Ikizler T Alp
Department of Medicine, Division of Nephrology, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-2372, USA.
J Am Soc Nephrol. 2008 Jun;19(6):1059-62. doi: 10.1681/ASN.2007090983. Epub 2008 Feb 6.
Obesity is the epidemic of the 21st century. Despite the fact that obesity is known to have major health consequences in the general population, an increasing number of large-scale epidemiological studies indicate an inverse association between increasing body mass index and mortality in dialysis patients. Here it is argued pro and con that epidemiological data derived from the healthy general population may or may be not applicable to conditions such as end-stage renal disease.
肥胖是21世纪的流行病。尽管已知肥胖在普通人群中会产生重大健康后果,但越来越多的大规模流行病学研究表明,体重指数增加与透析患者死亡率之间呈负相关。关于从健康普通人群得出的流行病学数据是否适用于诸如终末期肾病等情况,存在正反两方面的观点。