Post Date December, 03 2023
Everyone has a love for beauty. Obesity has become the biggest problem for people who love beauty. Many people achieve weight loss through fitness, fasting, and taking medication. Normal people end up in the hospital due to excessive weight loss. And kidney disease patients have relapsed due to weight loss
We all know that losing weight can cause a series of diseases, and for kidney disease patients, obesity can accelerate the progression of chronic kidney disease, which can lead to problems. Without losing weight, the condition of kidney disease worsens and the disease relapses. Should kidney disease patients lose weight?
In an analysis of the causes of chronic kidney disease in the United States, it was found that 24.2% of men and 33.9% of women with chronic kidney disease are associated with obesity. Obesity is not only a high risk factor for diabetes, coronary heart disease, hypertension and other diseases, but also one of the risk factors for chronic kidney disease, and will also accelerate the progress of chronic kidney disease. There are reports that a kidney disease patient in Qingdao has been admitted to the hospital due to a relapse of kidney disease caused by weight loss.
Controversy online: Should kidney disease patients lose weight?
There is no unified answer to this question, we need to ask the doctor for a specific analysis of the situation. Regarding the issue of whether kidney disease patients should lose weight, professional advice should be given based on the patient's kidney disease stage, current treatment, and nutritional status. At three key points, patients need to make judgments based on their own situation.
Obesity is one of the risk factors for chronic kidney disease
In the previous text, we have already mentioned that obesity can lead to kidney disease. So, obese patients should actively lose weight to prevent the occurrence of kidney disease.
Waist circumference reflects visceral fat mass in patients with chronic kidney disease
At present, the standard for obesity in China is an adult body mass index (BMI) exceeding 28kg/m2.
Waist circumference is a widely recognized indicator of central obesity and can better reflect the visceral fat mass of patients with chronic kidney disease.
Research has found that among non dialysis patients with chronic kidney disease, patients with larger waist circumference have a higher risk of developing cardiovascular disease. For non dialysis chronic kidney disease patients, as the condition progresses, obese individuals will enter end-stage renal failure more quickly.
Maintenance dialysis patients should not blindly lose weight
Based on the above analysis, we suggest that non dialysis obese patients with chronic kidney disease, especially those in stages 1-3 of chronic kidney disease, should be monitored for weight loss and maintain their weight and waist circumference within the normal range (BMI 18.5-24.9kg/m2, male waist circumference<85cm, female waist circumference<80cm); For obese patients with chronic kidney disease stage 4-5, due to their higher risk of death from cardiovascular disease, it is recommended to carry out reasonable weight loss under the guidance of professional dietitian.
However, for overweight or even obese patients undergoing maintenance dialysis, we do not recommend blind weight loss. A large number of epidemiological investigations have found that the survival rate of these patients is actually longer, which may be because overweight or obese dialysis patients have better nutritional indicators and better tolerance compared to low weight malnutrition patients. Therefore, blind weight loss is not recommended for this group of patients.
So, kidney disease patients must not blindly lose weight, blind weight loss will bring you unnecessary trouble; Normal people should determine whether they are overweight or not, and use reasonable methods to lose weight. Avoid blindly taking weight loss pills to lose weight!
