Documented Physical Activity Discussions in Children With Chronic Kidney Disease-An Analysis of Patient- and Clinician-Level Variables.

IF 1.3 4区医学 Q3 PEDIATRICS

Pediatric Exercise Science Pub Date : 2025-07-25 DOI:10.1123/pes.2023-0206

Molly Wong Vega, Ayse Akcan-Arikan, Kristofer Jennings, Marisa Juarez Calderon, Victoria Warren, Craig A Johnston, Melissa M Markofski

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引用次数: 0

Abstract

Purpose: We investigated the prevalence of documented physical activity (PA) participation and recommendations among pediatric nephrologists and identified disease-related variables that predicted which patients received PA recommendations.

Method: Patient charts were reviewed for children 3-18 years old, and data were extracted for those with international classification of disease 10 codes N18 (chronic kidney disease) or Z94.0 (kidney transplant). Demographic data, documented PA participation and recommendations, and disease variables were abstracted.

Results: Of 404 patients (64% male; 12.4 [4.0]) with estimated glomerular filtration rate of 67.8 (30.9) mL/min/1.73 m2; 239 (59.2%) had documented PA participation, and 119 (29.6%) had a documented PA recommendation in their chart. PA recommendations were more likely in older patients (odds ratio [OR]: 1.08; 95% CI, 1.03-1.13), those with higher body mass index z score (OR: 1.45; 95% CI, 0.96-1.51), higher height z score (OR: 1.55; 95% CI, 1.31-1.82), higher estimated glomerular filtration rate (OR: 1.01; 95% CI, 1.01-1.02), sport participation (OR: 2.47; 95% CI, 1.46-4.19), and less likely for patients with higher motor score (OR: 0.6; 95% CI, 0.41-0.87; all P < .01). Adjusted analysis maintained significant associations except sports participation and motor score.

Conclusion: A low proportion of children with chronic kidney disease, who are at risk of physical inactivity, received PA recommendations to increase PA. Recommendations were more likely in older, overweight, taller, better kidney function, and sport participants. Effect sizes were small or moderate; further study is needed.

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慢性肾脏疾病儿童的体力活动讨论——患者和临床水平变量的分析

目的：我们调查了记录在案的体育活动（PA）参与和儿科肾病学家建议的流行程度，并确定了预测哪些患者接受PA建议的疾病相关变量。方法：查阅3-18岁儿童的病历，提取国际疾病分类10代码N18（慢性肾脏疾病）或Z94.0（肾脏移植）的数据。对人口统计数据、记录在案的PA参与和建议以及疾病变量进行了抽象。结果：404例患者中，男性占64%；12.4[4.0])，估计肾小球滤过率为67.8 (30.9)mL/min/1.73 m2；239人（59.2%）参与了记录在案的PA， 119人（29.6%）在他们的病历中记录了PA推荐。老年患者更有可能推荐PA(优势比[OR]: 1.08；95% CI, 1.03-1.13)，身体质量指数z分数较高的患者(OR: 1.45；95% CI, 0.96-1.51)，较高的身高z分数(OR: 1.55；95% CI, 1.31-1.82)，较高的肾小球滤过率(OR: 1.01；95% CI, 1.01-1.02)，体育参与(OR: 2.47；95% CI, 1.46-4.19)，运动评分较高的患者不太可能出现这种情况(OR: 0.6；95% ci, 0.41-0.87；P < 0.01)。调整分析除运动参与和运动得分外，其余均保持显著相关性。结论：低比例的慢性肾脏疾病儿童，有缺乏运动的风险，接受PA建议增加PA。老年人、超重者、高个子、肾功能较好者和运动参与者更有可能接受推荐。效应量小或中等；需要进一步的研究。

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

Pediatric Exercise Science 医学-生理学

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.