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Original

Association of Anthropometric indexes with chronic kidney disease in a Chinese population

Shanying Chen, Bide Wu, Xinyu Liu, Youming Chen, Yongqiang Li, Mi Li, Yan Liang¹, Xiaofei Shao, Harry Holthöfer and Hequn Zou

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Volume 80 (2013) p. 361 - 369

Abstract

Clinical Nephrology, Vol. 80 – No. 5/2013 (361-369)

Association of Anthropometric indexes with chronic kidney disease in a Chinese population

Shanying Chen¹,²*, Bide Wu²*, Xinyu Liu¹, Youming Chen³, Yongqiang Li¹, Mi Li⁴, Yan Liang¹, Xiaofei Shao¹, Harry Holthöfer⁵ and Hequn Zou¹

¹Department of Nephrology, the Third Affiliated Hospital of Southern Medical University, Guangzhou, ²Department of Nephrology, Zhangzhou Municipal Affiliated Hospital of Fujian Medical University, Zhangzhou, ³Clinical laboratory, the Third Affiliated Hospital of Southern, Medical University, Guangzhou, ⁴Blood purification center, No. ⁵ Affiliated Hospital of Sun Yat-sen University, Zhuhai, China, and ⁵National Centre for Sensor Research/BioAnalytical Sciences, Dublin City University, Ireland
Objective: Obesity is associated with an increased risk of chronic kidney disease (CKD), but the best anthropometric obesity measure remains controversial. This study aimed to examine the associations of anthropometric indexes with CKD risk and which anthropometric index is a better predictor of CKD. Methods: Data was drawn from a cross-sectional study in China. We used four anthropometric indexes: body mass index (BMI), waist circumference (WC), waist-tohip ratio (WHR), and waist-to-height ratio (WHtR). CKD was defined as estimated glomerular filtration rate (eGFR) < 60 ml/ min/1.73 m² or urinary albumin to creatinine ratio (ACR) ≥ 30 mg/g. Logistic regressions were used for the analyses. Results: 1,834 participants were included in the analyses. After adjusting for potential confounders, BMI, WC and WHtR were significantly associated with CKD in men and women. The respective odd ratios for BMI (every SD increment), WC (every SD increment), and WHtR (every SD increment) were 1.46, 1.40, and 1.45 in men as well as 1.21, 1.31, and 1.38 in women. After adjusting for potential confounders, WHR was associated with CKD in women but not men. In women, the associations of WC, WHR and WHtR with CKD was independent of other MetS components. No difference in WHtR was observed between men and women. Conclusion: Anthropometric indexes are associated with CKD. The associations of anthropometric indexes with CKD are independent of other MetS components in women but not men. In women, central obesity indexes are better than BMI for predicting of CKD.

*Both authors contributed equally.Correspondence to:
Hequn Zou, MD
Department of Nephrology
The Third Affiliated Hospital of
University of Southern Medical University
183# Zhongshan Dadao, Tianhe district
Guangzhou, 510000 P. R. China
Email: [email protected]

case studies

A patient with Sagliker syndrome who underwent parathyroidectomy: A case report and literature review

Jianping Ren, Xinyu Li, Baoyu Zhao, Deguang Wang, and Xuerong Wang

Volume 14 (2026) p. 30 - 38

Abstract

Clinical Nephrology – Case Studies, Vol. 14/2026 (30-38)

A patient with Sagliker syndrome who underwent parathyroidectomy: A case report and literature review

Jianping Ren, Xinyu Li, Baoyu Zhao, Deguang Wang, and Xuerong Wang

Department of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
Background: Sagliker syndrome (SS) is a rare yet severe complication of end-stage renal disease that is predominantly observed in patients who have undergone prolonged hemodialysis and develop secondary hyperparathyroidism (SHPT). SS is characterized by progressive craniofacial and maxillofacial bone deformities, such as mandibular widening, increased interdental spacing, and neuropsychiatric symptoms including anxiety, depression, and cognitive dysfunction. These manifestations significantly impair the quality of life of affected individuals. Case report: We report the case of a 42-year-old woman undergoing regular hemodialysis who was diagnosed with SHPT and SS. The patient was admitted to the hospital with a 3-year history of skeletal deformity. On December 29, 2012, she underwent total parathyroidectomy (PTx) with some parathyroid tissue transplanted to the left forearm. Over 12 years of regular follow-up, we found that clinical symptoms, such as facial deformity and bone pain, and laboratory indicators, including corrected serum calcium and phosphorus levels, significantly improved. Amazingly, the skull, which was altered in a “salt and pepper” pattern, improved significantly. Conclusion: After PTx in patients with SS, clinical symptoms and related laboratory indicators can be significantly improved, which is conducive to enhancing patient prognosis. Therefore, PTx should be performed in such patients as early as possible. However, further research is needed to develop a more standardized treatment plan for SS.Correspondence to:
Xuerong Wang, MD, Department of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
Email: [email protected]

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