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.

PubMed

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.
Abstract

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