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May 1, 2000AJP Renal Physiology

Glomerular hemodynamics in severe obesity

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Why the study?

Does severe obesity alter glomerular hemodynamics and function compared to healthy controls?

Population

21 subjects total: 12 nondiabetic subjects with severe obesity and 9 healthy control subjects.

Comparison

Severe obesity (observational exposure) vs Healthy control subjects

Design

Case-control

Authors

ACAvry ChagnacMaccabi Health Care ServicesTWTalia WeinsteinTel Aviv UniversityAKAsher KorzetsTel Aviv University

Discussion

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Implication

Severe obesity linked to hyperfiltration; leaves open whether insulin resistance drives progression to CKD.

Structured PICO

Does severe obesity alter glomerular hemodynamics and function compared to healthy controls?

P
Population
21 subjects total: 12 nondiabetic subjects with severe obesity (body mass index >38) and 9 healthy control subjects.
I
Intervention
Severe obesity (observational exposure)
C
Comparator
Healthy control subjects
O
Outcome
Glomerular function characterized by differential solute clearances (including glomerular filtration rate [GFR] and renal plasma flow [RPF])surrogate

Severe obesity is associated with increased GFR and RPF, likely driven by afferent arteriole vasodilation and increased transcapillary hydraulic pressure, which correlates strongly with insulin resistance.

Cite This Study

Chagnac et al. (2000) studied this question.

synapsesocial.com/papers/6a83347cb9768edacab38211https://doi.org/10.1152/ajprenal.2000.278.5.f817
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Insulin Resistance, Elevated Glomerular Filtration Fraction, and Renal Injury1996 · 161 citations
  2. 2Renal Haemodynamic Studies in Obesity Hypertension1987 · 89 citations
  3. 3Albuminuria in People At Least 40 Years Old: Effect of Obesity, Hypertension, and Hyperlipidemia1992 · 140 citations
  4. 4Disparate effects of insulin on isolated rabbit afferent and efferent arterioles.1993 · 57 citations
  5. 5Pathogenesis of weight-related changes in blood pressure in dogs.1989 · 110 citations