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Obesity in CKD: Core Curriculum 2026
Holly J Kramer1, Linda-Marie Lavenburg2, Sankar D Navaneethan3
1Department of Public Health Sciences and Department of Medicine, Division of Nephrology and Hypertension, Loyola University Chicago, Maywood, Illinois.
Summary
Obesity is a leading cause of chronic kidney disease (CKD) and other serious health issues. Effectively managing weight through team-based care can significantly improve kidney health and overall patient well-being.
Area of Science:
- Nephrology
- Cardiology
- Metabolic Health
- Obesity Medicine
Background:
- Obesity is a chronic disease surpassing diabetes and hypertension in prevalence.
- It is the primary risk factor for chronic kidney disease (CKD) and its progression.
- Excess weight contributes to numerous comorbidities, including heart failure, sleep apnea, and osteoarthritis.
Purpose of the Study:
- To review the diagnosis and controversies surrounding obesity.
- To outline obesity management strategies specifically for patients with CKD.
- To highlight the importance of team-based approaches in obesity treatment.
Main Methods:
- Review of current literature on obesity and CKD.
- Discussion of diagnostic criteria and challenges in obesity assessment.
- Outline of evidence-based medical and surgical weight management interventions.
Main Results:
- Obesity significantly increases CKD risk and exacerbates existing kidney disease.
- Weight loss interventions show potential for positive impacts on kidney and cardiovascular health.
- Obesity complicates management of kidney failure, including dialysis and transplantation.
Conclusions:
- Obesity management is crucial for preventing CKD progression and improving overall health.
- Integrated, team-based care is essential for successful weight loss and management.
- Addressing obesity offers a pathway to mitigate multiple chronic conditions and enhance patient outcomes.
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