Yong Jun Lee, Dong-Hyuk Park, Chiho Kim, Dong Hoon Lee, Yong-Ho Lee, Byung-Wan Lee, Joon Young Kim, Justin Y Jeon
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Logistic regression models were used to assess the association between compliance with the WHO's PA guidelines and CKD prevalence, with further stratification according to known CKD risk factors.</p><p><strong>Results: </strong>Individuals with diabetes who met the PA guidelines through leisure physical activity (LPA) and RE were significantly inversely associated with the odds of CKD [odds ratio (OR): 0.55, 95% confidence interval (CI) 0.34-0.89]. This inverse association was pronounced in individuals with lower body mass index (OR: 0.31, 95% CI 0.15-0.65). However, individuals who met the recommended amount of PA through work-related physical activity and RE guideline were not significantly associated with the odds of CKD (OR: 1.46, 95% CI 0.44-4.82).</p><p><strong>Conclusion: </strong>Meeting PA and RE guidelines are associated with reduced prevalence of CKD in individuals with diabetes. These findings underscore the potential benefits of LPA and RE in the prevention of CKD in individuals with diabetes.</p>","PeriodicalId":23765,"journal":{"name":"Yonsei Medical Journal","volume":"66 8","pages":"519-528"},"PeriodicalIF":2.8000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303670/pdf/","citationCount":"0","resultStr":"{\"title\":\"Meeting Physical Activity Guidelines: Impact on Chronic Kidney Disease Prevalence in Diabetic Individuals.\",\"authors\":\"Yong Jun Lee, Dong-Hyuk Park, Chiho Kim, Dong Hoon Lee, Yong-Ho Lee, Byung-Wan Lee, Joon Young Kim, Justin Y Jeon\",\"doi\":\"10.3349/ymj.2024.0245\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study aimed to examine 1) the relationship between domain-specific physical activity (PA) and the prevalence of chronic kidney disease (CKD), as well as 2) the association between meeting PA and resistance exercise (RE) guideline and CKD prevalence in individuals with diabetes.</p><p><strong>Materials and methods: </strong>The study analyzed data from the 2019-2021 Korea National Health and Nutrition Examination Survey, a cross-sectional study that included 22559 participants. 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引用次数: 0
摘要
目的:本研究旨在探讨1)领域特异性体力活动(PA)与慢性肾脏疾病(CKD)患病率之间的关系,以及2)满足PA和阻力运动(RE)指南与糖尿病患者CKD患病率之间的关系。材料和方法:该研究分析了2019-2021年韩国国民健康和营养检查调查的数据,这是一项包括22559名参与者的横断面研究。从这一组中,选择了2381名患有糖尿病的成年人。结果:通过休闲体育活动(LPA)和RE达到PA指南的糖尿病患者与CKD的几率呈显著负相关[优势比(OR): 0.55, 95%可信区间(CI) 0.34-0.89]。这种负相关在体重指数较低的个体中更为明显(OR: 0.31, 95% CI 0.15-0.65)。然而,通过与工作相关的体力活动和RE指南达到推荐的PA量的个体与CKD的几率没有显著相关(OR: 1.46, 95% CI 0.44-4.82)。结论:满足PA和RE指南与糖尿病患者CKD患病率降低相关。这些发现强调了LPA和RE在糖尿病患者预防CKD方面的潜在益处。
Meeting Physical Activity Guidelines: Impact on Chronic Kidney Disease Prevalence in Diabetic Individuals.
Purpose: This study aimed to examine 1) the relationship between domain-specific physical activity (PA) and the prevalence of chronic kidney disease (CKD), as well as 2) the association between meeting PA and resistance exercise (RE) guideline and CKD prevalence in individuals with diabetes.
Materials and methods: The study analyzed data from the 2019-2021 Korea National Health and Nutrition Examination Survey, a cross-sectional study that included 22559 participants. From this group, 2381 adults with diabetes were selected. CKD was defined as an estimated glomerular filtration rate <60 mL/min/1.73m², a urinary albumin-to-creatinine ratio ≥30 mg/g, or a physician's diagnosis. Logistic regression models were used to assess the association between compliance with the WHO's PA guidelines and CKD prevalence, with further stratification according to known CKD risk factors.
Results: Individuals with diabetes who met the PA guidelines through leisure physical activity (LPA) and RE were significantly inversely associated with the odds of CKD [odds ratio (OR): 0.55, 95% confidence interval (CI) 0.34-0.89]. This inverse association was pronounced in individuals with lower body mass index (OR: 0.31, 95% CI 0.15-0.65). However, individuals who met the recommended amount of PA through work-related physical activity and RE guideline were not significantly associated with the odds of CKD (OR: 1.46, 95% CI 0.44-4.82).
Conclusion: Meeting PA and RE guidelines are associated with reduced prevalence of CKD in individuals with diabetes. These findings underscore the potential benefits of LPA and RE in the prevention of CKD in individuals with diabetes.
期刊介绍:
The goal of the Yonsei Medical Journal (YMJ) is to publish high quality manuscripts dedicated to clinical or basic research. Any authors affiliated with an accredited biomedical institution may submit manuscripts of original articles, review articles, case reports, brief communications, and letters to the Editor.