Diabetes complications

Association between longitudinal changes in body composition and the risk of kidney outcomes in participants with overweight/obesity and type 2 diabetes mellitus

Diabetes Obes MetabPublished Secondary analysis of the Look AHEAD randomised trial

Authors' conclusion

In this post hoc analysis of the Look AHEAD trial, longitudinal declines in FM and WC were associated with a lower risk of kidney outcomes in the ILI group in participants with overweight/obesity and T2DM.

Study context

Population
Participants with overweight/obesity and T2D with baseline estimated glomerular filtration rate (eGFR) ≥60 mL/min/1.73 m², Look AHEAD trial
Participants
3,927 participants
Comparison
Longitudinal changes in fat mass (FM), lean mass (LM) and waist circumference (WC) and kidney outcomes, by trial arm
Primary endpoint
Kidney outcomes: eGFR decrease of at least 40% from baseline at follow-up visit, or end-stage kidney disease
Follow-up
Median 8.0 years
Methodological detailspost hoc analysis
  • Post hoc analysis

Primary result

As reported in the abstract

Kidney outcomes by 1-year change in body composition, ILI · baseline to 1-year follow-up

FM reduction (per 10% decrease), aHR

0.80 (0.69-0.94) (95% CI)

WC reduction (per 10% decrease), aHR

0.72 (0.59-0.88) (95% CI)

LM change (per 10% decrease), aHR (95% CI), not significant

0.78

0.58–1.06

Kidney outcomes documented after the first 1 year

450

Further findings

Kidney outcomes by 4-year change in body composition

Similar results to the 1-year changes

Original publication

Association between longitudinal changes in body composition and the risk of kidney outcomes in participants with overweight/obesity and type 2 diabetes mellitus. Diabetes Obes Metab. Published 10 June 2024. doi:10.1111/dom.15699

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