COMPARATIVE ANALYSIS OF DIABETIC NEPHROPATHY PATIENTS AMONG DIFFERENT ECONOMIC LEVEL (UPPER, MIDDLE AND LOWER CLASS) BASED ON THEIR SOCIOECONOMIC, NUTRITIONAL AND HEALTH CONDITION IN KHULNA CITY, BANGLADESH.

Abstract

The main purpose of the study was to compare the occurrence of diabetic nephropathy disease among the upper, middle and lower class family at Khulna city in Bangladesh. Data were collected from randomly selected 120 diabetic nephropathy patients in Khulna city through personal interview during August to November, 2014. Mainly socioeconomic condition, nutritional knowledge, anthropometric and dietary pattern were compared among them. In Bangladesh, people belonging to these three classes are suffering from this disease but those from upper class are more affected (near 51.7%). The prevalence of this diseases is higher in male (63%) than female. Amount of drinking water is restricted (Less than 1 liter per day while a health person can drink 4-5-liter water) for Diabetic nephropathy patient, in this survey it has been found that about 52.5% patients drink water by following prescription. Hypertension, constipation and dyspepsia are very common complication associated with diabetic nephropathy and about 73.3%, 55% and 54.2% patients are suffering from hypertension, dyspepsia and constipation respectively. Most of the people were unconscious about their health and they don’t have enough knowledge about the disease and nutrition. In this study, it has been shown that 64.2% patients have no previous knowledge about this disease. At the initial stage of the disease, they could not even realize that they are suffering from this disease. At the severe stage, they understand that they have this problem. The survey found that 40.0% patients were in stage 5 (kidney failure) of diabetic nephropathy where 35% and 25% patients are in stage 3 and stage 4 of diabetic nephropathy respectively. Therefore, it can be said that by growing the awareness among people about the health, disease and nutrition we can reduce the risk of diabetic nephropathy. Drugs, discipline and dietary guide lines help to control the prevalence of diabetic nephropathy.