Kidney transplantation is the pioneer discipline in solid organ transplantation. It is the best therapeutic modality for patients with end stage renal disease (ESRD). Morbidity and mortality have been significantly reduced by attention to pre-transplantation evaluations. (1) Increased body mass index (BMI) has been documented to be a significant risk factor for morbidity and mortality among ESRD patients. The effect of obesity in kidney allograft survival remains controversial. (2)
Obesity was described by world health organization as a'' global epidemic. '' It is defined as a chronic condition with excessive body fat. Calculation of the BMI is an efficient, easy way to estimate various degrees of body weight according to the individual's body
2.5 Body Mass Index,BMI, is a measure of our weight compared to our height. BMI can help determine whether they are at a healthy weight, overweight or obese individuals are at increased risk for many diseases, such as: heart disease, high blood pressure, high cholesterol, type-2 diabetes, and some types of cancer. With high BMI the individual would need to perform further assessments, start with a diet, physical activity, family history, change lifestyle.
Obesity is when a person has excess body fat. It is calculated by dividing one’s weight by his or her height to get the body mass index (BMI=kg/m^2). This number is also used to screen for health problems that maybe be caused by certain weight categories. A BMI of 25-29.9 is considered to be overweight and over thirty is considered obese. A third of children are overweight (CDC, 2014). Obesity leads to significant physical and mental health consequences. Obese children are at risk for bone and joint problems, sleep apnea, type two diabetes, high cholesterol, coronary artery disease and hypertension (CDC, 2014).
Obesity is defined as defined as abnormal or excessive fat accumulation that may impair health. Obesity is not only based on an individual’s weight but also their BMI. A BMI greater than or equal to 25 is overweight. A BMI greater than or equal to 30 is obesity ((Organization, 2013). Obesity is the most common preventable deaths and the fifths leading health risk globally. Obesity has also been linked to other debilitating diseases and can increase a person’s chances of being hospitalized. Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer, some of the leading causes of preventable death (cdc.gov, 2014).
The pathophysiology of obesity is when there is a buildup of excess body fat. This excess body fat is determined by calculating a person body mass index (BMI). The BMI is calculated by an individual’s weight in kilograms divided by the square of a person’s height in metersthis allows us to come up with appropriate range of weight to an individual’s height. The body mass index is used to find out if an individual is overweight or obese. Individuals who’s BMI that have a range of 25 to 29.99 are thought to be pre- obese and overweight When an individual body mass index has surpassed 30kg this person is considered obese. As an individual’sBMI increases they become part of a different class of obesity there’s class I which is 30-34.9, class II
The World Health Organization (WHO) defines body mass index (BMI) as a simple index of weight-for-height that is commonly used to classify overweight and obesity. To determine BMI, a person’s weight, in kilograms, is divided by the square of the person height in meters
Obesity rates are soaring throughout North America (What Is Obesity?, 2013). With obesity reaching almost epidemic proportions in the United States, and the threat of a global epidemic, we must watch this alarming increase carefully ( Health Risks of Obesity, 2013). Obesity is defined as: "…an excess of adipose tissue…" (A Report of the Surgeon General, 2014). The two most common measures of obesity are Body Mass Index (BMI is a ratio of weight to height) and relative weight index, such as percent desirable weight (Body Mass Index , 2013). BMI is the most frequently used measure of obesity as it has a strong correlation with more direct measures of adiposity, such as underwater weighing (A Report of the Surgeon General, 2013). Some
There are numerous problems dealing with organ transplantation. A major issue concerning organ transplantation is that organ donors are deficient and scarce. Donors have been known to scarce because not everyone takes good care of his or her body. There are not enough people to donate organs, yet the amount of people in need of organs is increasing by the hour. “Another conflict is organ transplants can still lead to other medical problems. This is usually because of the medicine you need to suppress your immune system” (Nazario Brunilda , “Common”). After an organ transplants, it is a must that you continuously take your medication; a sudden stop will most likely cause the immune system to reject the organ. “The medications can also raise your blood pressure and can cause osteoporosis due to loss of calcium” (Etienne, Flueridor Wendy).
Body Mass Index (BMI) is a measurement tool used to determine excess body weight. Overweight is defined as a BMI of 25 or more, obesity is 30 or more, and severe obesity is 40 or more. Overall the problem stems from the general citizens lack of work ethic; in recent years that ethic has declined severely. It is the inability or flat out unwillingness to work and/or struggle to get what you want. The table below highlights the increasing obesity problem.
We prep the patient months to years prior to transplant. The expectation is that there must be a support person with them twenty-four hours a day for the first month. The reason is that the recipient is recovering from a major operation and ingesting medications that have the potential to alter their mood. The patient is also experiencing this “odd feeling of having another person’s kidney in the body also seemed to be an element causing emotional stress, especially when it was a deceased donor” (Urstad, Wahl, Andersen, Øyen, & Fagermoen, 2012).
Preparing for a Kidney Transplant can be a daunting task, there’s a lot of preparation that goes into making sure a patient is a good candidate for the procedure. Subsequent to the initial pre-transplant evaluation, there are a number of consultations and testing that must take place for approval, to go ahead with the surgery. A person must be in otherwise good health and able to undergo surgery beyond acute kidney failure. Once the patient information is gathered at patient registration (admissions) the following is the flow in which the electronic medical record will go.
Obesity can affect the kidneys, not just as a side effect from illness such as hypertension, diabetes
Kidney disease is a major health issue in the US affecting more than 8 million American citizens. When a person’s kidney drops down to a certain level patients are required to get either a dialysis or a kidney transplant to save their life. A dialysis
It is first important to understand that live kidney transplants have many benefits when compared to deceased donor transplants. Among these benefits include prolonged survival rates of up to 18 years. Also, living donor kidneys begin functioning almost immediately after surgery, and, lastly, there is the added benefit of bypassing a waiting list, limiting time spent, if any, on dialysis (Mysel, 2016). Interestingly, the majority of recipients of LDKT transplants in the United States are white. In juxtaposition, renal disease is actually more prominent in minorities such as African Americans and Hispanics. End Stage Renal Disease has an incidence rate three times higher in African Americans than
Recently, a more definitive method of calculating or determining obesity was introduced. The BMI, or the body mass index, is a method whereby one’s body mass is calculated by( step 1)multiplying your weight in pounds by 703 than( step 2) multiply your height in inches by itself than divide the figure from step 1 by the figure in step 3. The resulting number will be the body mass index. A BMI of over 30 is considered obese while an index of 25.9 to 29 is considered overweight. As mentioned above, obesity is defined as the high levels of fat accumulation in an individual body. Individuals with high fat accumulation basically do not shed off as much body fat through body metabolism. Physical exercising is one way of increasing body metabolism through the use of energy. Exercising forces
I am so glad that there is an easy calculates way for all of us to measure our body weight and height to know that we are healthy or obese now. Some primary students have the problem of obesity in Hong Kong but they don’t know how serious for obese they are. So BMI can help them to calculate their weight and height whether they are in a healthy level or not. Therefore they can have this result and understand that they need to change they are habit of dieting and do more physical exercise to get the health weight.