We all know that losing weight will cause a series of diseases. For patients with kidney disease, obesity will accelerate the progress of chronic kidney disease, which will lead to problems. If you don't lose weight, kidney disease will get worse and relapse. Should patients with kidney disease lose weight?
In the etiological analysis of chronic kidney disease in the United States, it was found that 24.2% of men and 33.9% of women were related to obesity. Obesity is not only a high risk factor of diabetes, coronary heart disease, hypertension and other diseases, but also one of the risk factors of chronic kidney disease, and it will also accelerate the progress of chronic kidney disease. It is reported that there is a patient with kidney disease in Qingdao, who has been admitted to the hospital because of the recurrence of kidney disease due to weight loss.
Online Controversy: Should Kidney Disease Patients Lose Weight?
There is no uniform answer to this question. Ask the doctor for a specific analysis. As for whether patients with kidney disease should lose weight, professional advice should be given according to the stage of kidney disease, current treatment and nutritional status. At three key points, patients need to make decisions according to their own situation.
Obesity is one of the risk factors of chronic kidney disease.
Above, we mentioned that obesity can lead to kidney disease. Therefore, obese patients should actively lose weight to prevent the occurrence of nephropathy.
Reflect the visceral fat content around the waist of patients with chronic kidney disease.
At present, the standard of obesity in China is that the body mass index (BMI) of adults exceeds 28kg/m2.
Waist circumference is a recognized index of centripetal obesity, which can better reflect the amount of visceral fat in patients with chronic kidney disease.
It is found that among patients with chronic kidney disease who do not have dialysis, patients with large waist circumference are at greater risk of cardiovascular disease. For patients with non-dialysis chronic kidney disease, with the progress of the disease, obese people will enter end-stage renal failure faster.
Maintenance dialysis patients should not lose weight blindly.
According to the above analysis, we suggest that obese patients with chronic kidney disease, especially those with chronic kidney disease in 1-3 stage, should be monitored to lose weight, so as to keep their weight and waist circumference within the normal range (body mass index 18.5-24.9kg/m2, male waist circumference).
However, we do not recommend that dialysis patients who are overweight or even obese lose weight blindly. A large number of epidemiological surveys have found that the survival rate of these patients is longer, which may be because the nutritional indicators of overweight or obese dialysis patients are better and more tolerant than those of low-weight malnutrition patients. Therefore, it is not recommended for such patients to lose weight blindly.
Therefore, patients with kidney disease must not lose weight blindly, which will bring you unnecessary trouble; Normal people should determine whether they are fat, apply reasonable methods to lose weight, and avoid blindly taking diet pills to lose weight!