Overweight, obesity and intentional weight loss in chronic kidney disease: NHANES 1999–2006

• Published in: International Journal of Obesity 2012-12, Vol.36 (12), p.1585-1590
• Main Authors: Navaneethan, S D, Kirwan, J P, Arrigain, S, Schreiber, M J, Sehgal, A R, Schold, J D
• Format: Article
• Language: English
• Subjects: 692/699/1585/104; 692/699/1702/393; 692/700/478; Biological and medical sciences; Body Mass Index; Caloric Restriction; Chronic kidney failure; Creatinine; Cross-Sectional Studies; Diabetes; Diabetes. Impaired glucose tolerance; Endocrine pancreas. Apud cells (diseases); Endocrinopathies; Energy Intake; Epidemiology; Etiopathogenesis. Screening. Investigations. Target tissue resistance; Exercise; Female; Health aspects; Health Knowledge, Attitudes, Practice; Health problems; Health Promotion and Disease Prevention; Humans; Hypertension; Intention; Internal Medicine; Kidney diseases; Kidneys; Lifestyles; Male; Medical sciences; Medicine; Medicine & Public Health; Metabolic Diseases; Middle Aged; Nephrology; Nephrology. Urinary tract diseases; Nutrition; Nutrition Surveys; Obesity; Obesity - epidemiology; Obesity - prevention & control; original-article; Overweight; Overweight - complications; Overweight - epidemiology; Overweight - prevention & control; Physiological aspects; Polls & surveys; Population; Prevalence studies (Epidemiology); Prevention; Public Health; Renal Insufficiency, Chronic - complications; Renal Insufficiency, Chronic - epidemiology; Self report; Socioeconomic factors; United States - epidemiology; Urinary system involvement in other diseases. Miscellaneous; Weight control; Weight Loss
• ISSN: 0307-0565; 1476-5497
• DOI: 10.1038/ijo.2012.7

OBJECTIVE: Obesity and chronic kidney disease (CKD) have emerged as major public health problems. We aimed to examine: (a) lifestyle and behavioral factors, (b) factors related to pursuing weight loss and (c) weight loss modalities pursued by CKD and non-CKD individuals who are overweight and obese. METHODS: Cross-sectional analysis of 10 971 overweight and obese adult participants in the National Health and Nutrition Examination Surveys conducted between 1999 and 2006. We examined the differences in lifestyle and behavioral factors between CKD and non-CKD participants and factors associated with pursuing weight loss using survey regression models. RESULTS: The total daily energy intake of the CKD population was lower than the non-CKD group (1987 kcal per day versus 2063 kcal per day, P =0.02) even after adjusting for relevant covariates. However, the percentage of energy derived from protein was similar between the groups. Sixty six percent of the CKD population did not meet the minimum recommended leisure time physical activity goals compared with 57% among non-CKD ( P