Post Date April, 15 2023
The story has to start from 1974!
A doctor named Weisinger discovered for the first time that patients with severe obesity can have a large amount of proteinuria, and performed renal puncture biopsy, indicating kidney damage.
Later, many medical experts found glomerular hypertrophy and kidney injury in obese patients.
With obesity linked to more diseases, in 1997, the World Health Organization had to declare obesity as a disease! If you are sick, you should pay attention!
What is obesity
In the clinical survey, the most commonly used index to measure obesity is body mass index (BMI). The healthy BMI of Chinese residents is 18.5-23.9, and BMI greater than 28 is defined as obesity. It is overweight to exceed the health standard but not to be obese.
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What are the characteristics
The clinical features of obesity-related nephropathy are as follows:
1. Fat, BMI greater than 28
2. Different degrees of proteinuria may be mild or severe. A very specific manifestation is that even if the patient has a large amount of proteinuria and the 24-hour urine protein is more than 3.5g, there are few manifestations of nephrotic syndrome such as edema and hypoproteinemia. Generally, there is no gross hematuria, and there are few cases with microscopic hematuria.
3. The glomerulus is followed by obesity. One type of renal biopsy shows simple glomerular obesity, and the other type is not only glomerular obesity, but also focal segmental glomerulosclerosis (FSGS).
What's the best way?
The most fundamental thing is to lose weight, put down hamburgers, fried chicken and junk food.
Changing lifestyle through exercise and diet control is the healthiest way to lose weight.
If the weight loss still fails under the guidance of the doctor, you can choose to lose weight by surgery.
At present, studies have shown that after weight loss, patients' proteinuria, blood sugar, blood pressure, etc. have improved significantly.
In addition, RAS blockers are used to improve insulin resistance and other drugs.
