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Abstract
Obesity is a leading public health problem that currently affects over 650 million individuals worldwide. Although interest in the adverse effects of obesity has grown exponentially in recent years, less attention has been given to studying its management in individuals with CKD. This relatively unexplored area should be considered a high priority because of the rapid growth and high prevalence of obesity in the CKD population, its broad impact on health and outcomes, and its modifiable nature. This article begins to lay the groundwork in this field by providing a comprehensive overview that critically evaluates the available evidence related to obesity and kidney disease, identifies important gaps in our knowledge base, and integrates recent insights in the pathophysiology of obesity to help provide a way forward in establishing guidelines as a basis for managing obesity in CKD. Finally, the article includes a kidney-centric algorithm for management of obesity that can be used in clinical practice.
- obesity
- chronic kidney disease
- weight loss
- kidney transplantation
- quality of life
- arteriovenous access
- diabetes
- bariatric surgery
- metabolic surgery
- GLP-1
- Copyright © 2021 by the American Society of Nephrology
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- Article
- Abstract
- Obesity Is Common in CKD
- Obesity Is a Predominating Global Mediator of Kidney Disease
- Obesity Increases the Burden of Disease and Disability in CKD
- Obesity Impairs Management of CKD
- Obesity Impedes Access to Kidney Transplantation
- An Updated Paradigm for Obesity and Implications for Treatment
- Mitigation of Kidney Disease through Weight Loss Strategies
- A Multidisciplinary Approach to CKD Obesity Management
- Developing Clinical Practice Guidelines for Patients with CKD
- Disclosures
- Funding
- Footnotes
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