Asymptomatic kidney changes discovered during occupational health screening: age-dependent trends from a large cohort.
1 in 20 young adults had hidden albuminuria despite normal kidney filtration
Asymptomatic kidney changes discovered during occupational health screening: age-dependent trends from a large cohort.
The urinary albumin-to-creatinine ratio (uACR) and estimated glomerular filtration rate (eGFR) are key biomarkers for asymptomatic detection of chronic kidney disease (chronic kidney disease), yet their combined use in preventive screening-particularly among young adults-remains uncommon.
This study evaluates chronic kidney disease markers in a large occupational cohort, emphasizing the early renal alterations observed in the 19-30-year age group and their distribution across older age strata.
Between 2021 and 2024, 12 281 healthcare workers aged 19-71 years participated in an occupational health surveillance program at the University Hospital of Bari, Italy.
Overall, 6.7% of participants met the Kidney Disease: Improving Global Outcomes criteria for chronic kidney disease, with 6.5% exhibiting elevated uACR (>30 mg/g) and 0.2% demonstrating reduced eGFR (<60 mL/min/1.73 m 2 ).
Middle-aged adults (31-60 years, n = 5245): 5.9% presented with mild renal impairment, characterized by elevated uACR or mild eGFR decline.
Older adults (>60 years, n = 2907): Only 84% remained in the lowest Kidney Disease: Improving Global Outcomes prognostic category (G1-G2/A1), whereas 16% exhibited elevated uACR and/or reduced eGFR, consistent with age-related renal decline and a higher comorbidity burden.
Even in a predominantly healthy working population, one in 20 young adults demonstrated asymptomatic kidney alterations identifiable only through uACR screening.
These findings underscore the importance of integrating both uACR and eGFR testing into occupational and preventive health programs to detect mild chronic kidney disease in all age groups and promote kidney health preservation from early adulthood.