Kidney Res Clin Pract.  2021 Dec;40(4):645-659. 10.23876/j.krcp.20.271.

Metabolic risks in living kidney donors in South Korea

• Kang E
• Park J
• Kim HJ
• Park S
• Park M
• Kim Y
• Kim K
• Park SM
• Chae DW
• Chin HJ
• Lee JP
• Lee S
• Kim SW
• Cho JH
• Han M
• Kim YC
• Kim YS
• Choi I
• Lee H

• KMID: 2524408
• DOI: http://doi.org/10.23876/j.krcp.20.271

Abstract

Background
Considering the growing prevalence of Western lifestyles and related chronic diseases occurring in South Korea, this study aimed to explore the progression of metabolic risk factors in living kidney donors compared to a control group.
Methods
This study enrolled living kidney donors from seven hospitals from 1982 to 2016. The controls were individuals that voluntarily received health check-ups from 1995 to 2016 that were matched with donors according to age, sex, diabetes status, baseline estimated glomerular filtration rate, and date of the medical record. Data on hyperuricemia, hypertension, hypercholesterolemia, and overweight/obesity were collected to determine metabolic risks. The proportion of individuals with three or more metabolic risk factors was evaluated. Logistic regressions with interaction terms between the medical record date and donor status were used to compare the trends in metabolic risks over time in the two groups.
Results
A total of 2,018 living kidney donors and matched non-donors were included. The median age was 44.0 years (interquartile range, 34.0–51.0 years) and 54% were women. The living kidney donors showed a lower absolute prevalence for all metabolic risk factors, except for those that were overweight/obese, than the non-donors. The proportion of subjects that were overweight/obese was consistently higher over time in the donor group. The changes over time in the prevalence of each metabolic risk were not significantly different between groups, except for a lower prevalence of metabolic risk factors ≥ 3 in donors.
Conclusion
Over time, metabolic risks in living kidney donors are generally the same as in non-donors, except for a lower prevalence of metabolic risk factors ≥ 3 in donors.

Keyword

Hypercholesterolemia; Hyperuricemia; Kidney transplantation; Living donors; Risk factors