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Kidney Disease and Weight Gain

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Weight gain may result from kidney disease's impact on the amount of water the body retains. Read further to know more.

Medically reviewed byDr. Karthic Kumar

Published At June 18, 2024
Reviewed AtNovember 18, 2025

Introduction:

A person with chronic kidney disease (CKD) must adjust their diet. Occasionally, these modifications make it harder for an individual to consume enough calories to meet daily energy needs. It is possible that gaining weight is necessary to maintain health. This fact sheet will outline the steps to maintain a balanced diet and consume enough calories. Weight gain can result from kidney illness because it affects how much water the body retains. Losing weight may reduce the chance of renal illness. Modifications in diet, lifestyle, and medication use may enhance renal health.

What Is a Kidney Disease and What Are its Causes?

Renal disorders result from malfunctioning kidneys. Intoxication with a toxic agent, along with certain diseases or infections, can cause acute kidney damage that can occur quickly. Chronic kidney disease is a long-term kidney condition that typically develops and worsens over time.

Genetics, certain medical problems, and even violent injuries might result in kidney disease. However, several lifestyle variables, such as diabetes or uncontrolled high blood pressure, can potentially exacerbate renal disease.

If chronic kidney disease is not well treated, it can eventually lead to end-stage renal disease or kidney failure. A person may need frequent, intense treatments like hemodialysis as the disease progresses, and they may face a variety of consequences.

Can a Kidney Disease Make One Gain Weight?

Though this is not often the weight increase one may think of, kidney dysfunction can induce weight gain. Individuals with kidney disease do not gain the same weight as those who are obese. Fluid retention is typically the cause of weight gain in patients with kidney or renal disorders.

When not functioning properly, the kidneys do not filter enough fluid out of the blood and tissues. Excess fluid accumulates in the body without anywhere to go when the kidneys are damaged and unable to convert it into urine. One liter of water weighs around 2.2 pounds. Therefore, the extra liters of fluid in the body might soon build up to the amounts displayed on the scale.

The primary distinction between obesity and weight gain due to kidney disease is that modifying eating habits will not significantly alter weight. One will be able to lose the pounds one gains from fluid weight once renal function improves or excess fluid is eliminated through therapies like dialysis.

Does Kidney Disease Result From Obesity?

Diabetes and high blood pressure are the main causes of kidney disease, though it can affect anyone. One can run a higher risk of high blood pressure and Type 2 diabetes if they are overweight or obese. Even in those without diabetes, obesity itself can lead to renal disease. It can also substantially impair a person's quality of life, self-worth, and emotional health. It can also raise the risk of heart disease, stroke, and certain types of cancer.

1. Causes:

  • The main cause of obesity is often ingesting more calories from food and beverages than an individual expend via physical exercise. The body stores the extra energy as fat.

  • The rising prevalence of obesity can be attributed to the fact that many people in today's society consume a lot of processed and convenience meals, which are frequently heavy in calories. In addition to eating larger quantities and more snacks between meals, people frequently spend a lot of time seated in offices, couches, and cars.

2. Symptoms:

  • Joint pain, skin rashes, and exhaustion are typical lupus symptoms.

  • Water retention in lupus is the most prevalent indication of renal illness, resulting in face, limb, and abdomen edema. This is brought on by proteinuria, or protein release into the urine due to damaged glomeruli. Nephrotic syndrome may result from a significant protein leak.

  • Haematuria, blood in the urine, and hypertension can be signs of kidney impairment.

  • In severe renal damage, additional symptoms such as itchiness and muscle cramping could also manifest.

3. Diagnosis:

Typically, a body mass index (BMI) calculation determines if an individual's weight is appropriate for their height. Typically, an adult's BMI of:

  • The healthy weight range is 18.5 to 24.9.

  • Overweight is defined as 25 to 29.9.

  • 30 to 39.9 indicates obesity.

  • Severe obesity is defined as being 40 or higher.

Waist measures are sometimes used as an extra method to assess excess fat because extremely strong persons occasionally have high BMIs.

Obesity-related health issues are generally more likely to affect men with a waist circumference of 94 cm (37 inches) or more and women with a waist circumference of 80 cm (about 31.5 inches) or more.

4. Treatment:

The obesity treatment that works best is:

  • Follow the doctor's or a dietitian's recommendations for a healthy, low-calorie diet and regular exercise. Aim to engage in at least 30 minutes of activity or exercise five days a week. This can involve cycling, swimming, or brisk walking.

  • Some may think about having weight loss surgery. However, a type of kidney disease known as oxalate nephropathy might occasionally make certain weight reduction surgery more difficult.

  • It can be very difficult to follow an exercise and diet regimen on one's own. Thus, it is beneficial to join a local weight loss club for support and motivation and to share ideas and experiences with others who share the goals of losing weight and improving fitness.

Kidney disease is not directly caused by obesity. Rather, it exacerbates additional issues that raise the chance of renal disease.

The following factors mostly cause kidney disease:

  • Diabetic.

  • Elevated BP.

  • Mutations or diseases resulting from genetics.

  • Infections.

  • Exposure to toxins.

Although obesity may not directly cause kidney disease, it does play a role in many of the conditions that do, including diabetes and high blood pressure. An imbalanced diet, inactivity, and other lifestyle choices can raise the risk of type 2 diabetes and high blood pressure, which can increase the risk of kidney disease. It is important to remember that discrimination based on weight might have detrimental repercussions on one's health.

Is It Possible to Enhance the Kidneys With Weight Loss?

Weight loss alone will not substantially enhance kidney function. Controlling diabetes or high blood pressure can protect the kidneys, and they will eventually regain at least some of their previous capacity. Weight loss alone is unlikely to directly impact kidney function, although it might if it increases the rate of metabolism and general health.

Does Weight Gain Occur at Various Stages of Kidney Disease?

A variety of healthy compounds for an individual in normal ranges might accumulate and become poisonous when the kidneys lose their ability to filter. These include potassium, salt, and phosphorus, which are found in many meals.

Too much or too little of these minerals and electrolytes might result in changes in blood pressure, heart rhythm, and other essential processes. Changes in these electrolyte levels can also result in fluid shifts, and excessive fluid retention or loss can be attributed to electrolytes that are out of range.

As kidney impairment worsens, the body eventually becomes less capable of eliminating excess fluid through urination, which causes the fluids to accumulate inside and cause water weight gain. Fluid gains are most common in the later phases of end-stage renal illness or kidney disease.

What Are the Treatments?

The healthcare team may suggest dietary and lifestyle modifications to mitigate the risk of kidney disease, particularly if one has uncontrolled diabetes, hypertension, or other conditions that raise this risk. Once one has been diagnosed with chronic kidney disease or end-stage renal disease, the course of treatment will be determined by the extent of remaining kidney function and the impact the disease has on general health.

Medication to assist control of blood pressure, blood sugar, fluid retention, or a combination of these may be administered to an individual in the early stages of renal disease. One will likely require dialysis at a later stage of the illness. One of the main objectives of dialysis, regardless of the method used, is to eliminate excess fluid and filter toxins from the blood. The ideal course of action is frequently a kidney transplant; nevertheless, an individual may need dialysis until a kidney that is appropriate for a person becomes available or they are eligible for a transplant.

Conclusion:

Individuals with severe kidney failure often experience weight changes. When the kidneys cannot process waste products and toxins into urine, weight gain may result from excess fluid retention. Losing weight is also achievable, particularly if the illness requires following certain dietary and drink limitations. Losing weight may help an individual reduce the chance of developing kidney disease by addressing risk factors such as diabetes and hypertension. However, weight fluctuations in individuals with renal illnesses are more closely associated with fluid and electrolyte balance changes than in body mass or fat reserves.

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