@article{c31739ca53634e0da4fc9c0ba6baac50,
title = "Living Kidney Donation, Obesity, and Dietary Change: Investing in Those Who Give the “Gift of Life”",
author = "Levea, {Swee Ling L.} and Albin, {Jaclyn L.}",
note = "Funding Information: A 2007 survey answered by 53% of the United States transplant centers demonstrated the center level variation in acceptance of living kidney donors.32 In this survey, 20% of programs will exclude donors with BMI >40 kg/m2, 52% of programs will exclude donors with BMI >35 kg/m2, 10% of programs will exclude donors with BMI >30 kg/m2, 12% have no policy for excluding donors based on BMI, and 6% of programs exclude donors on the basis of BMI only if other cardiovascular risks were also present. This contrasts with an earlier survey by Bia et al.33 in which 16% exclude donors for “moderate obesity.” A recent retrospective cohort study further supported the significant center-level heterogeneity in accepted BMI of living kidney donors with median odds ratio varying from 1.10 for overweight to 1.93 for very obese donors.25 Additionally, this study also showed that very obese donor status was 185% more likely in states with high obesity rates compared to states with lowest obesity rates. It is unclear if these findings reflect the higher acceptance of obese donors to support the growing need or the overall change in the general population as the obesity epidemic grows. More study is warranted to address the impact of nephrectomy on rates of CKD and ESRD among obese individuals. Financial Disclosure: The authors declare that they have no relevant financial interests.",
year = "2022",
month = may,
doi = "10.1053/j.jrn.2022.03.002",
language = "English (US)",
volume = "32",
pages = "268--274",
journal = "Journal of Renal Nutrition",
issn = "1051-2276",
publisher = "W.B. Saunders Ltd",
number = "3",
}