Anti-obesity pharmacotherapy in adults with chronic kidney disease

被引:5
作者
Taber-Hight, Elizabeth [1 ]
Gilmore, Ashley [1 ]
Friedman, Allon N. [1 ]
机构
[1] Indiana Univ Sch Med, Dept Med, 550 Univ Blvd,Suite 6100, Indianapolis, IN 46202 USA
关键词
KEYWORDS: chronic kidney disease; glucagon like peptide-1; inflammation; obesity; oxidative stress; weight loss; LIFE-STYLE INTERVENTION; BODY-MASS INDEX; WEIGHT-LOSS; BARIATRIC SURGERY; RECEPTOR AGONIST; BLOOD-PRESSURE; CONTROLLED-TRIAL; OBESE SUBJECTS; FATTY KIDNEY; ORLISTAT;
D O I
10.1016/j.kint.2023.10.014
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Obesity is a leading risk factor for the development and progression of kidney disease and a major barrier to optimal management of patients with chronic kidney disease. While in the past anti-obesity drugs offered only modest weight loss efficacy in exchange for various safety and tolerability risks, a wave of safer, more tolerable, and more effective treatment options is transforming the management of obesity. This review evaluates current and future pharmacologic anti-obesity therapy in adults through a kidney-oriented lens. It also explores the goals of anti-obesity treatment, describes the underlying putative mechanisms of action, and raises important scientific questions that deserve further exploration in people with chronic kidney disease.
引用
收藏
页码:269 / 280
页数:12
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