title: Trends in Body-Mass Index After Donor Nephrectomy.
abstract: The link between obesity and diabetes, hypertension, and eventual kidney dysfunction is well recognized. To evaluate trends in the body-mass index (BMI) of donor nephrectomy patients, the BMI was evaluated in 532 donors over 11 years from 2002 to 2012. Measurements were made preoperatively, at 1 year, and at the present time. The follow-up range varied from 12 months to 11 years dependent on the date of donation. Of the 532 patients queried, 100 patients had long-term results. At 1 year, there was an overall decrease in BMI, however, at anytime after the first year, postoperative BMI trended upward, with more than half of the overweight patients (BMI 25-30), at the time of donation, dipping into the obese range (BMI >30). Given these results and recognizing the attendant risks-especially with the background of a single kidney-we have initiated further lifestyle and nutrition counseling at our center and are considering a more stringent preoperative weight control policy.
authors.affiliation: Los Angeles Men's Health Center, Los Angeles, California.
authors.forename: Mehran
authors.initials: M
authors.lastname: Movassaghi
authors.affiliation: Minimally Invasive Urology Institute, Cedars-Sinai Medical Center, Los Angeles, California.
authors.forename: Christopher
authors.initials: C
authors.lastname: Dru
authors.affiliation: Private practice, Chicago, Illinois.
authors.forename: Steven
authors.initials: S
authors.lastname: Koopman
authors.affiliation: USC Institute of Urology, Los Angeles, California.
authors.forename: Gerhard J
authors.initials: GJ
authors.lastname: Fuchs
mesh_terms: D015992:Body Mass Index; D006801:Humans; D007668:Kidney; D016030:Kidney Transplantation / Q000009:adverse effects; D019520:Living Donors; D009392:Nephrectomy / Q000009:adverse effects; D012189:Retrospective Studies