Weight loss: A neglected intervention in the management of chronic kidney disease

Hassan N. Ibrahim, Marc L. Weber

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations

Abstract

Purpose of review: Obesity is being increasingly implicated as an independent risk factor for the development of chronic kidney disease (CKD), raising the question whether reversing obesity can be utilized as a mainstay or an adjunct therapy for CKD and possibly for its prevention. The purpose of this review is to examine the impact of treatment of obesity on renal outcomes. Recent findings: Many observations have pointed to improvement in renal parameters following weight loss. In fact, both surgical and nonsurgical approaches appear to be effective at reducing blood pressure and proteinuria. Weight loss has also been shown to lower glomerular filtration rate (GFR) in obese patients, not an insignificant benefit considering that intra-glomerular hypertension and the subsequent hyperfiltration in the setting of obesity might be a main driver for the development of CKD. Summary: Urinary protein excretion, blood pressure, and GFR improve with surgical and nonsurgical weight loss interventions. Whether improvements in these surrogate outcomes after weight loss actually translate into a reduction in the risk of CKD or amelioration in the rate of progression of established CKD is yet to be determined.

Original languageEnglish (US)
Pages (from-to)534-538
Number of pages5
JournalCurrent Opinion in Nephrology and Hypertension
Volume19
Issue number6
DOIs
StatePublished - Nov 1 2010

Keywords

  • chronic kidney disease
  • obesity
  • weight loss

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