体育锻炼的变化及其与肾功能下降的关系:一项基于英国生物库的队列研究。

IF 9.4 1区 医学 Q1 GERIATRICS & GERONTOLOGY
Qiaoling Liu, Carlos Celis-Morales, Jennifer S. Lees, Naveed Sattar, Frederick K. Ho, Jill P. Pell, Patrick B. Mark, Paul Welsh
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引用次数: 0

摘要

背景:以往关于体力活动(PA)与肾功能之间关系的研究并不一致。肌肉质量与血清肌酐(SCr)之间的关系可能会对解释体力活动对肾小球滤过率(eGFR)的影响产生影响。很少有研究报告了体育锻炼的变化和肾功能的变化:方法:利用英国生物库构建了一项队列研究。体力活动的变化以代谢当量任务(MET)分钟/周的形式进行自我报告。eGFR 使用 SCr 和胱抑素 C (CysC) 计算。采用限制性三次样条进行 Cox 回归和非线性回归,以探讨体力活动变化与肾功能快速下降(RDKF,eGFR 年下降率≥3 mL/min/1.73 m2)以及 eGFR 年变化之间的关系。对作为暴露因素的心肺功能进行了探索性分析:在 11 757 名参与者中,中位随访时间为 4.4 年。在随访评估中,如果参与者的业余爱好减少了 1000 MET 分钟/周,其罹患 RDKFSCr 的风险就会降低 2%(HR = 0.98,95% CI:0.96, 1.00)。相比之下,每周增加 1000 MET 分钟的 PA 与 RDKFCysC 患病风险降低 4% 相关(HR = 0.96,95% CI:0.93, 0.99)。PA每周增加1000 MET分钟与eGFRRCysC每年增加0.04 mL/min/1.73 m2(95% CI:0.03,0.06)有关,但eGFRSCr没有显著变化:在这项普通人群研究中,根据所使用的肾脏生物标志物,PA 的变化与肾功能的变化之间存在不同的关联。增加 PA 与改善每年的 eGFRCysC 和降低 RDKF 风险略有关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Change in physical activity and its association with decline in kidney function: A UK Biobank-based cohort study

Change in physical activity and its association with decline in kidney function: A UK Biobank-based cohort study

Background

Previous research on the association between physical activity (PA) and kidney function is inconsistent. The association between muscle mass and serum creatinine (SCr) may have implications for interpreting the effect of PA on estimated glomerular filtration rate (eGFR). Few studies have reported changes in physical activity and changes in kidney function.

Methods

A cohort study was constructed using the UK Biobank. Changes in physical activity were self-reported as metabolic equivalent task (MET) minutes/week. eGFR was calculated using SCr and cystatin C (CysC). Cox and nonlinear regressions with restricted cubic splines were applied to explore the association between changes in physical activity and rapid decline of kidney function (RDKF, eGFR annual decrease ≥3 mL/min/1.73 m2), and the annual change of eGFR. An exploratory analysis of cardiorespiratory fitness as the exposure was conducted.

Results

Among 11 757 participants, the median follow-up time was 4.4 years. Participants whose PA decreased by 1000 MET minutes/week at the follow-up assessment had a 2% reduction in risk of developing RDKFSCr (HR = 0.98, 95% CI: 0.96, 1.00). In contrast, a 1000 MET minutes/week increase in PA was associated with a 4% reduction in risk of developing RDKFCysC (HR = 0.96, 95% CI: 0.93, 0.99). A PA increase of 1000 MET minutes/week was associated with eGFRCysC annual increase of 0.04 mL/min/1.73 m2 (95% CI: 0.03, 0.06) but no significant changes in eGFRSCr.

Conclusions

In this general population study, there are differing associations between changes in PA and changes in kidney function depending on the kidney biomarker used. Increasing PA is modestly associated with improving annual eGFRCysC and reduced risk of RDKF.

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来源期刊
Journal of Cachexia Sarcopenia and Muscle
Journal of Cachexia Sarcopenia and Muscle MEDICINE, GENERAL & INTERNAL-
CiteScore
13.30
自引率
12.40%
发文量
234
审稿时长
16 weeks
期刊介绍: The Journal of Cachexia, Sarcopenia and Muscle is a peer-reviewed international journal dedicated to publishing materials related to cachexia and sarcopenia, as well as body composition and its physiological and pathophysiological changes across the lifespan and in response to various illnesses from all fields of life sciences. The journal aims to provide a reliable resource for professionals interested in related research or involved in the clinical care of affected patients, such as those suffering from AIDS, cancer, chronic heart failure, chronic lung disease, liver cirrhosis, chronic kidney failure, rheumatoid arthritis, or sepsis.
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