Association of anthropometric obesity measures with chronic kidney disease risk in a non-diabetic patient population
Abstract
BACKGROUND: Obesity is a risk factor for both chronic kidney disease (CKD) and cardiovascular disease. The association of simple indices of obesity with CKD remains poorly understood. Evidence suggests that measures of central obesity such as waist circumference (WC) and waist-to-hip ratio (WHR) are more accurate predictors of morbidity and cardiovascular risk than body mass index (BMI). This study aimed to investigate the association of BMI, WC and WHR with CKD risk in a population screened for type 2 diabetes. METHODS: Data were drawn from a population-based screening programme of 6475 volunteers without pre-existing diabetes. A number of investigations and cardiovascular health-related assessments were performed. Participants were categorized into two groups: those with an estimated glomerular filtration rate (eGFR) ≥60 and <60 mL/min/1.73m(2). Participants were also categorized as low, medium and high risk according to each anthropometric variable. RESULTS: CKD was independently associated with higher WC and BMI (P < 0.01) but not WHR (P = 0.47). Increasing obesity measured by BMI and WC was associated with a reduction in eGFR for both men and women (P < 0.001). Increasing risk categories for BMI and WC were also associated with lower eGFR in men and women (P < 0.001). Combining anthropometric measures provided no additional measure of risk for underlying CKD. CONCLUSIONS: WC may be a simple and reliable clinical tool for the detection of underlying CKD within primary care. Given the complex interaction between adiposity and uraemia, a combined screening tool using BMI and WC or WHR is unlikely to provide any additional benefit to risk analysis.
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In a study of almost 6,500 non-diabetic participants, increasing BMI and waist circumference were associated with reduced estimated glomerular filtration rate and CKD.
“In a study of almost 6,500 non-diabetic participants, increasing BMI and waist circumference were associated with reduced estimated glomerular filtration rate (eGFR) and CKD140.”
From Obesity-Induced Hypertension: Interaction of Neurohumoral and Renal Mechanisms (2015) · cites this paper as [140]
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Obesity, Anthropometric Measures and Chronic Kidney Disease Complications
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Evaluation of Estimated Glomerular Filtration Rate in Obese Male Adults and Its Correlation with BMI
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- Authors
- Burton, J. O., Gray, L. J., Webb, D. R., Davies, M. J., Khunti, K., Crasto, W., Carr, S. J., & Brunskill, N. J.
- Affiliations
- University of Leicester (GB)
- ORCID
- Venue
- Nephrology Dialysis Transplantation
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-09-29
- Volume
- 27
- Issue
- 5
- Pages
- 1860-1866
- ISSN
- 0931-0509 (ISSN-L)
- 1460-2385
- OpenAlex
- W2163011148
- Cited by
- 77
- References
- 38
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 3 · 2022: 7 · 2021: 2 · 2020: 9 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 7 · 2015: 11 · 2014: 3 · 2013: 12 · 2012: 6
- FWCI
- 5.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nephrology Dialysis Transplantation (publishedVersion)
- PubMed (publishedVersion)
- Leicester Research Archive (University of Leicester) (submittedVersion)
- Funders
- National Institute for Health and Care Research (RP-DG-1210-10183, RP-PG-0606-1272, CL-2007-11-003)
- Kidney Research UK (RP28/2010)
- Servier
- Topics
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- chronic kidney disease, obesity, anthropometric measures, waist circumference, waist-to-hip ratio, body mass index, estimated glomerular filtration rate, type 2 diabetes screening, non-diabetic population, cardiovascular risk, primary care screening
- MeSH terms
- Adult, Aged, Anthropometry, Chronic Disease, Female, Glomerular Filtration Rate, Humans, Kidney Diseases, Male, Middle Aged, Obesity, Predictive Value of Tests, Risk Factors, Cohort Studies, Body Mass Index, Waist-Hip Ratio, Waist Circumference
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