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Childhood Obesity and Impact on the Kidney
Liane Correia-Costa1,2,3, Ana Azevedo4,5, Alberto Caldas Afonso4,6,7
1EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal, lianexcosta@gmail.com.
Insights
Obesity in children can lead to serious cardiovascular and kidney diseases later in life. Early intervention is crucial to prevent chronic kidney disease and reduce mortality risk in affected children.
Area of Science:
- Pediatric Nephrology
- Cardiovascular Health
- Metabolic Disorders
Background:
- Obesity is linked to numerous cardiovascular and metabolic issues.
- Childhood obesity has long-term consequences, increasing cardiovascular event risk.
- Emerging evidence suggests obesity is an independent risk factor for kidney disease in adults.
Purpose of the Study:
- To explore the association between childhood obesity and kidney disease risk.
- To review the role of obesity in the progression of existing kidney impairment.
- To highlight the need for preventive strategies against obesity-related chronic kidney disease.
Main Methods:
- Review of longitudinal studies on childhood obesity and comorbidities.
- Analysis of recent data on obesity and adult kidney disease.
- Examination of evidence linking overweight/obesity to end-stage renal disease (ESRD) risk.
Main Results:
- Childhood obesity predicts future cardiovascular events.
- Obesity exacerbates kidney disease progression and increases mortality risk in children with ESRD.
- Overweight and obese children face a higher risk of all-cause ESRD later in life.
Conclusions:
- Childhood obesity is a significant risk factor for developing chronic kidney disease.
- Understanding the mechanisms is vital for implementing preventive strategies.
- Addressing childhood obesity is essential for long-term kidney and cardiovascular health.
Abstract:
Obesity is known to be associated with a myriad of cardiovascular and metabolic comorbidities. In children, several longitudinal studies have shown that obesity consequences start early in life and accompany the obese child into adulthood, implying a higher risk of adverse cardiovascular events. More recently, data related to the possible role of obesity in the risk of kidney disease in adults, independently of diabetes, has started to become more available. In children, the evidence is scarcer, but it has also been acknowledged that obesity acts as a risk factor for disease progression when kidney impairment already exists, thereby increasing the risk of death among children with end-stage renal disease (ESRD). Besides this, there is also evidence that otherwise healthy overweight and obese children have a significant increase in the risk of all-cause ESRD later in life. The potential mechanisms underlying this association need to be further discussed in order to allow the setting in motion of preventive strategies to halt chronic kidney disease development and progression.
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