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Obesity in the Kidney Transplant Process
1From the Department of Surgical Nursing, Akdeniz University, Antalya, Turkey.
Summary
Obesity
Area of Science:
- Nephrology
- Transplant Surgery
- Public Health
Background:
- Obesity is a growing global health concern.
- It presents significant risks for kidney transplant recipients.
- Impact on pre- and post-transplant outcomes is debated.
Purpose of the Study:
- To review existing literature on obesity's effects before and after kidney transplantation.
- To analyze the conflicting findings regarding obesity and graft function/survival.
Main Methods:
- Literature review of studies on obesity and kidney transplant outcomes.
- Analysis of cohort studies, follow-up studies, and specific patient groups.
Main Results:
- Obesity may prolong surgery and ischemic time, potentially delaying graft function.
- Conflicting evidence exists on the long-term impact of pre-transplant obesity.
- Post-transplant body mass index appears more critical for graft outcomes than pre-transplant BMI in some studies.
- Morbidly obese patients without diabetes showed poorer outcomes in one study.
Conclusions:
- There is no definitive consensus on the effects of obesity before and after kidney transplant.
- Further research is needed to clarify the role of obesity in kidney transplant success.
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