{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:23:06Z","timestamp":1787016186515,"version":"build-2736575974"},"reference-count":48,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K24 DK085153"],"award-info":[{"award-number":["K24 DK085153"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Seminars in Dialysis"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Several epidemiological cohorts have demonstrated that higher body mass index (BMI) is associated with lower mortality risk among patients receiving hemodialysis. However, BMI may be an inaccurate indicator of nutritional status among dialysis patients because it does not differentiate between muscle and fat mass or provide information about body fat distribution. More sophisticated methods of body composition analysis are therefore required to address the question of which component is associated with greater survival. Recent evidence has also shown that changes in body weight and body composition are more strongly associated with mortality in dialysis patients than measurement of BMI at a single time point. Given that obesity is common among the dialysis population, weight loss interventions are encouraged for obese dialysis patients who are on a transplant waiting list in order to increase the access for transplantation.<\/jats:p>","DOI":"10.1111\/sdi.12834","type":"journal-article","created":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T20:29:25Z","timestamp":1563913765000},"page":"485-489","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["The obesity paradox: A further consideration in dialysis patients"],"prefix":"10.1111","volume":"32","author":[{"given":"Piyawan","family":"Kittiskulnam","sequence":"first","affiliation":[{"name":"Division of Internal Medicine\u2010Nephrology, Department of Medicine Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society Bangkok Thailand"},{"name":"Special Task force for Activating Research in Renal Nutrition (Renal Nutrition Research Group), Office of Research Affairs Chulalongkorn University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten L.","family":"Johansen","sequence":"additional","affiliation":[{"name":"Division of Nephrology Hennepin County Medical Center Minneapolis Minnesota USA"},{"name":"Division of Nephrology University of Minnesota Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.1999.00615.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V1341061"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/80.2.324"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2010.0336"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfv379"},{"issue":"3","key":"e_1_2_9_7_1","first-page":"439","article-title":"Obesity and the risk of cardiovascular and all\u2010cause mortality in chronic kidney disease: a systematic review and meta\u2010analysis","volume":"32","author":"Ladhani M","year":"2017","journal-title":"Nephrol Dial Transplant"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2013070754"},{"key":"e_1_2_9_9_1","first-page":"1","article-title":"Obesity preventing and managing the global epidemic. 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