{"title":"慢性肾脏病患者的肥胖和代谢健康。","authors":"Csaba P Kovesdy","doi":"10.2215/CJN.0000000704","DOIUrl":null,"url":null,"abstract":"<p><p>Obesity is a worldwide epidemic with a future projected growth of 40% over ten years. Obesity increases the risk of diabetes, hypertension and cardiovascular disease, and it also leads to higher risk of chronic kidney disease, both through direct and indirect mechanisms. While obesity is a feature of over-nutrition and is associated with poor outcomes in the general population, obese individuals with chronic kidney disease often display complex metabolic patterns such as sarcopenic obesity, and obesity can be associated with better survival in individuals with advanced chronic kidney disease. Weight loss interventions are proven to improve glycemic control and cardiovascular risk factors, and successful weight loss is associated with improved albuminuria in patients with preexisting chronic kidney disease. The long term effects of weight loss interventions on kidney function and on survival in patients with chronic kidney disease are less well studied, and hence such interventions should be individualized.</p>","PeriodicalId":50681,"journal":{"name":"Clinical Journal of the American Society of Nephrology","volume":" ","pages":""},"PeriodicalIF":8.5000,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Obesity and Metabolic Health in CKD.\",\"authors\":\"Csaba P Kovesdy\",\"doi\":\"10.2215/CJN.0000000704\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Obesity is a worldwide epidemic with a future projected growth of 40% over ten years. Obesity increases the risk of diabetes, hypertension and cardiovascular disease, and it also leads to higher risk of chronic kidney disease, both through direct and indirect mechanisms. While obesity is a feature of over-nutrition and is associated with poor outcomes in the general population, obese individuals with chronic kidney disease often display complex metabolic patterns such as sarcopenic obesity, and obesity can be associated with better survival in individuals with advanced chronic kidney disease. Weight loss interventions are proven to improve glycemic control and cardiovascular risk factors, and successful weight loss is associated with improved albuminuria in patients with preexisting chronic kidney disease. The long term effects of weight loss interventions on kidney function and on survival in patients with chronic kidney disease are less well studied, and hence such interventions should be individualized.</p>\",\"PeriodicalId\":50681,\"journal\":{\"name\":\"Clinical Journal of the American Society of Nephrology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":8.5000,\"publicationDate\":\"2025-03-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Journal of the American Society of Nephrology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2215/CJN.0000000704\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Journal of the American Society of Nephrology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2215/CJN.0000000704","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Obesity is a worldwide epidemic with a future projected growth of 40% over ten years. Obesity increases the risk of diabetes, hypertension and cardiovascular disease, and it also leads to higher risk of chronic kidney disease, both through direct and indirect mechanisms. While obesity is a feature of over-nutrition and is associated with poor outcomes in the general population, obese individuals with chronic kidney disease often display complex metabolic patterns such as sarcopenic obesity, and obesity can be associated with better survival in individuals with advanced chronic kidney disease. Weight loss interventions are proven to improve glycemic control and cardiovascular risk factors, and successful weight loss is associated with improved albuminuria in patients with preexisting chronic kidney disease. The long term effects of weight loss interventions on kidney function and on survival in patients with chronic kidney disease are less well studied, and hence such interventions should be individualized.
期刊介绍：
The Clinical Journal of the American Society of Nephrology strives to establish itself as the foremost authority in communicating and influencing advances in clinical nephrology by (1) swiftly and effectively disseminating pivotal developments in clinical and translational research in nephrology, encompassing innovations in research methods and care delivery; (2) providing context for these advances in relation to future research directions and patient care; and (3) becoming a key voice on issues with potential implications for the clinical practice of nephrology, particularly within the United States. Original manuscript topics cover a range of areas, including Acid/Base and Electrolyte Disorders, Acute Kidney Injury and ICU Nephrology, Chronic Kidney Disease, Clinical Nephrology, Cystic Kidney Disease, Diabetes and the Kidney, Genetics, Geriatric and Palliative Nephrology, Glomerular and Tubulointerstitial Diseases, Hypertension, Maintenance Dialysis, Mineral Metabolism, Nephrolithiasis, and Transplantation.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
