Objective: To study the peripheral arterial disease using ankle - brachial index (ABI) and identify the relationship between ABI and cardiovascular risk factors among patients with chronic kidney disease stages 3 to 5 and patients on maintenance hemodialysis. Patients and method: 203 pre-dialysis patients with chronic kidney disease stages 3 to 5, 58 patients on maintenance hemodialysis and 66 healthy controls. Method: cross-sectional descriptive study. Results: ASI 0.9 was observed in 32.52 percent CKD stages 3-5 patients, and 41.38 percent hemodialysis patients vesus 6.06 percent of controls. ASI 1.3 was observed in 15.76 percent CKD stages 3-5 patients and 18.96 percent hemodialysis patients vesus 3.03 percent controls. Age, GFR, total cholesrerol, LDL-C, HDL-C levels were independent risk factors that increased the risk of peripheral arterial disease in CKD stages 3-5 patients. Age, CRP, calcium and Ca x P were independent risk factors that increased the risk of peripheral arterial disease in hemodialysis patients. Conclusion: In this study, the rate of peripheral arterial disease was high in CKD stages 3-5 and hemodialysis patients. Age, total cholesrerol, LDL-C levels, calcium, CRP and Ca x P were risk factors for peripheral arterial disease.
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