Kidney Disease
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National Kidney Foundation president urges community to ‘awaken the giant within’
The kidney community must work together to solve the many issues facing nephrology, whether it be the COVID-19 crisis, the increasing cost of kidney care or the lack of patient awareness of chronic kidney disease, Holly Kramer, MD, MPH, president of the National Kidney Foundation, said during her address at the virtual National Kidney Foundation Spring Clinical Meetings.
Patients with obesity, ESKD have unique dietary needs
The prevalence of obesity is growing worldwide among children, adolescents and adults.1-6 People with obesity in the general population are at an increased risk of various adverse health concerns, including diabetes mellitus, hypertension, cardiovascular disease, depression and kidney disease.7-13 Kovesdy, Furth and Zoccali published a review in 2017 of numerous studies that demonstrated the association between measures of obesity and the development and progression of chronic kidney disease. They indicated recommendations appear to be justified for lifestyle modifications to reduce body weight in obese people at risk of CKD and those with early stages of CKD (particularly for the control of diabetes and hypertension).13
Obesity creates challenges for patients with CKD
The goal of Advancing American Kidney Health is clear. By 2030, HHS is asking the nephrology community to reduce the number of ESKD diagnoses by 25%. That means slowing the progress of kidney disease in the early stages before a patient’s GFR starts to descend and either dialysis or a transplant is necessary. Obesity, a growing problem in the general population, is also an issue among patients with chronic kidney disease.