2007 JASN IMPACT FACTOR 7.111	HOME   AUTHOR INFO   EDITORIAL BOARD   SUBSCRIBE   FEEDBACK   ALERTS   HELP
advanced	CURRENT ISSUE	ARCHIVES	JASN Express	ONLINE SUBMISSION

This Article Full Text Full Text (PDF) All Versions of this Article: ASN.2005111241v1 17/5/1453    most recent Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kramer, H. J. Articles by Cooper, R. Search for Related Content PubMed PubMed Citation Articles by Kramer, H. J. Articles by Cooper, R. Related Collections Related Article

Increasing Body Mass Index and Obesity in the Incident ESRD Population

Holly J. Kramer^*,,, Anand Saranathan, Amy Luke^*, Ramone A. Durazo-Arvizu^*, Cao Guichan^*, Susan Hou^, and Richard Cooper^*

Departments of ^* Preventive Medicine and Epidemiology; Medicine; and Division of Nephrology, Loyola University Medical Center, Maywood, Illinois

Address correspondence to: Dr. Holly Kramer, Loyola University Medical Center, Department of Preventive Medicine, 2160 First Avenue, Maywood, IL 60153. Phone: 708-327-9039; Fax: 708-327-9009; hkramer{at}lumc.edu

Received for publication November 30, 2005. Accepted for publication February 22, 2006.

An increase in obesity prevalence among patients who initiate dialysis may influence the growth of the total ESRD population as a result of improved survival and decreased likelihood for transplantation. Temporal trends in mean body mass index (BMI) and obesity prevalence were examined among incident patients with ESRD by year of dialysis initiation between 1995 and 2002, and these trends were compared with those in the US population during this same period. Among incident dialysis patients, BMI was calculated with the height and estimated dry weight collected from the Centers for Medicare and Medicaid Services End-Stage Renal Disease Medical Evidence Form. In the US population, self-reported height and weight were used. Prevalence of total obesity and obesity stage 2 were defined as a BMI 30 and 35 kg/m², respectively. Among incident patients with ESRD, mean BMI increased from 25.7 to 27.5 kg/m², and total obesity and obesity stage 2 increased by 33 and 63%, respectively, among incident patients with ESRD (P < 0.0001 for obesity trends). BMI slope was approximately two-fold higher in the incident ESRD population compared with the US population for all age groups. However, temporal increases in obesity prevalence were similar between the two populations. As a result of the survival advantage associated with obesity and decreased likelihood for transplantation, these trends most likely will influence the total number of patients who receive dialysis in the next decade.

Related Article

Hypoadiponectinemia Is Associated with Insulin Resistance and Glucose Intolerance after Renal Transplantation: Impact of Immunosuppressive and Antihypertensive Drug Therapy

Jøran Hjelmesæth, Allan Flyvbjerg, Trond Jenssen, Jan Frystyk, Thor Ueland, Monica Hagen, and Anders Hartmann
Clin. J. Am. Soc. Nephrol. 2006 1: 575-582. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

				C. Zoccali The obesity epidemics in ESRD: from wasting to waist? Nephrol. Dial. Transplant., October 24, 2008; (2008) gfn589v1. [Full Text] [PDF]

				J. Axelsson The emerging biology of adipose tissue in chronic kidney disease: from fat to facts Nephrol. Dial. Transplant., October 1, 2008; 23(10): 3041 - 3046. [Full Text] [PDF]

				P. K.-T. Li, B. C.-H. Kwan, C. C. Szeto, and G. T.-C. Ko Metabolic syndrome in peritoneal dialysis patients NDT Plus, August 1, 2008; 1(4): 206 - 214. [Abstract] [Full Text] [PDF]

				M.-C. Beauvieux, F. Le Moigne, C. Lasseur, C. Raffaitin, C. Perlemoine, N. Barthe, P. Chauveau, C. Combe, H. Gin, and V. Rigalleau New Predictive Equations Improve Monitoring of Kidney Function in Patients With Diabetes Diabetes Care, August 1, 2007; 30(8): 1988 - 1994. [Abstract] [Full Text] [PDF]

				V. Rigalleau, C. Lasseur, C. Raffaitin, C. Perlemoine, N. Barthe, P. Chauveau, C. Combe, and H. Gin The Mayo Clinic quadratic equation improves the prediction of glomerular filtration rate in diabetic subjects Nephrol. Dial. Transplant., March 1, 2007; 22(3): 813 - 818. [Abstract] [Full Text] [PDF]

				D. Schmidt and A. Salahudeen The Obesity-Survival Paradox in Hemodialysis Patients: Why Do Overweight Hemodialysis Patients Live Longer? Nutr Clin Pract, February 1, 2007; 22(1): 11 - 15. [Abstract] [Full Text] [PDF]

				C. Raffaitin, C. Lasseur, P. Chauveau, N. Barthe, H. Gin, C. Combe, and V. Rigalleau Nutritional status in patients with diabetes and chronic kidney disease: a prospective study Am. J. Clinical Nutrition, January 1, 2007; 85(1): 96 - 101. [Abstract] [Full Text] [PDF]

Copyright © 2008 by the American Society of Nephrology. Online ISSN: 1533-3450 Print ISSN: 1046-6673