obesitas Kidneyfailure Obesity-Associated Renal Disease
Conditions
Interventions
None listed
Sponsors
Leids Universitair Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: All former living kidney donors who donated a kidney since 1968 at the Leiden University Medical Center (aproximate n
Exclusion criteria
Exclusion criteria: Patients will be excluded from analyses if their medical history or the oral glucose tolerance test (OGTT) at the day of assessment reveals presence of diabetes mellitus.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main outcome parameter will be a top-5 of differentially expressed miRs in plasma and urine between obese progressors to albuminuria versus non-progressors, adjusted for miRs associated with progression to albuminuria not related to obesity. | — |
Secondary
| Measure | Time frame |
|---|---|
| - albuminuria from 24h urine - renal function as assessed by 24h urinary creatinine clearance - anthropometric measures of obesity (BMI, waist/hip ratio) - fasting glucose and post OGTT glucose - automated blood pressure (dynamap) - non-invasive assessment of microcirculation using orthogonal polarization spectral (OPS) imaging of oral mucosa. - serum/plasma parameters of obesity-associated parameters of inflammation (hsCRP), endothelial dysfunction (sICAM-1, sVCAM-1, sE-Selectine) and coagulation (PA1-1) - smoking history, alcohol use - medication including hormonal replacement therapy in women - medical history / record review for cardiovascular history and/or de novo renal disease. | — |
Countries
Netherlands
Outcome results
None listed