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Kidney Int Rep. 2016 Aug 12;1(4):250-255. doi: 10.1016/j.ekir.2016.08.006. eCollection 2016 Nov.

Glomerulopathy Associated With Moderate Obesity.

Kidney international reports

Yusuke Okabayashi, Nobuo Tsuboi, Takaya Sasaki, Kotaro Haruhara, Go Kanzaki, Kentaro Koike, Yoichi Miyazaki, Tetsuya Kawamura, Makoto Ogura, Takashi Yokoo

Affiliations

  1. Division of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.

PMID: 29142929 PMCID: PMC5678835 DOI: 10.1016/j.ekir.2016.08.006

Abstract

INTRODUCTION: Obesity-related glomerulopathy is an established secondary glomerular disease that may occur in obese individuals with a body mass index (BMI) of ≥30 kg/m

METHODS: A total of 20 patients with grade 1 obesity (25 ≤ BMI < 30 kg/m

RESULTS: Similar to the grade 2 or higher obesity group, the grade 1 obesity group had a male predominance (85%) and showed a high incidence of hypertension (80%). Urinary protein excretion and renal outcome parameters were comparable between the groups. Patients with grade 1 obesity showed typical histologic features of obesity-related glomerulopathy: low glomerular density with glomerulomegaly. The glomerular density and mean glomerular volume in the grade 1 group, the grade 2 or higher group, and the kidney transplant donors with grade 1 obesity were 1.6 ± 0.8 versus 1.4 ± 0.6 versus 3.0 ± 1.1 (per mm

DISCUSSION: A glomerulopathy similar to obesity-related glomerulopathy can occur in moderately obese individuals. Renal factor(s), such as low glomerular density, may thus underlie susceptibility to this disease entity as well as BMI.

Keywords: body mass index; glomerular density; hyperfiltration; obesity; renal biopsy

References

  1. Kidney Int. 2004 May;65(5):1870-6 - PubMed
  2. Clin Exp Nephrol. 2009 Aug;13(4):332-40 - PubMed
  3. Am J Kidney Dis. 2009 Jun;53(6):982-92 - PubMed
  4. Am J Kidney Dis. 2008 Jul;52(1):58-65 - PubMed
  5. Nephrol Dial Transplant. 2005 Dec;20(12):2594-7 - PubMed
  6. J Am Soc Nephrol. 2003 Jun;14(6):1480-6 - PubMed
  7. Nephrol Dial Transplant. 2001 Sep;16(9):1790-8 - PubMed
  8. Endocrinology. 2006 Jan;147(1):44-50 - PubMed
  9. Anat Rec. 1992 Feb;232(2):194-201 - PubMed
  10. Kidney Int. 2000 Aug;58(2):770-3 - PubMed
  11. Nephrol Dial Transplant. 2009 Dec;24(12):3732-8 - PubMed
  12. JAMA. 2004 Feb 18;291(7):844-50 - PubMed
  13. Nephrol Dial Transplant. 2011 Nov;26(11):3555-60 - PubMed
  14. J Am Soc Nephrol. 2003 Oct;14(10):2662-8 - PubMed
  15. Clin J Am Soc Nephrol. 2007 May;2(3):550-62 - PubMed
  16. Clin Exp Nephrol. 2013 Jun;17(3):379-85 - PubMed
  17. Kidney Int. 2003 Jun;63(6):2113-22 - PubMed
  18. Clin J Am Soc Nephrol. 2012 May;7(5):735-41 - PubMed
  19. Semin Nephrol. 2003 Mar;23(2):117-34 - PubMed
  20. Nat Rev Nephrol. 2011 Mar;7(3):137-44 - PubMed
  21. Nephrol Dial Transplant. 2013 Nov;28 Suppl 4:iv108-13 - PubMed
  22. Clin J Am Soc Nephrol. 2010 Jan;5(1):39-44 - PubMed
  23. Am J Kidney Dis. 2005 Nov;46(5):871-80 - PubMed
  24. Am J Physiol Renal Physiol. 2008 Apr;294(4):F685-96 - PubMed
  25. N Engl J Med. 2003 Jan 9;348(2):101-8 - PubMed
  26. Am J Physiol Renal Physiol. 2000 May;278(5):F817-22 - PubMed
  27. Kidney Int. 2001 Apr;59(4):1498-509 - PubMed
  28. Circ J. 2002 Nov;66(11):987-92 - PubMed

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