Metabolically Healthy Obesity: Epidemiology, Criteria, and Implications in Chronic Kidney Disease

The increasing prevalence of obesity is a worldwide health concern. Although obesity primarily affects the development of cardiometabolic disorders, it has also been closely linked to chronic kidney disease (CKD). However, potential causal relationships between obesity and CKD remain unclear, as obe...

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Main Authors: Yun Kyung Cho, Chang Hee Jung
Format: Article
Language:English
Published: Korean Society for the Study of Obesity 2022-09-01
Series:Journal of Obesity & Metabolic Syndrome
Subjects:
Online Access:http://journaleditor.inforang.com/journal/view.html?doi=10.7570/jomes22036
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author Yun Kyung Cho
Chang Hee Jung
author_facet Yun Kyung Cho
Chang Hee Jung
author_sort Yun Kyung Cho
collection DOAJ
description The increasing prevalence of obesity is a worldwide health concern. Although obesity primarily affects the development of cardiometabolic disorders, it has also been closely linked to chronic kidney disease (CKD). However, potential causal relationships between obesity and CKD remain unclear, as obesity and CKD share a number of common risk factors. Accordingly, the risk of incident CKD in obese people without metabolic abnormalities, also called "metabolically healthy obesity" (MHO), has been a matter of interest. Recent investigations found that MHO was related to increased risk of incident CKD; however, the conclusions were based primarily on the static state. According to previous publications, approximately one-half of people initially identified as MHO became metabolically unhealthy, while one-tenth reduced their body weight to normal range while remaining metabolically healthy. It is essential to consider these transitions in obese-metabolic health status when analyzing obesity-related outcomes. This review discusses research on obesity and metabolic health in patients with CKD. Furthermore, we summarize recent reports on the implications of obesity and metabolic health in CKD and discuss the possible mechanisms of their relationship with CKD.
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spelling doaj.art-b92e0008d77c43cc819b624feb867b2c2022-12-22T04:32:32ZengKorean Society for the Study of ObesityJournal of Obesity & Metabolic Syndrome2508-62352022-09-0131320821610.7570/jomes22036jomes22036Metabolically Healthy Obesity: Epidemiology, Criteria, and Implications in Chronic Kidney DiseaseYun Kyung Cho0Chang Hee Jung1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaThe increasing prevalence of obesity is a worldwide health concern. Although obesity primarily affects the development of cardiometabolic disorders, it has also been closely linked to chronic kidney disease (CKD). However, potential causal relationships between obesity and CKD remain unclear, as obesity and CKD share a number of common risk factors. Accordingly, the risk of incident CKD in obese people without metabolic abnormalities, also called "metabolically healthy obesity" (MHO), has been a matter of interest. Recent investigations found that MHO was related to increased risk of incident CKD; however, the conclusions were based primarily on the static state. According to previous publications, approximately one-half of people initially identified as MHO became metabolically unhealthy, while one-tenth reduced their body weight to normal range while remaining metabolically healthy. It is essential to consider these transitions in obese-metabolic health status when analyzing obesity-related outcomes. This review discusses research on obesity and metabolic health in patients with CKD. Furthermore, we summarize recent reports on the implications of obesity and metabolic health in CKD and discuss the possible mechanisms of their relationship with CKD.http://journaleditor.inforang.com/journal/view.html?doi=10.7570/jomes22036chronic kidney diseasemetabolic syndromeobesity
spellingShingle Yun Kyung Cho
Chang Hee Jung
Metabolically Healthy Obesity: Epidemiology, Criteria, and Implications in Chronic Kidney Disease
Journal of Obesity & Metabolic Syndrome
chronic kidney disease
metabolic syndrome
obesity
title Metabolically Healthy Obesity: Epidemiology, Criteria, and Implications in Chronic Kidney Disease
title_full Metabolically Healthy Obesity: Epidemiology, Criteria, and Implications in Chronic Kidney Disease
title_fullStr Metabolically Healthy Obesity: Epidemiology, Criteria, and Implications in Chronic Kidney Disease
title_full_unstemmed Metabolically Healthy Obesity: Epidemiology, Criteria, and Implications in Chronic Kidney Disease
title_short Metabolically Healthy Obesity: Epidemiology, Criteria, and Implications in Chronic Kidney Disease
title_sort metabolically healthy obesity epidemiology criteria and implications in chronic kidney disease
topic chronic kidney disease
metabolic syndrome
obesity
url http://journaleditor.inforang.com/journal/view.html?doi=10.7570/jomes22036
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AT changheejung metabolicallyhealthyobesityepidemiologycriteriaandimplicationsinchronickidneydisease