Time reallocation to moderate-to-vigorous physical activity and its association with chronic kidney disease prevalence in Chinese adults with type 2 diabetes

IF 6.1 3区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes research and clinical practice Pub Date : 2025-03-20 DOI:10.1016/j.diabres.2025.112116

Miao Xu , Tian Xu , Jialin Li , Pingping Zhang , Hui Wang , Youxin Wang , Li Li

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引用次数: 0

Abstract

Aims

To examine the isotemporal substitution association of replacing moderate-to-vigorous physical activity (MVPA) with other behaviors on the prevalence of chronic kidney disease (CKD) among Chinese adults with type 2 diabetes mellitus (T2DM).

Methods

This study included 5421 adults with T2DM from the National Metabolic Management Centre Ningbo Branch. Data on physical activity, sedentary behavior, and sleep were collected using a standardized questionnaire through face-to-face interviews. Isotemporal substitution models were employed to evaluate the associations of reallocating time from other behaviors to MVPA with the risk of CKD.

Results

Substitution of 30 min per day of sleeping or sitting with MVPA was associated with a lower CKD prevalence (OR: 0.87 for sleep substitution; 0.90 for sitting substitution). Among individuals with inadequate MVPA levels (less than 150 min per week), the association of replacing 30 min of sleeping, sitting, or low-intensity physical activity with MVPA was particularly strong, cutting the risk of CKD by more than 60%. Stratified analysis among participants with inadequate MVPA revealed that the association of reallocating time to MVPA with lower CKD prevalence were predominantly observed among men, individuals with prolonged sleep duration (sleep duration more than 7.5 h per day), and those with better glycemic control (HbA1c levels below 7%).

Conclusions

This study revealed that replacing sleep or sedentary time with MVPA was associated with a lower prevalence of CKD among Chinese adults with T2DM, especially those with low MVPA. Incorporating MVPA into daily routines is potentially beneficial for improving renal health in people with T2DM.

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中国成人2型糖尿病患者中高强度体力活动的时间再分配及其与慢性肾脏疾病患病率的关系

目的探讨中国成人2型糖尿病（T2DM）慢性肾脏疾病（CKD）患病率中，中等至高强度体力活动（MVPA）与其他行为的等时间替代关系。方法本研究纳入5421名来自国家代谢管理中心宁波分中心的成人T2DM患者。身体活动、久坐行为和睡眠数据是通过面对面访谈的标准化问卷收集的。采用等时间替代模型来评估将时间从其他行为重新分配到MVPA与CKD风险的关系。结果：用MVPA替代每天30分钟的睡眠或坐着与较低的CKD患病率相关(睡眠替代的or: 0.87；0.90为坐位替代)。在MVPA水平不足（每周少于150分钟）的个体中，用MVPA代替30分钟的睡眠、坐着或低强度体育活动的相关性特别强，可将CKD的风险降低60%以上。对MVPA不足的参与者的分层分析显示，将时间重新分配到MVPA与较低的CKD患病率之间的关联主要见于男性、睡眠时间较长的个体（每天睡眠时间超过7.5小时）和血糖控制较好的个体（HbA1c水平低于7%）。结论：本研究表明，用MVPA替代睡眠或久坐时间与中国2型糖尿病成人（尤其是MVPA较低的患者）中较低的CKD患病率相关。将MVPA纳入日常生活可能有利于改善T2DM患者的肾脏健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes research and clinical practice 医学-内分泌学与代谢

CiteScore

10.30

自引率

3.90%

发文量

862

审稿时长

32 days

期刊介绍： Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.