Obesity in kidney transplantation
Open accessAbstract
Kidney transplantation is the preferred modality of renal replacement therapy. Long-term patient and graft survival have only improved marginally over the recent decade, mainly because of the development of cardiovascular disease after transplantation. Obesity is a risk factor for cardiovascular disease and is common before and after transplantation. This article reviews the literature assessing the role of pre- and post-transplant obesity on patient and graft survival, discusses the underlying obesity-related mechanisms leading to inferior kidney transplant outcomes, and explores the role of nutritional intervention on improving long-term outcomes of transplantation. Although the role of pretransplant obesity remains uncertain, post-transplant obesity increases the risk of graft failure and mortality. Nutritional intervention is effective in achieving post-transplant weight loss, but the effect on long-term outcomes has not been established. Future research should focus on conducting nutritional intervention studies aiming to improve long-term outcomes of kidney transplantation.
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Obesity is associated with higher rates of hypertension, dyslipidemia, and diabetes mellitus in kidney transplant recipients.
“Undeniable is the association between obesity and higher rates of hypertension, dyslipidemia, and diabetes mellitus in kidney transplant recipients (14).”
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Research works printed but not linked: 11
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- Post print, cite as: Chan, W., Bosch, J.A., Jones, D., McTernan, P.G., Phillips, A.C., & Borrows, R. (2014). Obesity in kidney transplantation. Journal of Renal Nutrition, 24, 1-12. IF 1.57. http://dx.doi.org/10.1053/j.jrn.2013.09.002
- Post print, cite as: Chan, W., Bosch, J.A., Jones, D., McTernan, P.G., Phillips, A.C., & Borrows, R. (2014). Obesity in kidney transplantation. Journal of Renal Nutrition, 24, 1-12. IF 1.57. http://dx.doi.org/10.1053/j.jrn.2013.09.002
- Post print, cite as: Chan, W., Bosch, J.A., Jones, D., McTernan, P.G., Phillips, A.C., & Borrows, R. (2014). Obesity in kidney transplantation. Journal of Renal Nutrition, 24, 1-12. IF 1.57. http://dx.doi.org/10.1053/j.jrn.2013.09.002
- Post print, cite as: Chan, W., Bosch, J.A., Jones, D., McTernan, P.G., Phillips, A.C., & Borrows, R. (2014). Obesity in kidney transplantation. Journal of Renal Nutrition, 24, 1-12. IF 1.57. http://dx.doi.org/10.1053/j.jrn.2013.09.002
- Post print, cite as: Chan, W., Bosch, J.A., Jones, D., McTernan, P.G., Phillips, A.C., & Borrows, R. (2014). Obesity in kidney transplantation. Journal of Renal Nutrition, 24, 1-12. IF 1.57. http://dx.doi.org/10.1053/j.jrn.2013.09.002
- Post print, cite as: Chan, W., Bosch, J.A., Jones, D., McTernan, P.G., Phillips, A.C., & Borrows, R. (2014). Obesity in kidney transplantation. Journal of Renal Nutrition, 24, 1-12. IF 1.57. http://dx.doi.org/10.1053/j.jrn.2013.09.002
- Post print, cite as: Chan, W., Bosch, J.A., Jones, D., McTernan, P.G., Phillips, A.C., & Borrows, R. (2014). Obesity in kidney transplantation. Journal of Renal Nutrition, 24, 1-12. IF 1.57. http://dx.doi.org/10.1053/j.jrn.2013.09.002 Post print, cite as: Chan, W., Bosch, J.A., Jones, D., McTernan, P.G., Phillips, A.C., & Borrows, R. (2014). Obesity in kidney transplantation. Journal of Renal Nutrition, 24, 1-12. IF 1.57. http://dx.doi.org/10.1053/j.jrn.2013.09.002
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Barchfeld, D. C., Vagi, R.-K., Lüdtke, K., Schieffer, E., Güler, F., Einecke, G., Jäger, B., de Zwaan, M., & Nöhre, M. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1071705 · Cited by 10 · see citing works
“Undeniable is the association between obesity and higher rates of hypertension, dyslipidemia, and diabetes mellitus in kidney transplant recipients (14).”
Background
- Authors
- Chan, W., Bosch, J. A., Jones, D., McTernan, P. G., Phillips, A. C., & Borrows, R.
- Affiliations
- Queen Elizabeth Hospital Birmingham (GB)
- University of Birmingham (GB)
- Manchester Metropolitan University (GB)
- University of Warwick (GB)
- Corresponding author
- Chan, Winnie
- Venue
- Journal of Renal Nutrition
- Publisher
- Elsevier BV
- Published
- 2014-01
- Volume
- 24
- Issue
- 1
- Pages
- 1-12
- ISSN
- 1051-2276 (ISSN-L)
- OpenAlex
- W1998747946
- Cited by
- 73
- References
- 84
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 7 · 2023: 7 · 2022: 10 · 2021: 5 · 2020: 6 · 2019: 10 · 2018: 7 · 2017: 3 · 2016: 5 · 2015: 6 · 2014: 1
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Renal Nutrition (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (publishedVersion, other-oa)
- Stirling Online Research Repository (University of Stirling) (submittedVersion, cc-by-nc-nd)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- British Renal Society
- Topics
- Health Sciences › Medicine › Transplantation › Renal Transplantation Outcomes and Treatments
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Organ Donation and Transplantation
- Keywords
- obesity, kidney transplantation, post-transplant obesity, graft survival, patient survival, cardiovascular disease, graft failure, mortality, dietary intervention, weight loss
- MeSH terms
- Animals, Body Composition, Cardiovascular Diseases, Disease Models, Animal, Graft Rejection, Graft Survival, Humans, Kidney Failure, Chronic, Life Style, Obesity, Risk Factors, Body Mass Index, Prevalence, Kidney Transplantation, Treatment Outcome
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