Obesity and chronic kidney disease: prevalence, mechanism, and management

The prevalence of childhood obesity is increasing worldwide at an alarming rate. While obesity is known to increase a variety of cardiovascular and metabolic diseases, it also acts as a risk factor for the development and progression of chronic kidney disease (CKD). During childhood and adolescence,...

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Main Authors: Hyung Eun Yim, Kee Hwan Yoo
Format: Article
Language:English
Published: The Korean Pediatric Society 2021-10-01
Series:Clinical and Experimental Pediatrics
Subjects:
Online Access:http://www.e-cep.org/upload/pdf/cep-2021-00108.pdf
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author Hyung Eun Yim
Kee Hwan Yoo
author_facet Hyung Eun Yim
Kee Hwan Yoo
author_sort Hyung Eun Yim
collection DOAJ
description The prevalence of childhood obesity is increasing worldwide at an alarming rate. While obesity is known to increase a variety of cardiovascular and metabolic diseases, it also acts as a risk factor for the development and progression of chronic kidney disease (CKD). During childhood and adolescence, severe obesity is associated with an increased prevalence and incidence of the early stages of kidney disease. Importantly, children born to obese mothers are also at increased risk of developing obesity and CKD later in life. The potential mechanisms underlying the association between obesity and CKD include hemodynamic factors, metabolic effects, and lipid nephrotoxicity. Weight reduction via increased physical activity, caloric restriction, treatment with angiotensin-converting enzyme inhibitors, and judicious bariatric surgery can be used to control obesity and obesity-related kidney disease. Preventive strategies to halt the obesity epidemic in the healthcare community are needed to reduce the widespread deleterious consequences of obesity including CKD development and progression.
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spelling doaj.art-103c57f022834dab8c62f42bdc94f3742022-12-21T19:29:31ZengThe Korean Pediatric SocietyClinical and Experimental Pediatrics2713-41482021-10-01641051151810.3345/cep.2021.0010820125555429Obesity and chronic kidney disease: prevalence, mechanism, and managementHyung Eun Yim0Kee Hwan Yoo1 Department of Pediatrics, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea Department of Pediatrics, Korea University Guro Hospital, Korea University College of Medicine, Seoul, KoreaThe prevalence of childhood obesity is increasing worldwide at an alarming rate. While obesity is known to increase a variety of cardiovascular and metabolic diseases, it also acts as a risk factor for the development and progression of chronic kidney disease (CKD). During childhood and adolescence, severe obesity is associated with an increased prevalence and incidence of the early stages of kidney disease. Importantly, children born to obese mothers are also at increased risk of developing obesity and CKD later in life. The potential mechanisms underlying the association between obesity and CKD include hemodynamic factors, metabolic effects, and lipid nephrotoxicity. Weight reduction via increased physical activity, caloric restriction, treatment with angiotensin-converting enzyme inhibitors, and judicious bariatric surgery can be used to control obesity and obesity-related kidney disease. Preventive strategies to halt the obesity epidemic in the healthcare community are needed to reduce the widespread deleterious consequences of obesity including CKD development and progression.http://www.e-cep.org/upload/pdf/cep-2021-00108.pdffetal developmentintergenerational relationspediatric obesityproteinuriarenal insufficiency
spellingShingle Hyung Eun Yim
Kee Hwan Yoo
Obesity and chronic kidney disease: prevalence, mechanism, and management
Clinical and Experimental Pediatrics
fetal development
intergenerational relations
pediatric obesity
proteinuria
renal insufficiency
title Obesity and chronic kidney disease: prevalence, mechanism, and management
title_full Obesity and chronic kidney disease: prevalence, mechanism, and management
title_fullStr Obesity and chronic kidney disease: prevalence, mechanism, and management
title_full_unstemmed Obesity and chronic kidney disease: prevalence, mechanism, and management
title_short Obesity and chronic kidney disease: prevalence, mechanism, and management
title_sort obesity and chronic kidney disease prevalence mechanism and management
topic fetal development
intergenerational relations
pediatric obesity
proteinuria
renal insufficiency
url http://www.e-cep.org/upload/pdf/cep-2021-00108.pdf
work_keys_str_mv AT hyungeunyim obesityandchronickidneydiseaseprevalencemechanismandmanagement
AT keehwanyoo obesityandchronickidneydiseaseprevalencemechanismandmanagement