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Adipose tissue is associated with kidney function parameters.

Katharina Mueller-Peltzer1, Ricarda von Krüchten2, Roberto Lorbeer3

  • 1Department of Diagnostic and Interventional Radiology, Faculty of Medicine Freiburg, Medical Center, Universitätsklinikum Freiburg, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany. katharina.mueller-peltzer@uniklinik-freiburg.de.

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|June 6, 2023
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Summary
This summary is machine-generated.

Visceral adipose tissue (VAT) is linked to reduced kidney function, specifically with higher cystatin C levels and lower estimated glomerular filtration rate (e-GFRcys) in individuals without cardio-renal disease.

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Area of Science:

  • Nephrology
  • Endocrinology
  • Radiology

Background:

  • Obesity is characterized by excess adipose tissue accumulation.
  • The direct impact of adipose tissue on kidney function remains unclear.
  • Understanding this relationship is crucial for preventing kidney disease.

Purpose of the Study:

  • To investigate the association between visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) with kidney function markers.
  • To examine the relationship between VAT and SAT with serum creatinine, cystatin C, and estimated glomerular filtration rate (e-GFR) in individuals without cardio-renal diseases.

Main Methods:

  • A population-based study (KORA-MRI) involving 377 subjects.
  • Whole-body 3T-MRI for quantifying VAT and SAT.
  • Serum creatinine and cystatin C measurements, with e-GFR calculated using various formulas (e-GFRcrea, e-GFRcys, e-GFRcc).
  • Linear regression analysis adjusted for risk factors.

Main Results:

  • Visceral adipose tissue (VAT) showed a significant inverse association with e-GFRcys (p < 0.001) and a positive association with serum cystatin C (p < 0.001).
  • No significant associations were found between total adipose tissue (TAT), SAT, and serum creatinine, urine microalbumin, or e-GFRcrea.
  • Results were confirmed in stratified analyses for individuals with a BMI > 30.

Conclusions:

  • Visceral adipose tissue (VAT) is directly involved in altered cystatin C metabolism.
  • Increased VAT is associated with decreased kidney function, as indicated by cystatin C-based e-GFR.
  • These findings highlight the detrimental role of visceral fat accumulation on renal health.