Trends in Body-Mass Index After Donor Nephrectomy

被引:2
作者
Movassaghi, Mehran [1 ]
Dru, Christopher [2 ]
Koopman, Steven
Fuchs, Gerhard J. [3 ]
机构
[1] Los Angeles Mens Hlth Ctr, 2080 Century Pk East,Suite 407, Los Angeles, CA 90067 USA
[2] Cedars Sinai Med Ctr, Minimally Invas Urol Inst, Los Angeles, CA 90048 USA
[3] USC Inst Urol, Los Angeles, CA USA
关键词
KIDNEY-DISEASE; OBESITY;
D O I
10.1089/end.2013.0196
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
The link between obesity and diabetes, hypertension, and eventual kidney dysfunction is well recognized. To evaluate trends in the body-mass index (BMI) of donor nephrectomy patients, the BMI was evaluated in 532 donors over 11 years from 2002 to 2012. Measurements were made preoperatively, at 1 year, and at the present time. The follow-up range varied from 12 months to 11 years dependent on the date of donation. Of the 532 patients queried, 100 patients had long-term results. At 1 year, there was an overall decrease in BMI, however, at anytime after the first year, postoperative BMI trended upward, with more than half of the overweight patients (BMI 25-30), at the time of donation, dipping into the obese range (BMI >30). Given these results and recognizing the attendant risks-especially with the background of a single kidney-we have initiated further lifestyle and nutrition counseling at our center and are considering a more stringent preoperative weight control policy.
引用
收藏
页码:743 / 744
页数:2
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