Issue: April 2012
March 09, 2012
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Lifestyle, behavioral factors related to obesity and weight loss similar, despite CKD status

Navaneethan SD. Int J Obes. 2012;doi:10.1038/ijo.2012.7.

Issue: April 2012
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Among those who are overweight or obese, lifestyle and behavioral factors linked to obesity and weight loss were similar between those with and without chronic kidney disease, according to results of a cross-sectional analysis.

“Insufficient data exist on the beneficial effects of intentional weight loss in CKD, and these data show that a significant proportion of the CKD population use diets that may have high-protein content and medications to promote weight loss that may be harmful,” the researchers said.

Using data from the National Health and Nutrition Examination Surveys conducted between 1999 and 2006, they evaluated lifestyle and behavioral factors related to pursuing weight loss and weight-loss modalities among 10,971 overweight and obese adult participants with and without CKD.

Patients with CKD had lower total daily energy intake than those participants without CKD (1,987 kcal per day vs. 2,063 kcal per day).

However, the percentage of energy derived from protein and weight-loss modalities was similar between the groups. Eight percent of CKD participants used medications to promote weight loss.

Leisure time was also similar: 66% of patients with CKD did not meet the minimum recommended leisure-time physical activity goals vs. 57% of those who did not have CKD. Fifty percent of CKD participants pursued weight loss vs. 55% of those without CKD.

The researchers said CKD presence was not independently associated with the pursuit of weight loss in the multivariate model.

Disclosure: The researchers report no relevant financial disclosures.