Challenges in the management of chronic kidney disease in obese patients: a systematic review

Abstract

Introduction: Chronic kidney disease (CKD) and obesity are diseases with a high mortality rate and which are of great relevance to public health worldwide due to their great influence on the living conditions of those affected, changes in lifestyle habits and even limitations in terms of work or leisure programs. According to studies, obese people can increase their risk of developing CKD by 83% compared to healthy people due to factors associated with obesity or underlying diseases already present in the patient, as well as being a disease that affects 1 in 10 people worldwide. Objective: To verify the main challenges faced by physicians in the management of chronic kidney disease in obese patients Methodology: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standard protocol checklist will be used. Articles were retrieved from electronic databases: Biblioteca Virtual em Saúde, Scientific Electronic Library Online (Scielo Brasil) and Pubmed, which evaluated obese adult patients with CKD. A qualitative assessment of the studies was conducted. Expected results: We expect to encounter technological, structural and clinical difficulties in the management of chronic kidney disease in obese patients. Conclusion: The management of Chronic Kidney Disease (CKD) in obese patients presents numerous clinical and structural challenges, mainly due to the inherent complexity of associated conditions, such as hypertension, diabetes and metabolic disorders. With this, the management of CKD in obese patients demonstrated the notorious public health problem in Brazil that this issue causes, and explains the importance of continuous research in this area, in order to improve our knowledge, prevention and treatment strategies for these patients.