ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2011
Racial and ethnic differences in the association of body mass index and survival in maintenance hemodialysis patients.
Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Obesity measurement methods estimated mortality risk in patients undergoing hemodialysis: a systematic review and meta-analysis.International urology and nephrology · 2025Pooled it
- Body mass index and mortality in patients on maintenance hemodialysis: a meta-analysis.International urology and nephrology · 2014Pooled it
- The Association of Social Determinants of Health on Mortality among Adults with End-Stage Kidney Disease: a Systematic Review and Meta-Analysis.Journal of racial and ethnic health disparities · 2026Review
- Physical Activity, Cardiorespiratory Fitness, and the Obesity Paradox with Consideration for Racial and/or Ethnic Differences: A Broad Review and Call to Action.Reviews in cardiovascular medicine · 2024Review
- Patient Survival With Extended Home Hemodialysis Compared to In-Center Conventional Hemodialysis.Kidney international reports · 2023Article
- Study on the correlation between bioelectrical impedance analysis index and protein energy consumption in maintenance dialysis patients.Nutrition journal · 2023Article
- Pathophysiological concepts and screening of cardiovascular disease in dialysis patients.Frontiers in nephrology · 2023Review
- Low BMI and high waist-to-hip ratio are associated with mortality risk among hemodialysis patients: a multicenter prospective cohort study.Clinical kidney journal · 2023Article
- Impact of Extremes of Body Mass Index (BMI) in End-Stage Renal Disease (ESRD) Patients.Cureus · 2022Review
- Article
- Impact of obesity on the evolution of outcomes in peritoneal dialysis patients.Clinical kidney journal · 2021Article
- Effects of patient age on patency of chronic hemodialysis vascular access.BMC nephrology · 2019Observational
- Body mass index is an independent predictive factor for kidney function evaluated by glomerular filtration rate in a community-dwelling population.Eating and weight disorders : EWD · 2019Article
- Time-varying effects of body mass index on mortality among hemodialysis patients: Results from a nationwide Korean registry.Kidney research and clinical practice · 2019Article
- The Incidence and Pathophysiology of the Obesity Paradox: Should Peritoneal Dialysis and Kidney Transplant Be Offered to Patients with Obesity and End-Stage Renal Disease?Current hypertension reports · 2018Review
- Longitudinal Weight Change During CKD Progression and Its Association With Subsequent Mortality.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2018Article
- Relationship between Modified Body Mass Index and Prognosis of Renal Amyloid a Amyloidosis.Sisli Etfal Hastanesi tip bulteni · 2018Article
- Comparison of Skinfold Thicknesses and Bioimpedance Spectroscopy to Dual-Energy X-Ray Absorptiometry for the Body Fat Measurement in Patients With Chronic Kidney Disease.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2017Article
- The Obesity Paradox in Kidney Disease: How to Reconcile it with Obesity Management.Kidney international reports · 2017Article
- Association of Growth Differentiation Factor 15 with Mortality in a Prospective Hemodialysis Cohort.Cardiorenal medicine · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 8 institutions in 3 countries.
Funding
Abstract
backgroundIn maintenance hemodialysis (HD) patients, overweight and obesity are associated with survival advantages. Given the greater survival of maintenance HD patients who are minorities, we hypothesized that increased body mass index (BMI) is associated more strongly with lower mortality in blacks and Hispanics relative to non-Hispanic whites. STUDY
designRetrospective cohort study. SETTING &
participantsWe examined a 6-year (2001-2007) cohort of 109,605 maintenance HD patients including 39,090 blacks, 17,417 Hispanics, and 53,098 non-Hispanic white maintenance HD outpatients from DaVita dialysis clinics. Cox proportional hazards models examined the association between BMI and survival. PREDICTORS: Race and BMI. OUTCOMES: All-cause mortality.
resultsPatients had a mean age of 62 ± 15 (standard deviation) years and included 45% women and 45% patients with diabetes. Across 10 a priori-selected BMI categories (<18-≥40 kg/m(2)), higher BMI was associated with greater survival in all 3 racial/ethnic groups. However, Hispanic and black patients experienced higher survival gains compared with non-Hispanic whites across higher BMI categories. Hispanics and blacks in the ≥40-kg/m(2) category had the largest adjusted decrease in death HR with increasing BMI (0.57 [95% CI, 0.49-0.68] and 0.63 [95% CI, 0.58-0.70], respectively) compared with non-Hispanic whites in the 23- to 25-kg/m(2) group (reference category). In linear models, although the inverse BMI-mortality association was observed for all subgroups, overall black maintenance HD patients showed the largest consistent decrease in death HR with increasing BMI. LIMITATIONS: Race and ethnicity categories were based on self-identified data.
conclusionsWhereas the survival advantage of high BMI is consistent across all racial/ethnic groups, black maintenance HD patients had the strongest and most consistent association of higher BMI with improved survival.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.