Obesity

Albuminuria trajectories following intensive lifestyle intervention with or without bariatric surgery in adolescents with and at risk of type 2 diabetes

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

Bariatric surgery combined with lifestyle intervention was associated with sustained reductions in albuminuria, suggesting a potential renoprotective effect in high-risk adolescents.

Study context

Population
Adolescents aged 15–17 years with BMI ≥ 35 kg/m², with or at risk of T2D (19 Māori or Pacific; 8 prediabetes, 9 T2D), New Zealand11 female
Participants
20 adolescents
Exposure
Intensive lifestyle intervention with bariatric surgery vs without surgery
Outcome
Trajectory of log-UACR
Follow-up
36 months
Methodological detailslongitudinal mixed-effects models
  • Longitudinal mixed-effects models

Main finding

As reported in the abstract

Change in urine albumin-creatinine ratio (UACR)

Surgical

86%

reduction · CI 72–92

Non-surgical

+2

change · CI - 7 to + 12 · %

P < 0.001

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Albuminuria trajectories following intensive lifestyle intervention with or without bariatric surgery in adolescents with and at risk of type 2 diabetes. Diabetes Res Clin Pract. Published 7 May 2026. doi:10.1016/j.diabres.2026.113296

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