It has been a common belief that a normal body weight is an indicator of health. However, doctors say that many people, even if their weight is normal, are suffering from metabolic problems, especially kidney diseases. They believe that the main reason for this is the increase in internal fat (visceral fat) that is not visible in the body. This visceral fat is located in the abdomen and surrounds important organs like the liver, pancreas, and kidneys. This is not normal fat, it releases chemicals that increase inflammation in the body. This impairs the functioning of organs. Since this problem is present even in those who appear thin on the outside, it is called the thin-fat phenotype. Increased visceral fat causes problems like insulin resistance, chronic inflammation, and high blood pressure. These gradually damage the small filters in the kidneys, ultimately leading to chronic kidney disease.
Despite having a low BMI..
The problem is becoming more dangerous, especially since these changes continue silently without any symptoms in the early stages. This problem is more common in South Asians, especially Indians. Due to genetic characteristics, despite a low body mass index (BMI), internal fat is stored more. That is why BMI standards for Asians are also different. While a BMI between 18.5-22.9 is considered normal, danger signs begin only if it is over 23. The unbalanced diet that many people eat is also becoming a major reason for this. Excessive intake of refined carbohydrates, low protein, and lack of physical activity damage the body structure. Especially in young people, due to the decrease in muscle mass, metabolism weakens and internal fat increases.
Sometimes tests are needed..
Doctors warn that assessing health based on BMI alone is not enough. Tests like waist measurement, waist-height ratio, and body composition can help identify visceral fat. It is also necessary to get blood pressure, blood sugar, and kidney function tests done regularly. Kidney problems can show up in the early stages in the form of very subtle signs. Symptoms like a slight increase in creatinine levels in the blood and a slight appearance of protein in the urine should not be ignored. Doctors say that these are warning signs of kidney health.
Lifestyle changes should be made..
Doctors say that lifestyle changes are more important than weight loss to reduce visceral fat, and regular exercise, especially strength training, improves insulin sensitivity with muscle growth, and eating a balanced diet is also very important. Eating a diet rich in whole grains, proteins, vegetables, fruits, and healthy fats reduces inflammation. At the same time, reducing processed food, excess salt, and sugars can protect kidney health. Drinking plenty of water, adequate sleep, and stress management are also key to metabolic health. These maintain body balance and improve kidney function. This situation challenges the notion that being thin is healthy. Doctors say that health is not just about weight, but also about body structure and lifestyle. Therefore, doctors say that it is possible to prevent kidney diseases by identifying the risk of invisible visceral fat and taking preventive measures.
