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NDT Advance Access originally published online on October 24, 2008
Nephrology Dialysis Transplantation 2009 24(2):376-380; doi:10.1093/ndt/gfn589
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org



The obesity epidemics in ESRD: from wasting to waist?

Carmine Zoccali

Nephrology, Dialysis and Transplantation Unit and CNR-IBIM Clinical Epidemiology and Pathophysiology of Renal Diseases and Hypertension, Reggio Calabria, Italy

Correspondence and offprint requests to: Carmine Zoccali, CNR-IBIM, presso Euroline, Via Vallone Petrara 57, 89124 Reggio Calabria, Italy. Tel: +0039-0965-397010; Fax: +0039-0965-397000; E-mail:carmine.zoccali@tin.it

Keywords: CKD; ESRD; malnutrition; metabolic syndrome; obesity

The first 150 words of the full text of this article appear below.

During the last six decades, from the World War II years on, the phenotype of human beings has changed profoundly. The dominant slim, pale and light phenotype of the 1920s has gradually been overthrown by the heavy, large and ponderous phenotype of obese people. Obesity is rampant in the USA (http://www.cdc.gov/nccdphp/dnpa/ obesity/trend/maps/, accessed on 20th July 2008) and, even though to a lesser degree, most European countries share the same epochal evolution [1]. Type 2 diabetes and cardiovascular diseases are the two most important non-communicable disease outcomes of obesity. Abdominal obesity is strongly associated, and at least in part in a causal manner, with hypertension, dyslipidaemia and impaired insulin resistance [2]. Well beyond these complications, neoplasia [3], greater exposure to drugs of various sort, sterility [4], asthma [5], non-alcoholic liver disease [6] and osteoarthritis [7] are . . . [Full Text of this Article]



   Obesity epidemics in the dialysis population
 


   Obesity and the reverse epidemiology conundrum in ESRD
 


   How to measure the obesity burden in epidemiological studies
 


   Obesity and protein energy wasting in ESRD: a two-dimensional problem
 

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