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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Obesity in Cardiorenal syndrome: Management Opportunities and Challenges
Allison Reaves1, Emily Jaffe2, Wendy McCallum3
1Division of Nephrology, Tufts Medical Center, 800 Washington Street, Box 391, Boston, MA, 02111, USA.
Insights
Obesity, heart failure with preserved ejection fraction, and chronic kidney disease (CKD) are linked. New obesity treatments show cardiovascular and kidney benefits, improving outcomes for these complex conditions.
Area of Science:
- Cardiology
- Nephrology
- Endocrinology
Background:
- Global obesity prevalence is rising, increasing the risk of cardiovascular disease and chronic kidney disease (CKD).
- Obesity, heart failure with preserved ejection fraction (HFpEF), and CKD share complex pathophysiological links, including cardiorenal syndrome.
- Adipocytes contribute to renal sodium retention and volume overload, key factors in cardiorenal syndrome.
Purpose of the Study:
- To review diagnostic and management strategies for co-existent obesity, HFpEF, and CKD.
- To examine the impact of obesity treatments on long-term health outcomes in patients with these conditions.
Main Methods:
- Review of current literature on the interplay between obesity, HFpEF, and CKD.
- Analysis of evidence regarding the efficacy of emerging obesity treatments.
Main Results:
- Emerging evidence links obesity, HFpEF, and CKD pathophysiology via adipocyte-mediated renal effects.
- Glucagon-like peptide-1 receptor agonists demonstrate cardiovascular and kidney benefits in patients with obesity and comorbidities like diabetes, CKD, and HFpEF.
- Effective obesity management is crucial for improving outcomes in patients with comorbid HFpEF and CKD.
Conclusions:
- Integrated, multidisciplinary management and shared decision-making are essential for optimizing patient care.
- Improved recognition and treatment of obesity are key to managing cardiorenal syndromes.
- Novel obesity pharmacotherapies offer significant benefits for cardiovascular and renal health.
Purpose Of Review:
The prevalence of obesity continues to increase globally. There is accumulating evidence of the complex interplay between obesity, cardiovascular disease, particularly heart failure with preserved ejection fraction, and chronic kidney disease (CKD). Here, we review the diagnostic and management considerations for these co-existent conditions and the current evidence regarding the impact of obesity treatments on long term health outcomes.
Recent Findings:
Recent evidence suggests the pathophysiology of obesity, heart failure with preserved ejection fraction and CKD are inextricably linked as adipocytes appear to play a role in promoting renal sodium avidity and volume overload, which are the hallmarks of the cardiorenal syndrome. The clinical landscape of obesity management has changed significantly with the approval of glucagon-like peptide-1 receptor agonists, which have been shown to have cardiovascular and kidney benefit among patients with obesity and a range of comorbid conditions including diabetes, CKD, and heart failure. Improved recognition, diagnosis and management of clinically consequential obesity is emerging as a key factor in improving outcomes for patients with comorbid conditions such as heart failure with preserved ejection fraction and CKD. The incorporation of comprehensive multi-disciplinary management, shared decision making with patients and broader access to therapies is critical to improving clinical outcomes.
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