Chronic kidney disease attenuates the impact of obesity on quality of life

The impact of obesity on health-related quality of life (HRQoL) in chronic kidney disease (CKD) population has not been elucidated, despite the impairment of HRQoL in the obese among general population. We hypothesized that the impact of obesity on HRQoL might be confounded by impaired renal functio...

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Veröffentlicht in:Scientific reports 2020-02, Vol.10 (1), p.2375-2375, Article 2375
Hauptverfasser: Suh, Sang Heon, Choi, Hong Sang, Kim, Chang Seong, Bae, Eun Hui, Ma, Seong Kwon, Lee, Dae Ho, Kim, Soo Wan
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creator Suh, Sang Heon
Choi, Hong Sang
Kim, Chang Seong
Bae, Eun Hui
Ma, Seong Kwon
Lee, Dae Ho
Kim, Soo Wan
description The impact of obesity on health-related quality of life (HRQoL) in chronic kidney disease (CKD) population has not been elucidated, despite the impairment of HRQoL in the obese among general population. We hypothesized that the impact of obesity on HRQoL might be confounded by impaired renal function in CKD population, and that CKD would attenuate the impact of obesity on HRQoL. To compare the impact of obesity on HRQoL according to kidney function, 17,001 subjects from Korea National Health and Nutrition Examination Survey (2008–2011) were categorized by estimated glomerular filtration rate (eGFR), as follows: group 1, eGFR ≥ 90 mL/min/1.73 m 2 ; group 2, eGFR of 60–89 mL/min/1.73 m 2 ; group 3, eGFR 
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We hypothesized that the impact of obesity on HRQoL might be confounded by impaired renal function in CKD population, and that CKD would attenuate the impact of obesity on HRQoL. To compare the impact of obesity on HRQoL according to kidney function, 17,001 subjects from Korea National Health and Nutrition Examination Survey (2008–2011) were categorized by estimated glomerular filtration rate (eGFR), as follows: group 1, eGFR ≥ 90 mL/min/1.73 m 2 ; group 2, eGFR of 60–89 mL/min/1.73 m 2 ; group 3, eGFR &lt; 60 mL/min/1.73 m 2 . The association between obesity parameters (body mass index, waist circumference and, truncal fat mass) and HRQoL parameters (EQ-5D index and EQ-VAS) were cross-sectionally analyzed. Despite robust correlations between obesity parameters and low EQ-5D index or EQ-VAS in general population, no significant association was observed in group 3 population. Impact of obesity on HRQoL in CKD population was only limitedly observed in the mobility domain of EQ-5D, as mobility limitation was associated with increased body mass index or waist circumference regardless of kidney function. Therefore, the impact of obesity on HRQoL seems significantly attenuated in CKD population, suggesting that the risk of obesity should not be over-estimated in patients with CKD, especially with respect to HRQoL.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-020-59382-9</identifier><identifier>PMID: 32047200</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/4022/1585/104/1586 ; 692/4022/272/1684/1587 ; Adult ; Body fat ; Body mass index ; Epidermal growth factor receptors ; Female ; Glomerular filtration rate ; Humanities and Social Sciences ; Humans ; Kidney diseases ; Kidneys ; Male ; Middle Aged ; Mobility ; multidisciplinary ; Obesity ; Obesity - complications ; Obesity - epidemiology ; Population ; Quality of Life ; Renal function ; Renal Insufficiency, Chronic - complications ; Renal Insufficiency, Chronic - epidemiology ; Science ; Science (multidisciplinary)</subject><ispartof>Scientific reports, 2020-02, Vol.10 (1), p.2375-2375, Article 2375</ispartof><rights>The Author(s) 2020</rights><rights>This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c522t-ff4a67317a5bf7553275d93e897b15629de5ae5aecfe5781167341494f0d13d63</citedby><cites>FETCH-LOGICAL-c522t-ff4a67317a5bf7553275d93e897b15629de5ae5aecfe5781167341494f0d13d63</cites><orcidid>0000-0002-8832-3052 ; 0000-0002-3540-9004</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012880/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012880/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,41099,42168,51554,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32047200$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suh, Sang Heon</creatorcontrib><creatorcontrib>Choi, Hong Sang</creatorcontrib><creatorcontrib>Kim, Chang Seong</creatorcontrib><creatorcontrib>Bae, Eun Hui</creatorcontrib><creatorcontrib>Ma, Seong Kwon</creatorcontrib><creatorcontrib>Lee, Dae Ho</creatorcontrib><creatorcontrib>Kim, Soo Wan</creatorcontrib><title>Chronic kidney disease attenuates the impact of obesity on quality of life</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>The impact of obesity on health-related quality of life (HRQoL) in chronic kidney disease (CKD) population has not been elucidated, despite the impairment of HRQoL in the obese among general population. We hypothesized that the impact of obesity on HRQoL might be confounded by impaired renal function in CKD population, and that CKD would attenuate the impact of obesity on HRQoL. To compare the impact of obesity on HRQoL according to kidney function, 17,001 subjects from Korea National Health and Nutrition Examination Survey (2008–2011) were categorized by estimated glomerular filtration rate (eGFR), as follows: group 1, eGFR ≥ 90 mL/min/1.73 m 2 ; group 2, eGFR of 60–89 mL/min/1.73 m 2 ; group 3, eGFR &lt; 60 mL/min/1.73 m 2 . The association between obesity parameters (body mass index, waist circumference and, truncal fat mass) and HRQoL parameters (EQ-5D index and EQ-VAS) were cross-sectionally analyzed. Despite robust correlations between obesity parameters and low EQ-5D index or EQ-VAS in general population, no significant association was observed in group 3 population. Impact of obesity on HRQoL in CKD population was only limitedly observed in the mobility domain of EQ-5D, as mobility limitation was associated with increased body mass index or waist circumference regardless of kidney function. 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We hypothesized that the impact of obesity on HRQoL might be confounded by impaired renal function in CKD population, and that CKD would attenuate the impact of obesity on HRQoL. To compare the impact of obesity on HRQoL according to kidney function, 17,001 subjects from Korea National Health and Nutrition Examination Survey (2008–2011) were categorized by estimated glomerular filtration rate (eGFR), as follows: group 1, eGFR ≥ 90 mL/min/1.73 m 2 ; group 2, eGFR of 60–89 mL/min/1.73 m 2 ; group 3, eGFR &lt; 60 mL/min/1.73 m 2 . The association between obesity parameters (body mass index, waist circumference and, truncal fat mass) and HRQoL parameters (EQ-5D index and EQ-VAS) were cross-sectionally analyzed. Despite robust correlations between obesity parameters and low EQ-5D index or EQ-VAS in general population, no significant association was observed in group 3 population. Impact of obesity on HRQoL in CKD population was only limitedly observed in the mobility domain of EQ-5D, as mobility limitation was associated with increased body mass index or waist circumference regardless of kidney function. Therefore, the impact of obesity on HRQoL seems significantly attenuated in CKD population, suggesting that the risk of obesity should not be over-estimated in patients with CKD, especially with respect to HRQoL.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32047200</pmid><doi>10.1038/s41598-020-59382-9</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-8832-3052</orcidid><orcidid>https://orcid.org/0000-0002-3540-9004</orcidid><oa>free_for_read</oa></addata></record>
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subjects 692/4022/1585/104/1586
692/4022/272/1684/1587
Adult
Body fat
Body mass index
Epidermal growth factor receptors
Female
Glomerular filtration rate
Humanities and Social Sciences
Humans
Kidney diseases
Kidneys
Male
Middle Aged
Mobility
multidisciplinary
Obesity
Obesity - complications
Obesity - epidemiology
Population
Quality of Life
Renal function
Renal Insufficiency, Chronic - complications
Renal Insufficiency, Chronic - epidemiology
Science
Science (multidisciplinary)
title Chronic kidney disease attenuates the impact of obesity on quality of life
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