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To investigate changes and job-specific differences in kidney function over a 6-month sugarcane harvest season, explore the potential role of hydration, and measure proteinuria. We recruited Nicaraguan sugarcane workers performing seven distinct tasks. We measured urine albumin and serum creatinine and estimated glomerular filtration rate eGFR. The number of years employed at the company was negatively associated with eGFR. The decline in kidney function during the harvest and the differences by job category and employment duration provide evidence that one or more risk factors of CKD are occupational. In Central America, there is an epidemic of chronic kidney disease CKD and the prevalence has been increasing over the past two decades.
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