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01-04-2016 | Educational Review

Paediatric obesity and renal transplantation: current challenges and solutions

Authors: John D. Terrace, Gabriel C. Oniscu

Published in: Pediatric Nephrology | Issue 4/2016

Abstract

The increased incidence of obesity in the paediatric population poses significant challenges to renal transplantation. Whilst the body mass index appears to be widely used as a measure of obesity in adults, there are no standardised definitions in the paediatric population, making comparative analyses difficult. In the paediatric transplant population, obesity is associated with an increased incidence of surgical complications, diabetes, hyperlipidaemia and cardiovascular morbidity, leading to diminished graft function and impacting patient and graft survival. Management of obesity in renal transplantation requires multiple interventions starting with life-style and behavioural modification combined with medical and possibly surgical therapies, representing a unique challenge in the childhood setting. In this review we discuss the current challenges of obesity and potential solutions in the setting of paediatric transplantation.

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Title: Paediatric obesity and renal transplantation: current challenges and solutions
Authors: John D. Terrace
Gabriel C. Oniscu
Publication date: 01-04-2016
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Nephrology / Issue 4/2016
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-015-3126-2

At a glance: The STEP trials

Springer Medicine

Paediatric obesity and renal transplantation: current challenges and solutions

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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