Obesity and nephrology: results of a knowledge and practice pattern survey

Obesity, the largest epidemic of modern time, carries a markedly increased risk of type-2 diabetes, cancer, fatty liver, sleep apnea, hypertension, dyslipidemia and atherosclerotic cardiovascular disease. In addition, obesity increases the risk of chronic kidney disease (CKD) and its progression to...

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Published in:Nephrology, dialysis, transplantation dialysis, transplantation, 2013-11, Vol.28 Suppl 4 (suppl 4), p.iv99-iv104
Main Authors: Stenvinkel, Peter, Ikizler, T Alp, Mallamaci, Francesca, Zoccali, Carmine
Format: Article
Language:English
Subjects:
Diabetes Mellitus, Type 2 - etiology
Diabetes Mellitus, Type 2 - prevention & control
Health Knowledge, Attitudes, Practice
Health Surveys
Humans
Kidney Transplantation
Medicin och hälsovetenskap
Nephrology
Obesity - complications
Obesity - prevention & control
Practice Patterns, Physicians
Renal Dialysis
Renal Insufficiency, Chronic - etiology
Renal Insufficiency, Chronic - prevention & control
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Summary:Obesity, the largest epidemic of modern time, carries a markedly increased risk of type-2 diabetes, cancer, fatty liver, sleep apnea, hypertension, dyslipidemia and atherosclerotic cardiovascular disease. In addition, obesity increases the risk of chronic kidney disease (CKD) and its progression to end-stage renal disease (ESRD). There are limited data regarding the basic knowledge of nephrologists on how to assess and manage obesity in the setting of CKD. To learn more about practice patterns among nephrologists, a survey on obesity was published online in NDT-Educational between 8 November 2012 and 31 January 2013. Three-hundred and ninety-nine responses were received mostly from nephrologists in Europe (57%), South and Central America (12%) and the Middle East (10%). The majority practiced in clinical nephrology (64%) and outpatient dialysis clinics (23%). Whereas 54% of the participants worked in hospitals, 31% worked in academic centers. Most participants stated that the number of obese patients has increased both among their CKD stage 2-5 patients and in their dialysis clinics during the last 10 years. For routine estimation of body fat content in the dialysis clinic, the majority of nephrologists (43%) still rely on the body mass index (BMI). A majority (72%) does not think that weight gain should be promoted in dialysis patients with a BMI of
ISSN:0931-0509
1460-2385
1460-2385
DOI:10.1093/ndt/gft193