Abdominal obesity in normal weight versus overweight and obese hemodialysis patients: associations with nutrition, inflammation, muscle strength and quality of life

The issue of obesity in the maintenance hemodialysis (MHD) population is still controversial and a bit confusing. Large scale epidemiological studies onend stage kidney disease (ESKD) patients continue to report a paradoxically inverse relationship between body mass index (BMI) and cardiovascular disease (CVD) and mortality [1]. Conversely, in smaller studies, abdominal obesity has been shown to be a marker of cardiovascular and all-cause morbidity and mortality in the same population [2-10]. Among the components of the metabolic syndrome defined by American Heart Association/NationalHeart, Lung and Blood Institute (AHA/NHLBI) and theInternational Diabetes Federation (IDF), abdominal obesity is the only significant predictor of cardiovascular morbidity in MHD patients [2].

Source: Nutrition - August 24, 2018 Category: Nutrition Authors: Ilia Beberashvili, Ada Azar, Ramzia Abu Hamad, Inna Sinuani, Leonid Feldman, Amit Maliar, Kobi Stav, Shai Efrati Source Type: research