Living Kidney Donation, Obesity, and Dietary Change: Investing in Those Who Give the “Gift of Life”

Aceptar riñones de donantes obesos o sobrepeso, sigue siendo un tema controversial

“…19 These same findings have also been reported in nondonor population; a study of 73 patients who underwent unilateral nephrectomy for reasons other than donation found that patients with BMI > 30 kg/m 2 had a higher rate of proteinuria and renal insufficiency compared to nonobese patients (92% vs 12%) over 10 to 20 years after nephrectomy. 20 Consistent with these data, this study found that the patients who presented greater variability in eGFR were those who were obese and overweight. These concerns about obese donor higher likelihood of developing hypertension, proteinuria and diabetes (the latter being the most common cause of kidney failure) along with detrimental variations in eGFR trajectory profile should make us reassess the acceptance of overweight or obese donors.…”

There and Back Again: A Forty-Year Perspective on Physician Nutrition Education

“…Beyond the obvious specialties that routinely care for patients with diet-sensitive diseases, the physician’s ability to support patient adherence to a nourishing dietary pattern also has niche implications, such as in the field of renal transplantation and the subsequent care of donors [ 47 ]. In fact, the intersection of nutritional health and surgical outcomes and intensive care is increasingly recognized, deepening the value of nutrition education for surgical fields, as well [ [48] , [49] , [50] , [51] ].…”

Nutrition Therapy as a Critical Component for Protecting the Health of Living Donors

“…The first of these priorities is to ''Expand opportunities for safe living donation and access to living donor kidney transplant,'' within which is included ''optimize donor risk assessment and long-term follow-up.'' As a contribution to this priority, our feature article in this issue of the Journal of Renal Nutrition by Levea et al 2 focuses on how best to support living donors nutritionally to ensure optimal long-term health.…”