Body mass index in an Australian population with chronic kidney disease
Abstract Background Obesity emerged as the leading global health concern in 2017. Although higher body mass index (BMI) is a health risk in the general population, its implications for chronic kidney disease (CKD) are not entirely clear. Our aim was to compare BMI in an Australian CKD population wit...
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| Format: | Article |
| Language: | English |
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BMC
2018-08-01
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| Series: | BMC Nephrology |
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| Online Access: | http://link.springer.com/article/10.1186/s12882-018-1006-2 |
| _version_ | 1819057563540389888 |
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| author | Samuel Chan Anne Cameron Zaimin Wang Sree K. Venuthurupalli Ken S. Tan Helen G. Healy Wendy E. Hoy |
| author_facet | Samuel Chan Anne Cameron Zaimin Wang Sree K. Venuthurupalli Ken S. Tan Helen G. Healy Wendy E. Hoy |
| author_sort | Samuel Chan |
| collection | DOAJ |
| description | Abstract Background Obesity emerged as the leading global health concern in 2017. Although higher body mass index (BMI) is a health risk in the general population, its implications for chronic kidney disease (CKD) are not entirely clear. Our aim was to compare BMI in an Australian CKD population with BMI in a sample of the general Australian population, and, in the same group of CKD patients, to describe associations of higher BMI categories with demographic and clinical features. Methods A cross-sectional study of BMI in CKD patients was conducted from three major sites who were enrolled in the CKD.QLD registry between May 2011 and July 2015. BMI was categorized according to the World Health Organisation (WHO) guidelines. The prevalence of obesity was compared with a sample of the general Australian population from the most recent National Health Survey (NHS). Associations of BMI with demographic and clinical characteristics of the CKD patients were also analysed. Results There were 3382 CKD patients in this study (median age 68, IQR 56–76 years); 50.5% had BMI ≥30, the WHO threshold for obesity, in contrast with 28.4% having BMI ≥30 in the NHS cohort. Higher BMI categories were correlated with age < 70 years, male gender, and lower socioeconomic status. After adjustment for age and gender, characteristics which significantly correlated with higher BMI category included hypertension, dyslipidemia, diabetes, diabetic nephropathy, coronary heart disease, other cardiovascular diseases, gout, obstructive sleep apnoea, depression and chronic lung disease. Conclusions Patients with CKD in public renal specialty practices in Queensland have strikingly higher rates of obesity than the general Australian population. Within the CKD population, low socio-economic position strongly predisposes to higher BMI categories. Higher BMI categories also strongly correlated with important co-morbidities that contribute to burden of illness. These data flag major opportunities for primary prevention of CKD and for reductions in morbidity in people who already have CKD, which should be considered in public health policy in relation to obesity. |
| first_indexed | 2024-12-21T13:41:18Z |
| format | Article |
| id | doaj.art-5f85b3d82a9c4d6fa263d24c93cd1720 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-12-21T13:41:18Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-5f85b3d82a9c4d6fa263d24c93cd17202022-12-21T19:02:01ZengBMCBMC Nephrology1471-23692018-08-011911610.1186/s12882-018-1006-2Body mass index in an Australian population with chronic kidney diseaseSamuel Chan0Anne Cameron1Zaimin Wang2Sree K. Venuthurupalli3Ken S. Tan4Helen G. Healy5Wendy E. Hoy6Kidney Health Service, Royal Brisbane and Women’s Hospital, Metro North Hospital and Health ServiceCKD.QLD and the NHMRC CKD.CRE, The University of QueenslandCKD.QLD and the NHMRC CKD.CRE, The University of QueenslandCKD.QLD and the NHMRC CKD.CRE, The University of QueenslandCKD.QLD and the NHMRC CKD.CRE, The University of QueenslandKidney Health Service, Royal Brisbane and Women’s Hospital, Metro North Hospital and Health ServiceCKD.QLD and the NHMRC CKD.CRE, The University of QueenslandAbstract Background Obesity emerged as the leading global health concern in 2017. Although higher body mass index (BMI) is a health risk in the general population, its implications for chronic kidney disease (CKD) are not entirely clear. Our aim was to compare BMI in an Australian CKD population with BMI in a sample of the general Australian population, and, in the same group of CKD patients, to describe associations of higher BMI categories with demographic and clinical features. Methods A cross-sectional study of BMI in CKD patients was conducted from three major sites who were enrolled in the CKD.QLD registry between May 2011 and July 2015. BMI was categorized according to the World Health Organisation (WHO) guidelines. The prevalence of obesity was compared with a sample of the general Australian population from the most recent National Health Survey (NHS). Associations of BMI with demographic and clinical characteristics of the CKD patients were also analysed. Results There were 3382 CKD patients in this study (median age 68, IQR 56–76 years); 50.5% had BMI ≥30, the WHO threshold for obesity, in contrast with 28.4% having BMI ≥30 in the NHS cohort. Higher BMI categories were correlated with age < 70 years, male gender, and lower socioeconomic status. After adjustment for age and gender, characteristics which significantly correlated with higher BMI category included hypertension, dyslipidemia, diabetes, diabetic nephropathy, coronary heart disease, other cardiovascular diseases, gout, obstructive sleep apnoea, depression and chronic lung disease. Conclusions Patients with CKD in public renal specialty practices in Queensland have strikingly higher rates of obesity than the general Australian population. Within the CKD population, low socio-economic position strongly predisposes to higher BMI categories. Higher BMI categories also strongly correlated with important co-morbidities that contribute to burden of illness. These data flag major opportunities for primary prevention of CKD and for reductions in morbidity in people who already have CKD, which should be considered in public health policy in relation to obesity.http://link.springer.com/article/10.1186/s12882-018-1006-2AssociationsBody mass indexChronic kidney diseaseClinicalDemographics |
| spellingShingle | Samuel Chan Anne Cameron Zaimin Wang Sree K. Venuthurupalli Ken S. Tan Helen G. Healy Wendy E. Hoy Body mass index in an Australian population with chronic kidney disease BMC Nephrology Associations Body mass index Chronic kidney disease Clinical Demographics |
| title | Body mass index in an Australian population with chronic kidney disease |
| title_full | Body mass index in an Australian population with chronic kidney disease |
| title_fullStr | Body mass index in an Australian population with chronic kidney disease |
| title_full_unstemmed | Body mass index in an Australian population with chronic kidney disease |
| title_short | Body mass index in an Australian population with chronic kidney disease |
| title_sort | body mass index in an australian population with chronic kidney disease |
| topic | Associations Body mass index Chronic kidney disease Clinical Demographics |
| url | http://link.springer.com/article/10.1186/s12882-018-1006-2 |
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