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Weight Management Experiences Among People With CKD: A Qualitative Study
Mateen Noori1, Rutvi Brahmbhatt1, Kristin K Clemens1,2,3,4
1Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Canadian Journal of Kidney Health and Disease
|November 3, 2025
Summary
This study explored how patients with advanced chronic kidney disease (CKD) and obesity experience weight management. Findings highlight unmet needs in healthcare support and patient autonomy, guiding future patient-centered interventions for obesity and CKD.
Area of Science:
- Nephrology
- Obesity Medicine
- Qualitative Health Research
Background:
- Obesity is a significant risk factor for chronic kidney disease (CKD) progression.
- For individuals with advanced CKD (stages G4-5D), kidney transplantation is optimal, but obesity presents a barrier due to increased surgical risks and reduced graft survival.
- Understanding patient perspectives on weight management is crucial for improving care.
Purpose of the Study:
- To explore the lived experiences of individuals with advanced CKD (G4-5D) and obesity regarding weight management.
- To identify patient beliefs, experiences, and expectations related to weight loss strategies.
- To inform the development of patient-centered approaches to weight management in CKD.
Main Methods:
- A descriptive qualitative study was conducted with 12 participants experiencing advanced CKD (G4-5ND) and obesity.
- Thematic analysis and a phenomenological framework were employed to analyze interview data.
- Inductive, open coding was used to identify emergent themes.
Main Results:
- Six key themes emerged: healthcare support strengths and gaps, social and systemic influences, prior weight loss experiences, health status limitations, knowledge and motivation for weight management, and personal autonomy in treatment decisions.
- Participants expressed varied experiences with healthcare support for weight management.
- Personal factors and health status significantly impacted weight management efforts.
Conclusions:
- Healthcare providers should proactively identify and address unmet patient needs in weight management.
- Findings underscore the importance of patient-centered conversations and shared decision-making in managing obesity among CKD patients.
- Future interventions should consider the multifaceted experiences and challenges faced by individuals with CKD and obesity.
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