Salty Food Consumption and Its Association with Chronic Kidney Disease Among Older Adults in Indonesia: Findings from the 2023 National Health Survey
DOI:
https://doi.org/10.62951/icistech.v5i1.192Keywords:
Chronic kidney disease, elderly, salty food, sodium intake, SKI 2023Abstract
Chronic kidney disease (CKD) is an escalating public health issue, particularly among the elderly. High salt intake is a modifiable dietary risk factor suspected to accelerate CKD progression. However, large-scale evidence from Indonesia remains scarce. This study investigates the association between salty food consumption and CKD among older adults in Indonesia. Using data from the 2023 Indonesia Health Survey (Survei Kesehatan Indonesia/SKI 2023), we analyzed 97,339 individuals aged 60 and above. Descriptive statistics outlined participant characteristics, while chi-square tests and binary logistic regression assessed associations and adjusted effects. Statistical analyses were conducted using STATA 14.1, with significance set at p < 0.05. Among participants, 89.3% reported consuming salty foods, and CKD prevalence was 0.5%. Bivariate analysis showed significant associations between CKD and sex, education, and salty food intake (p < 0.001). Multivariate results indicated that elderly individuals who did not consume salty food had significantly reduced odds of CKD (OR = 0.70; 95% CI: 0.54–0.90; p = 0.006), suggesting a protective effect. These findings highlight a strong association between salty food consumption and CKD risk in Indonesia’s aging population. Reducing dietary salt intake may serve as an effective, low-cost intervention for CKD prevention. Urgent public health strategies focusing on dietary behavior change and nutrition education for the elderly are needed to curb the rising burden of kidney disease.
References
D. Fathonah, H. Hendriana, and T. Rosita, "Gambaran self esteem siswa dari keluarga broken home di SMAN 1 Ciwidey," FOKUS (Kajian Bimbingan & Konseling dalam Pendidikan), vol. 3, no. 4, pp. 129, 2020.
C.P. Kovesdy, "Epidemiology of chronic kidney disease: an update 2022," Kidney Int Suppl (2011), vol. 12, no. 1, pp. 7-11, 2022.
Y. Tang et al., "Aging and chronic kidney disease: epidemiology, therapy, management and the role of immunity," Clinical Kidney Journal, vol. 17, no. 9, 2024.
World Health Organization, "Shaping health insights: WHO’s support for the Indonesia Health Survey 2023," 2024.
Ministry of Health, Republic of Indonesia, "Survei Kesehatan Indonesia (SKI) 2023," 2023.
N.M. Hustrini, E. Susalit, and J.I. Rotmans, "Prevalence and risk factors for chronic kidney disease in Indonesia: An analysis of the National Basic Health Survey 2018," J Glob Health, vol. 12, p. 04074, 2022.
P. Hidayangsih et al., "Chronic kidney disease in Indonesia: evidence from a national health survey," Osong Public Health and Research Perspectives, vol. 14, 2023.
F.J. He et al., "Salt reduction to prevent hypertension and cardiovascular disease: JACC state-of-the-art review," J Am Coll Cardiol, vol. 75, no. 6, pp. 632-647, 2020.
E.J. McMahon et al., "Altered dietary salt intake for people with chronic kidney disease," Cochrane Database Syst Rev, vol. 6, no. 6, p. Cd010070, 2021.
F. Mallamaci and G. Tripepi, "Risk factors of chronic kidney disease progression: Between old and new concepts," J Clin Med, vol. 13, no. 3, 2024.
C.P. Kovesdy, "Epidemiology of chronic kidney disease: an update 2022," Kidney International Supplements, vol. 12, no. 1, pp. 7-11, 2022.
P.S. Hidayangsih et al., "Chronic kidney disease in Indonesia: evidence from a national health survey," Osong Public Health and Research Perspectives, vol. 14, 2023.
Ministry of Health, Republic of Indonesia, "Survei Kesehatan Indonesia (SKI) 2023," 2023. Available: https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/.
A. Grillo et al., "Sodium intake and hypertension," Nutrients, vol. 11, no. 9, p. 1970, 2019.
F.J. He, J. Li, and G.A. MacGregor, "Effect of longer term modest salt reduction on blood pressure: Cochrane systematic review and meta-analysis of randomised trials," BMJ, vol. 346, p. f1325, 2013.
C. Garofalo et al., "Dietary salt restriction in chronic kidney disease: A meta-analysis of randomized clinical trials," Nutrients, vol. 10, no. 6, p. 732, 2018.
E.J. McMahon et al., "Altered dietary salt intake for people with chronic kidney disease," Cochrane Database of Systematic Reviews, vol. 6, 2021.
A.K. Cheung et al., "KDIGO 2021 clinical practice guideline for the management of blood pressure in chronic kidney disease," Kidney International, vol. 99, no. 3, pp. S1-S87, 2021.
S. Tripathy et al., "Association of educational attainment with incidence of CKD in young adults," Kidney International Reports, vol. 5, no. 12, pp. 2256-2263, 2020.
D. Winitzki et al., "Educational attainment is associated with kidney and cardiovascular outcomes in the German CKD (GCKD) cohort," Kidney Int Rep, vol. 7, no. 5, pp. 1004-1015, 2022.
J.J. Carrero et al., "Sex and gender disparities in the epidemiology and outcomes of chronic kidney disease," Nature Reviews Nephrology, vol. 14, no. 3, pp. 151-164, 2018.
G.G. García et al., "Sex and gender differences in chronic kidney disease and access to care around the globe," Seminars in Nephrology, vol. 42, no. 2, pp. 101-113, 2022.
D. Nitsch et al., "Associations of estimated glomerular filtration rate and albuminuria with mortality and renal failure by sex: A meta-analysis," BMJ, vol. 346, p. f324, 2013.
F.J. He, J. Li, and G.A. MacGregor, "Effect of longer term modest salt reduction on blood pressure: Cochrane systematic review and meta-analysis of randomised trials," BMJ, vol. 346, p. f1325, 2013.
A. Grillo et al., "Sodium intake and hypertension," Nutrients, vol. 11, no. 9, 2019.
R.N.A. Kazi, "Silent effects of high salt: Risks beyond hypertension and body's adaptation to high salt," Biomedicines, vol. 13, no. 3, 2025.
T. Sugiura et al., "Dietary salt intake is a significant determinant of impaired kidney function in the general population," Kidney and Blood Pressure Research, vol. 43, no. 4, pp. 1245-1254, 2018.
J.R. Weinstein and S. Anderson, "The aging kidney: physiological changes," Adv Chronic Kidney Dis, vol. 17, no. 4, pp. 302-307, 2010.
C.G. Musso and D.G. Oreopoulos, "Aging and physiological changes of the kidneys including changes in glomerular filtration rate," Nephron Physiol, vol. 119, Suppl 1, pp. p1-5, 2011.
I.L. Noronha et al., "Glomerular filtration in the aging population," Front Med (Lausanne), vol. 9, p. 769329, 2022.
K. Haruhara, G. Kanzaki, and N. Tsuboi, "Nephrons, podocytes and chronic kidney disease: Strategic antihypertensive therapy for renoprotection," Hypertension Research, vol. 46, no. 2, pp. 299-310, 2023.
C. Garofalo et al., "Dietary salt restriction in chronic kidney disease: A meta-analysis of randomized clinical trials," Nutrients, vol. 10, no. 6, 2018.
E.J. McMahon et al., "A randomized trial of dietary sodium restriction in CKD," J Am Soc Nephrol, vol. 24, no. 12, pp. 2096-2103, 2013.
World Health Organization, "Healthy diet: Reduce salt," 2022.
S. Tripathy et al., "Association of educational attainment with incidence of CKD in young adults," Kidney Int Rep, vol. 5, no. 12, pp. 2256-2263, 2020.
J.J. Carrero et al., "Sex and gender disparities in the epidemiology and outcomes of chronic kidney disease," Nat Rev Nephrol, vol. 14, no. 3, pp. 151-164, 2018.
X. Wang et al., "The impact of sex-related disparities on the association between triglyceride-glucose index and renal function decline in patients with type 2 diabetes: Insights from the ACCORD trial," Diabetes Research and Clinical Practice, vol. 224, p. 112163, 2025.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.