[Obesity and the kidney]
Anabela Malho Guedes1, Ana Cabrita, Ana Teixeira Pinho
1Serviço de Nefrologia, Hospital de Faro, Faro.
Abstract:
Obesity represents an important risk factor for the development of chronic kidney disease (CKD), due to its known strong association with diabetes mellitus and hypertension, the two major causes of CKD, but also as an independent renal risk factor. This direct relationship between obesity and kidney injury has been undervalued. The aim of this revisión is to point out the mechanisms of kidney injury induced by obesity, underline the importance of this association and alert for the prevention, education and treatment of the obese patient, as a way to control this heavy modifiable risk factor.
Insights
Obesity is a significant risk factor for chronic kidney disease (CKD), acting independently and by worsening diabetes and hypertension. This review highlights obesity
Area of Science:
- Nephrology
- Metabolic Diseases
- Public Health
Context:
- Obesity is a growing global health concern.
- Chronic kidney disease (CKD) affects millions worldwide.
- Obesity is a known risk factor for diabetes and hypertension, major causes of CKD.
Purpose:
- To elucidate the mechanisms by which obesity directly causes kidney injury.
- To emphasize the underappreciated link between obesity and renal damage.
- To advocate for prevention, education, and treatment strategies for obese patients to mitigate CKD risk.
Summary:
- Obesity contributes to chronic kidney disease (CKD) through direct renal injury mechanisms, beyond its association with diabetes and hypertension.
- The direct impact of obesity on kidney health is often underestimated.
- Understanding these mechanisms is crucial for managing obesity as a modifiable risk factor for CKD.
Impact:
- Highlights the independent role of obesity in CKD development.
- Underscores the need for proactive management of obesity to prevent kidney disease.
- Provides a basis for targeted interventions and public health initiatives aimed at reducing obesity-related CKD burden.
Related Concept Videos
External Anatomy of the Kidney
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion
Drug Dosing: Obese Patients
Obesity
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution
Chronic Kidney Disease II: Clinical Manifestations


