Poster
Health Trajectories of Adults with ESKD and Obesity Who Are Trying to Lose Weight: TH-PO976
Journal of the American Society of Nephrology, v 35(10S)
Oct 2024
Abstract
Background:
Adults with ESKD and obesity (i.e., body mass index ≥30 kg/m2) have reported numerous barriers to healthy weight loss, limiting access to transplantation. Weight loss in ESKD patients may also indicate frailty or sarcopenia. Knowledge gaps persist about predictors of healthy weight loss in adults with ESKD and obesity.
Methods:
In our longitudinal cohort study, we are assessing predictors of weight, body composition (using bioimpedance spectroscopy), anthropometry, and functional trajectories among adults with ESKD and obesity who are trying to lose weight. In this preliminary analysis, we compare dietary quality, health literacy, and 3-month changes in fat free mass, waist circumference, and physical function of participants who did and did not achieve weight loss using t-tests and Mann-Whitney U tests, as appropriate.
Results:
Among 34 participants with longitudinal data to date, 41% lost weight at 3 months (mean loss 2 kg, SD 1.74 kg). Mean participant age was 57 years; 47% were female, and 94% identified as non-Hispanic Black. No participants were taking weight loss medication at baseline. Participant characteristics, dietary intake, and health literacy were similar between those with and without weight loss. Participants who lost weight were more likely to lose waist circumference but had similar changes in fat free mass and physical function as those without weight loss (Table).
Conclusion:
Less than half of participants achieved desired weight loss at 3 months. Those who lost weight had similar baseline dietary quality and health literacy but were more likely to lose waist circumference than those who did not lose weight. Fat free mass and functional status changes were observed with and without weight loss.
Metrics
12 Record Views
Details
- Title
- Health Trajectories of Adults with ESKD and Obesity Who Are Trying to Lose Weight
- Creators
- Dahlia Stott - Drexel UniversityBengucan Gunen - Drexel UniversityStephen Chien - Drexel University, Philadelphia, Pennsylvania, United StatesBrandy-Joe Milliron - Drexel UniversityAnn Carroll Klassen - Drexel UniversityLucy Robinson - Drexel UniversityJason Cobb - Emory UniversityAlden Michael Doyle - University of VirginiaMeera Nair Harhay - Drexel University
- Publication Details
- Journal of the American Society of Nephrology, v 35(10S)
- Conference
- Kidney Week (San Diego, California, United States, 24 Oct 2024–27 Oct 2024)
- Publisher
- American Society of Nephrology (ASN)
- Grant note
- NIDDK Support
- Resource Type
- Poster
- Language
- English
- Academic Unit
- College of Medicine; Epidemiology and Biostatistics; SOM Dean - Research Administration; Nutrition Sciences; Community Health and Prevention; Health Sciences
- Other Identifier
- 991021932215404721