Nutrición Hospitalaria 03976 /
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The feasibility of anthropometric measurements for evaluation of abdominal obesity in patients with autosomal dominant polycystic kidney disease: A cross-sectional study

Ozlem Persil-Ozkan, Egemen Cebeci, Yonca Sevim, Yildiray Savas, Savas Ozturk, Muhittin Tayfur

Prepublicado: 2022-03-04
Publicado: 2022-08-02

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Introduction: total kidney volume (TKV) increases in patients with autosomal dominant polycystic kidney disease (ADPKD), which perturbs anthropometric measurements. Objectives: the primary objectives were to investigate the accuracy of waist circumference (WC) and waist-to-hip ratio (WHR) for determining abdominal obesity in patients with ADPKD by comparison with magnetic resonance images. The secondary objectives were to investigate the associations of energy/macronutrient intake with WC and WHR. Methods: sixty patients with ADPKD were recruited from a nephrology outpatient clinic in this cross-sectional study. Main outcome measures were: TKV, total subcutaneous fat (TSF), total intraperitoneal fat (TIF), WC, WHR, body mass index (BMI), skinfold thickness (SFT), and energy/macronutrient intake. Results: mean age was 48.6 ± 11.3 years, 38 of 60 were women, median TKV was 1486 (IQR, 981-2847) mL. The patients classed as obese by the BMI had higher WC, TSF, TIF, and SFT than did non-obese; however, WHR was similar in obese and non-obese men. In the all-patients group, the WHR of obese and non-obese patients were also similar. TKV was positively correlated with WC and WHR in women, but not in men. In the multivariate analysis, TKV was an independent factor affecting WC and WHR in women. Dietary fat intake was similar in groups with and without abdominal obesity according to WC and WHR. Conclusions: in women with ADPKD, WC and WHR may not be accurate anthropometric measurements for evaluation of abdominal obesity; however, they may be associated with TKV.

Palabras Clave: Autosomal dominant polycystic kidney disease. Abdominal obesity. Waist to hip ratio. Waist circumference. Renal nutrition.

Campbell KL, Rangan GK, Lopez-Vargas P, Tong A. KHA-CARI Autosomal Dominant Polycystic Kidney Disease Guideline: Diet and Lifestyle Management. Semin Nephrol. 2015;35(6):572-81.e17.
DOI: 10.1016/j.semnephrol.2015.10.008
Müller R-U, Benzing T. Management of autosomal-dominant polycystic kidney disease—state-of-the-art. Clin Kidney J. 2018;11(suppl_1):i2–13.
DOI: 10.1093/ckj/sfy103
Chapman AB, Guay-Woodford LM, Grantham JJ, Torres VE, Bae KT, Baumgarten DA, et al. Renal structure in early autosomal-dominant polycystic kidney disease (ADPKD): The Consortium for Radiologic Imaging Studies of Polycystic Kidney Disease (CRISP) cohort. Kidney Int. 2003;64(3):1035–45.
DOI: 10.1046/j.1523-1755.2003.00185.x
Schrier RW, McFann KK, Johnson AM. Epidemiological study of kidney survival in autosomal dominant polycystic kidney disease. Kidney Int. 2003;63(2):678–85.
DOI: 10.1046/j.1523-1755.2003.00776.x
Helal I, McFann K, Reed B, Yan X-D, Schrier RW. Changing Referral Characteristics of Patients with Autosomal Dominant Polycystic Kidney Disease. Am J Med. 2013;126(9):832.e7-832.e11.
DOI: 10.1016/j.amjmed.2012.12.018
Fox CS. Predictors of New-Onset Kidney Disease in a Community-Based Population. JAMA. 2004;291(7):844.
DOI: 10.1001/jama.291.7.844
Freise J, Tavakol M, Gao Y, Klein O, Lee BK, Freise C, et al. The Effect of Enlarged Kidneys on Calculated Body Mass Index Categorization in Transplant Recipients With ADPKD. Kidney Int Reports. 2019;4(4):606–9.
DOI: 10.1016/j.ekir.2019.01.003
Nowak KL, You Z, Gitomer B, Brosnahan G, Torres VE, Chapman AB, et al. Overweight and Obesity Are Predictors of Progression in Early Autosomal Dominant Polycystic Kidney Disease. J Am Soc Nephrol. 2018;29(2):571–8.
DOI: 10.1681/ASN.2017070819
Akoh JA. Current management of autosomal dominant polycystic kidney disease. World J Nephrol. 2015;4(4):468.
DOI: 10.5527/wjn.v4.i4.468
PONDROM S. The AJT Report: News and issues that affect organ and tissue transplantation. Am J Transplant. 2012;12(7):1663–4.
DOI: 10.1111/j.1600-6143.2012.04186.x
Wang Y, Chen X, Song Y, Caballero B, Cheskin LJ. Association between obesity and kidney disease: A systematic review and meta-analysis. Kidney Int. 2008;73(1):19–33.
DOI: 10.1038/
Rüster C, Wolf G. The Role of the Renin-Angiotensin-Aldosterone System in Obesity-Related Renal Diseases. Semin Nephrol. 2013;33(1):44–53.
DOI: 10.1016/j.semnephrol.2012.12.002
Hsu CY, McCulloch CE, Iribarren C, Darbinian J, Go AS. Body mass index and risk for end-stage renal disease. Ann Intern Med. 2006;144(1):21–8.
DOI: 10.7326/0003-4819-144-1-200601030-00006
de Boer IH, Katz R, Fried LF, Ix JH, Luchsinger J, Sarnak MJ, et al. Obesity and Change in Estimated GFR Among Older Adults. Am J Kidney Dis. 2009;54(6):1043–51.
DOI: 10.1053/j.ajkd.2009.07.018
Nobakht N, Hanna RM, Al-Baghdadi M, Ameen KM, Arman F, Nobahkt E, et al. Advances in Autosomal Dominant Polycystic Kidney Disease: A Clinical Review. Kidney Med. 2020;2(2):196–208.
DOI: 10.1016/j.xkme.2019.11.009
Chebib FT, Perrone RD, Chapman AB, Dahl NK, Harris PC, Mrug M, et al. A practical guide for treatment of rapidly progressive ADPKD with tolvaptan. J Am Soc Nephrol. 2018;29(10):2458–70.
DOI: 10.1681/ASN.2018060590
Rastogi A, Ameen KM, Al-Baghdadi M, Shaffer K, Nobakht N, Kamgar M, et al. Autosomal dominant polycystic kidney disease: updated perspectives. Ther Clin Risk Manag. 2019;15:1041–52.
DOI: 10.2147/TCRM.S196244
Said S, Hernandez GT. The link between chronic kidney disease and cardiovascular disease. J Nephropathol. 2014;3(3):99–104.
Sanches FMR, Avesani CM, Kamimura MA, Lemos MM, Axelsson J, Vasselai P, et al. Waist Circumference and Visceral Fat in CKD: A Cross-sectional Study. Am J Kidney Dis. 2008;52(1):66–73.
DOI: 10.1053/j.ajkd.2008.02.004
Woodrow G. Body composition analysis techniques in the aged adult: indications and limitations. Curr Opin Clin Nutr Metab Care. 2009;12(1):8–14.
DOI: 10.1097/MCO.0b013e32831b9c5b
Zoccali C, Torino C, Tripepiand G, Mallamaci F. Assessment of obesity in chronic kidney disease: What is the best measure? Curr Opin Nephrol Hypertens. 2012;21(6):641–6.
DOI: 10.1097/MNH.0b013e328358a02b
Pietrzak-Nowacka M, Safranow K, Byra E, Bińczak-Kuleta A, Ciechanowicz A, Ciechanowski K. Metabolic syndrome components in patients with autosomal-dominant polycystic kidney disease. Kidney Blood Press Res. 2010;32(6):405–10.
DOI: 10.1159/000260042
Pietrzak-Nowacka M, Safranow K, Marchelek-Myśliwiec M, Bodnar M, Przysiecka S, Nowosiad-Magda M, et al. Evolution of metabolic syndrome components in patients with autosomal-dominant polycystic kidney disease: a six-year follow-up study. Postepy Hig Med Dosw. 2019;73:598–607.
DOI: 10.5604/01.3001.0013.5605
Persil Ozkan O. The relationship between anthropometric measurements and diet & renal functions on patients with autosomal dominant polycystic kidney disease. [doctoral thesis]. Ankara, Turkey: Başkent University Instute of Health Science, Nutrition and Dietetics; 2015.
World Health Organisation Europe. Body mass index - BMI. Accessed 22 July 2021.
World Health Organization. Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation. Geneva. 2008. Accessed 22 July 2021.
Reilly JJ, Wilson J, Durnin JVGA. Determination of body composition from skinfold thickness: A validation study. Arch Dis Child. 1995;73(4):305–10.
DOI: 10.1136/adc.73.4.305
Levey AS, Stevens LA, Schmid CH, Zhang Y (Lucy), Castro AF, Feldman HI, et al. A New Equation to Estimate Glomerular Filtration Rate. Ann Intern Med. 2009;150(9):604.
DOI: 10.7326/0003-4819-150-9-200905050-00006
Ebispro for Windows [computer program]. Stuttgart, Germany; Turkish Version (BeBiS 7.2). Istanbul, Turkey: Pasifik Elektirik Elektronik Ltd. Şti; 2010.
Kutluay Merdol T. Standart Yemek Tarifeleri. 4th ed. Ankara: Hatiboğlu; 2011.
IBM SPSS Statistics for Windows [computer program]. Version 20.0. Armonk, NY: IBM Corp; 2011.
Kramer H, Shoham D, McClure LA, Durazo-Arvizu R, Howard G, Judd S, et al. Association of waist circumference and body mass index with all-cause mortality in CKD: The REGARDS (Reasons for Geographic and Racial Differences in Stroke) study. Am J Kidney Dis. 2011;58(2):177–85.
DOI: 10.1053/j.ajkd.2011.02.390
Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, DC: The National Academies Press. 2005.
T.R. Public Health Agency of Turkey Ministry of Health, Obesity, Diabetes and Metabolic Diseases Department. Turkey Nutrition Guide 2015.,tuber-turkiye-beslenme-rehberipdf.pdf. Accessed 22 July 2021.
De Souza RJ, Bray GA, Carey VJ, et al. Effects of 4 weight-loss diets differing in fat, protein, and carbohydrate on fat mass, lean mass, visceral adipose tissue, and hepatic fat: Results from the POUNDS LOST trial. Am J Clin Nutr. 2012;95(3):614-625.
DOI: 10.3945/ajcn.111.026328

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