Weight-loss surgery may improve kidney function
2014-11-14
(Press-News.org) Philadelphia, PA (November 14, 2014) -- In addition to helping patients shed pounds, weight loss surgery may also improve kidney function, according to a study that will be presented at ASN Kidney Week 2014 November 11¬-16 at the Pennsylvania Convention Center in Philadelphia, PA.
Weight loss, or bariatric, surgery is highly effective for rapid weight loss in patients with morbid obesity, who are at markedly increased risk for kidney failure. Because the effect of bariatric surgery-induced weight loss on kidney function is unknown, Alex Chang, MD (Geisinger Medical Center) and his colleagues examined the kidney health of patients who underwent bariatric surgery.
A total of 3134 participants were followed for a median of 2.4 years. One year after bariatric surgery, average weight decreased from 130.1 to 90.9 kg, average body mass index decreased from 46.8 to 32.6 kg/m2, and average kidney function (estimated glomerular filtration rate, or eGFR) increased from 94.8 to 99.1 ml/min/1.73m2. Every 5 kg of weight loss was associated with a 0.50 ml/min/1.73m2 increase in eGFR. The association between weight loss and increased eGFR was stronger in patients with chronic kidney disease at the start of the study than in those without. In the subset of 108 patients with albuminuria, or protein excretion in the urine (a marker of kidney dysfunction) at the start of the study, weight loss was associated with resolution of albuminuria.
Dr. Chang noted that the current clinical standard to measure kidney function, creatinine, is influenced by muscle mass, which may change with drastic weight loss. Additional studies using other markers of kidney function are needed to confirm the study's findings and to examine the effect of weight loss on long-term kidney outcomes.
"Bariatric surgery serves as a good model to examine the effects of weight loss on kidney function. Our findings suggest a beneficial impact on kidney function in patients with and without baseline kidney disease," said Dr. Chang. "More emphasis should be placed on promoting healthy lifestyles to avoid morbid obesity, and prevent chronic kidney disease."
INFORMATION:
Study: "Weight Loss after Bariatric Surgery Is Associated with Increased eGFR and Decreased Albuminuria" (Abstract FR-OR024)
Disclosures: none
ASN Kidney Week 2014, the largest nephrology meeting of its kind, will provide a forum for more than 13,000 professionals to discuss the latest findings in renal research and engage in educational sessions related to advances in the care of patients with kidney and related disorders. Kidney Week 2014 will take place November 11-16, 2014 in Philadelphia, PA.
The content of this article does not reflect the views or opinions of The American Society of Nephrology (ASN). Responsibility for the information and views expressed therein lies entirely with the author(s). ASN does not offer medical advice. All content in ASN publications is for informational purposes only, and is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects. This content should not be used during a medical emergency or for the diagnosis or treatment of any medical condition. Please consult your doctor or other qualified health care provider if you have any questions about a medical condition, or before taking any drug, changing your diet or commencing or discontinuing any course of treatment. Do not ignore or delay obtaining professional medical advice because of information accessed through ASN. Call 911 or your doctor for all medical emergencies.
Founded in 1966, and with more than 15,000 members, the American Society of Nephrology (ASN) leads the fight against kidney disease by educating health professionals, sharing new knowledge, advancing research, and advocating the highest quality care for patients.
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[Press-News.org] Weight-loss surgery may improve kidney function
