Obese children who get kidney transplants tend to be younger, shorter and on dialysis longer than their leaner peers, according to a study in the February issue of the journal Pediatrics.
A review of 6,658 children age 2-17 receiving transplants in the United States, Mexico and Canada between 1987 and 2002 showed that obese children age 6-12 had a five-year mortality rate more than double that of non-obese children the same age: 12.1 percent compared to 5.4 percent respectively.
Across the entire age spectrum studied, obese children who received a transplant were more likely to die of cardiopulmonary disease – the leading cause of death in adult kidney transplant patients – than non-obese children. "Pediatricians should educate families on the potential risks of excessive weight gain during dialysis and post-kidney transplant," the authors write, noting that obesity is an increasing problem in patients of all ages with end-stage renal disease and one that has received little attention in children.
Toni Baker | EurekAlert!
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