Evaluation of Estimated Glomerular Filtration Rate in Obese Male Adults and Its Correlation with BMI

Safina Akhter, C. Sarkar, Atm Zoadur Rahim Zahid
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Abstract

Background: Overweight and obesity has been announced as a global epidemic by The World Health Organization. These conditions have strong associations with renal function impairment. Objectives: To evaluate the estimated glomerular filtration rate (eGFR) in obese male adults and to observe the correlation of eGFR with body mass index (BMI). Methods: This cross-sectional analytical study was conducted at the Department of Physiology, Rangpur Medical College, Rangpur. After briefing about objectives, adult males who met the inclusion and exclusion criteria were enrolled in the study by consensus. The study involved 60 people who were divided into two groups: apparently healthy adult males of average weight (Group A) and apparently healthy adult males who were obese (Group B). The subjects were selected from different districts of the city of Rangpur. Their body mass index & serum creatinine were measured. eGFR was calculated by Cockcroft-Gault equation using serum creatinine. For statistical analysis, unpaired t-test and Pearson’s correlation coefficient test were performed as applicable by computer-based SPSS–25.0 for windows. Regarding the interpretation of results, p≤0.05 was accepted as significant. Results: The mean of estimated glomerular filtration rate was significantly (p≤ 0.001) lower in obese male adults than in normal-weight male adults. This study also found a highly significant (p≤0.05) negative correlation of eGFR (r = -0.317) with body mass index. Conclusion: eGFR is reduced in obese male adults, and it is negatively correlated with BMI. Regular body mass index screening is recommended as an easy and effective means of assessing body weight. J Rang Med Col. March 2023; Vol. 8, No. 2:27-32
肥胖男性肾小球滤过率的评估及其与BMI的相关性
背景:超重和肥胖已被世界卫生组织宣布为一种全球性流行病。这些情况与肾功能损害密切相关。目的:评价成年肥胖男性肾小球滤过率(eGFR)的估算值,并观察eGFR与体重指数(BMI)的相关性。方法:横断面分析研究在Rangpur医学院生理学系进行。在简要介绍研究目的后,符合纳入和排除标准的成年男性被一致纳入研究。这项研究涉及60人,他们被分为两组:表面上健康的平均体重成年男性(A组)和表面上健康的肥胖成年男性(B组)。研究对象来自Rangpur市的不同地区。测量他们的身体质量指数和血清肌酐。利用血清肌酐,采用Cockcroft-Gault方程计算eGFR。统计分析采用非配对t检验和Pearson相关系数检验,适用计算机SPSS-25.0 For windows。对于结果的解释,p≤0.05为显著性。结果:肥胖男性肾小球滤过率的平均值明显低于正常体重男性(p≤0.001)。本研究还发现eGFR与体重指数呈极显著负相关(p≤0.05)(r = -0.317)。结论:成年肥胖男性eGFR降低,且与BMI呈负相关。建议定期进行身体质量指数筛查,作为评估体重的一种简单有效的方法。J Rang Med Col. 2023年3月;第8卷第2章27-32节
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