women. The higher the age, and BMI, got the higher the risk of CKD. The potential risk factors for CKD include gender, age, BMI, the habit of sugary drinks intake and the number of exercises. Conclusion: People who participate in adult health examinations should calculate the GFR, and those who have reached the third stage of CKD and should be indicated in the health report. People with chronic kidney disease-related factors should be advised to receive medical treatment Followup diagnosis and treatment in hospitals in elderly for early detection and early treatment. It is necessary to control personal life style and promote healthy life.