CKD And Dialysis Patients Considered Obese Better With Anemia And Less EPO



Many Chronic Kidney Disease and Dialysis patients struggle with weight. Some patients have a hard time gaining weight while others find it difficult to lose extra pounds. If a patient's Body Mass Index (BMI) is between 25 and 29.9 they are considered overweight and if the BMI exceeds 30 they are considered obese. Basically, if a Chronic Kidney Disease or Dialysis patient's body weight is at least 20% higher than it should be, he or she is considered obese, suggested Medical New Today. While being overweight has been regarded as bad for patients, studies are now finding that obese patients respond better to Erythropoietin (EPO) Anemia Treatments than those who are non-obese. 

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Often obese Dialysis patients are told that they may jeopardize their treatment plan and are considered a poor candidate to receive a Kidney Transplant. For this reason, many Chronic Kidney Disease patients go to extreme measures to cut the extra pounds including excessive workouts, skipping meals and even surgery. In a twist of irony, these weight loss strategies can cause patients to feel weaker, sluggish, and struggle with Anemia (a low red blood cell condition which may make patients feel tired and weak). 

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More specifically, a study released in Kidney Research and Clinical Practice found that obese patients required significantly lower weekly EPO doses, than patients with lower BMIs who also scored higher on the Erythropoietin Resistance Index (ERI). Lead Researcher, Dr. Ghada M. El-Kannish said, "Our study adds to the evidence of obesity-associated advantages."

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What's more, people who are a bit above their BMI have been shown to survive heart attacks and surgery more than those with lower BMIs. Researchers go further and suggest that people who are slightly overweight are also less likely to die from respiratory diseases, Alzheimer’s, liver disease, and a number of other causes than people of normal weight. However, those that are excessively overweight do have higher risks of heart disease mortality compared to normal weight or slightly overweight people.

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Hence, patients should work with their Healthcare Teams to take a balanced approach. Print this article and share it with your Nephrologist, Dietitian, and Kidney Transplant Team in order to identify the best weight goal for you. The "one-size-fits-all" looming BMI number may lead Chronic Kidney Disease and Dialysis patients to believe that weight loss is always good by any means. This is not true. Drastic diets can put a strain on your heart and disturb your metabolism along with causing severe Anemia. If you are overweight and are dieting it is much better to work with your team and lose weight in a slow, steady and metered way (no more than one pound a week is recommended). In fact, some researchers are now advising that it is better to be 5-10lbs. overweight than to engage in unhealthy weight loss plans.

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If you are currently struggling with Anemia, then be sure to talk with your Healthcare Team about transferring to Triferic (click here). Are you considered overweight? If you are currently on a weight loss plan, are you struggling with Anemia more or do you feel more energetic? Your opinion is important to us. Share your insights with the over 71,000+ friends at the Facebook Page (click here). Also, consider following the nearly 250,000 monthly visitors on for your Number One (#1) source of Daily News, Information, Impact Meals, Inspirational Quotes, and tailored Products and Services which teach Chronic Kidney Disease, Dialysis, Kidney Transplant, Diabetes and High Blood Pressure patients how to better manage and improve their lives.

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