Evidence map›Paper›PMID 29629277›Full record

ArticleKidney research and clinical practice2018

Weight loss has an additive effect on the proteinuria reduction of angiotensin II receptor blockers in hypertensive patients with chronic kidney disease.

Shin Young Ahn, Dong Ki Kim, Seung Seok Han, Jung Hwan Park, Sung Joon Shin, Sang Ho Lee, Bum Soon Choi, Chun Soo Lim, Suhnggwon Kim, Ho Jun Chin

Open access · diamondAbstract read
In one paragraph

Article in Kidney research and clinical practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 16% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Altered dietary salt intake for people with chronic kidney disease.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Observational
  7. Review
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 1 country.

Shin Young AhnDepartment of Internal Medicine, Korea University Medical Center Guro Hospital, Seoul, Korea.
Dong Ki KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Seung Seok HanDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Jung Hwan ParkDepartment of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.
Sung Joon ShinDepartment of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.
Sang Ho LeeDepartment of Internal Medicine, Kyung Hee University Medical Center, Seoul, Korea.
Bum Soon ChoiDepartment of Internal Medicine, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.
Chun Soo LimDepartment of Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.
Suhnggwon KimResearch Institute of Salt and Health, Seoul, Korea.
Ho Jun ChinDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Seoul National University Hospital · KRDongguk University Ilsan Hospital · KRKonkuk University · KRKorea University Medical Center · KRKyung Hee University Medical Center · KRSeoul National University · KRSeoul National University Bundang Hospital · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeight reduction is a lifestyle intervention that has been introduced for prevention and management of chronic kidney disease (CKD). We investigate the additive anti-proteinuric effect of weight reduction on the usage of angiotensin II receptor blockers (ARBs) and its potential mechanisms in hypertensive CKD patients.

methodsThis study is a subanalysis of data from an open-label, randomized, controlled clinical trial. Among the 235 participants, 227 were assigned to subgroups according to changes in body weight.

resultsFifty-eight participants (25.6%) were assigned to group 1 (≥1.5% decrease in body weight after 16 weeks), 32 participants (14.1%) were assigned to group 2 (1.5-0.1% decrease in body weight), and 136 participants (59.9%) were assigned to group 3 (≥ 0.0% increase in body weight). Characteristics at enrollment were not different among the three groups, but mean differences in weight and percent changes in urinary sodium excretion over the period were statistically different (

conclusionWe observed that weight loss had an additive effect on the anti-proteinuric effects of ARBs in nondiabetic hypertensive CKD patients, although it was minimal. An additive effect was shown in both obese and non-obese participants, and its possible mechanism is related to reduction of podocyte damage.

Indexed as

Angiotensin type II receptor blockerChronic renal insufficiencyHypertensionProteinuriaWeight loss

Identifiers

PMID29629277
PMCPMC5875576
OpenAlexW2794915593

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.