We have people on the waiting list for five to 10 years.
That waiting time, for a lot of people, is a time when health is changing. Some gain weight and some lose weight. Some people get stronger.
How much weight loss is cause for concern? - Harvard Health
Some people get sicker. Dialysis itself is really hard on the body. Patients can have a hard time keeping up with their nutrition. So changes in body weight can really be telling you a lot of different stories.
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There was a relationship between losing a substantial amount of weight — 10 percent of your body weight, or 20 pounds for a person who weighs pounds — with longer hospitalization after the transplant. Those patients also were more likely than patients with stable weight to have the transplanted organ fail. And their risk of death was 18 percent higher than those with stable weight.
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We found that losing 10 percent body weight or more signaled higher risk across the board, regardless of whether the patient was underweight, an optimum weight, or obese. Again, these patients have organ failure, so many of them may lose weight because of their illness.
That surprised me because those are the people who are most likely being told to lose weight. It worried me because I wondered what was actually happening when those patients were told that they were successful.
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What was actually going on as the numbers on the scale went down? We have some theories. When you step on the scale and see the weight go down, you could be losing fat, you could be losing muscle, you could be losing water. Maintaining a healthy weight is important for your overall health — including your kidneys.
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Being overweight or obese may increase the risk for kidney disease in several different ways. The first reason is based on an old saying: "One thing leads to another.
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In turn, diabetes and high blood pressure are the two main causes of kidney disease. Being overweight can directly affect your kidneys, too. It would be hard to justify using BMI or body weight alone to deny a person access to kidney transplantation. The whole picture of that person should be considered more than any single number.
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