Blog entry by Meguid El Nahas
The 2017 WKD theme is OBESITY & CKD implying a link between the incidence, progression and outcomes of CKD and Obesity. Presumably a harmful link...?!
Whilst I am aware of links between Obesity and the Metabolic syndrome, and between the Metabolic Syndrome and microalbuminuria...,
I am not fully aware of strong evidence to suggest that there is a:
1. Higher incidence of significant CKD = CKD3b in Obese individuals
2. Faster rate of CKD progression from CKD3 to 5 in Obese individuals
3. Increased CKD Mortality in Obese in individuals
4. Increased CKD Cardiovascular morbidity/mortality in Obese individuals
In fact, there is considerable evidence to the contrary,
that OBESITY IS PROTECTIVE IN CKD against morbidity and mortality...
So, I ask myself are WKD themes a form of propaganda...fake news...to convey a message based on weak, flawed or even inaccurate information...as long as the message is populist; Obesity is BAD...so it must be BAD for the kidneys....BAD for CKD patients...BAD all round...as expected in popular discourse...TOTALLY UN-EVIDENCE BASED!
A few years ago...the WKD Theme was DRINKING WATER WAS GOOD FOR THE KIDNEYS....another fallacy based on no evidence and playing into the populist myth that drinking a lot of water is good for your kidneys...?! TOTALLY UN-EVIDENCE BASED!
So...in the era of post truth and fake news and conviction by propaganda, the Nephrology world and profession is giving into that trend...the trend of Trump...Brexit...and other propaganda and fake news driven messages...that aim to convince, without evidence...and convey false messages...as long as they serve a purpose?!
So why is WKD and those behind this noble annual initiative chosing misleading themes...is it out of ignorance...that would be unforgivable for such highly placed leaders in the field...or is it to purposely mislead and play on people's established conviction to reinforce them...albeit by misinformation...to raise the profile of CKD...?!
I AM CONFUSED AND DISAPPOINTED...PROPAGANDA SEEM TO BE EVERYWHERE...FACST ARE LOST...MISLEADING FACTS AND NEWS DOMINATE...OUR WORLD, EVEN THAT OF NEPHROLOGY AND WKD!