Amount and pattern of physical activity and sedentary behavior are associated with kidney function and kidney damage: The Maastricht Study
Chronic kidney disease, which is defined as having a reduced kidney function (estimated glomerular filtration rate (eGFR)) and/or signs of kidney damage (albuminuria), is highly prevalent in Western society and is associated with adverse health outcomes, such as cardiovascular disease. This warrants...
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| Veröffentlicht in: | PloS one 2018-04, Vol.13 (4), p.e0195306-e0195306 |
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| creator | Martens, Remy J H van der Berg, Julianne D Stehouwer, Coen D A Henry, Ronald M A Bosma, Hans Dagnelie, Pieter C van Dongen, Martien C J M Eussen, Simone J P M Schram, Miranda T Sep, Simone J S van der Kallen, Carla J H Schaper, Nicolaas C Savelberg, Hans H C M van der Sande, Frank M Kroon, Abraham A Kooman, Jeroen P Koster, Annemarie |
| description | Chronic kidney disease, which is defined as having a reduced kidney function (estimated glomerular filtration rate (eGFR)) and/or signs of kidney damage (albuminuria), is highly prevalent in Western society and is associated with adverse health outcomes, such as cardiovascular disease. This warrants a search for risk factors of lower eGFR and higher albuminuria. Physical activity and sedentary behavior may be such risk factors.
To examine associations of physical activity (total, high, low), sedentary time and sedentary behavior patterns (breaks, prolonged bouts, average bout duration) with eGFR and albuminuria.
We examined these associations in 2,258 participants of the Maastricht Study (average age 60.1±8.1 years; 51.3% men), who wore an accelerometer 24h/day on 7 consecutive days. Associations with continuous eGFR and categories of urinary albumin excretion (UAE; |
| doi_str_mv | 10.1371/journal.pone.0195306 |
| format | Article |
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To examine associations of physical activity (total, high, low), sedentary time and sedentary behavior patterns (breaks, prolonged bouts, average bout duration) with eGFR and albuminuria.
We examined these associations in 2,258 participants of the Maastricht Study (average age 60.1±8.1 years; 51.3% men), who wore an accelerometer 24h/day on 7 consecutive days. Associations with continuous eGFR and categories of urinary albumin excretion (UAE; <15 [reference category], 15-<30, ≥30 mg/24h) were evaluated with linear regression analyses and multinomial logistic regression analyses, respectively.
After adjustment for potential confounders, each extra hour of total physical activity was associated with a more favorable kidney function (betaeGFR = 2.30 (95%CI = 1.46; 3.14)), whereas each extra hour of sedentary behavior was associated with a more adverse kidney function (betaeGFR = -0.71 (-1.08; -0.35)). Also, compared to individuals with the lowest levels of total physical activity, individuals with the highest levels had less kidney damage (OR15-<30mg/24h = 0.63 (0.41; 0.96), OR≥30mg/24h = 0.84 (0.53; 1.35). An extra hour of sedentary behavior was associated with more kidney damage (OR15-<30 mg/24h = 1.11 (1.01; 1.22), OR≥30 mg/24h = 1.10 (0.99; 1.22)). Further, a highly sedentary pattern was associated with a more adverse kidney function, but no association was seen with kidney damage.
Physical activity and sedentary behavior were associated with kidney function and kidney damage. Additionally, sedentary behavior patterns were associated with kidney function. Causal studies are required to examine whether this indeed implicates that prevention strategies should focus not only on increasing physical activity, but on reducing sedentary behavior as well.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0195306</identifier><identifier>PMID: 29617428</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accelerometers ; Aerobics ; Bias ; Biology and Life Sciences ; Cardiovascular disease ; Cardiovascular diseases ; Clinical trials ; Damage patterns ; Diabetes ; Epidemiology ; Epidermal growth factor receptors ; Excretion ; Exercise ; Glomerular filtration rate ; Health aspects ; Health risks ; Hypertension ; Internal medicine ; Kidney diseases ; Kidneys ; Medical research ; Medicine ; Medicine and Health Sciences ; Meta-analysis ; Metabolism ; Nutrition ; Physical activity ; Physical fitness ; Public health ; Regression analysis ; Risk analysis ; Risk factors ; Risk taking ; Sedentary behavior ; Social Sciences ; Systematic review</subject><ispartof>PloS one, 2018-04, Vol.13 (4), p.e0195306-e0195306</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Martens et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Martens et al 2018 Martens et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c585t-1cc8d8b3ada314bb084c25ca11b0b36a0d8e71cee4efc63c76143bacb0d3d72c3</citedby><cites>FETCH-LOGICAL-c585t-1cc8d8b3ada314bb084c25ca11b0b36a0d8e71cee4efc63c76143bacb0d3d72c3</cites><orcidid>0000-0003-4632-6412</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5884554/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5884554/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29617428$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martens, Remy J H</creatorcontrib><creatorcontrib>van der Berg, Julianne D</creatorcontrib><creatorcontrib>Stehouwer, Coen D A</creatorcontrib><creatorcontrib>Henry, Ronald M A</creatorcontrib><creatorcontrib>Bosma, Hans</creatorcontrib><creatorcontrib>Dagnelie, Pieter C</creatorcontrib><creatorcontrib>van Dongen, Martien C J M</creatorcontrib><creatorcontrib>Eussen, Simone J P M</creatorcontrib><creatorcontrib>Schram, Miranda T</creatorcontrib><creatorcontrib>Sep, Simone J S</creatorcontrib><creatorcontrib>van der Kallen, Carla J H</creatorcontrib><creatorcontrib>Schaper, Nicolaas C</creatorcontrib><creatorcontrib>Savelberg, Hans H C M</creatorcontrib><creatorcontrib>van der Sande, Frank M</creatorcontrib><creatorcontrib>Kroon, Abraham A</creatorcontrib><creatorcontrib>Kooman, Jeroen P</creatorcontrib><creatorcontrib>Koster, Annemarie</creatorcontrib><title>Amount and pattern of physical activity and sedentary behavior are associated with kidney function and kidney damage: The Maastricht Study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Chronic kidney disease, which is defined as having a reduced kidney function (estimated glomerular filtration rate (eGFR)) and/or signs of kidney damage (albuminuria), is highly prevalent in Western society and is associated with adverse health outcomes, such as cardiovascular disease. This warrants a search for risk factors of lower eGFR and higher albuminuria. Physical activity and sedentary behavior may be such risk factors.
To examine associations of physical activity (total, high, low), sedentary time and sedentary behavior patterns (breaks, prolonged bouts, average bout duration) with eGFR and albuminuria.
We examined these associations in 2,258 participants of the Maastricht Study (average age 60.1±8.1 years; 51.3% men), who wore an accelerometer 24h/day on 7 consecutive days. Associations with continuous eGFR and categories of urinary albumin excretion (UAE; <15 [reference category], 15-<30, ≥30 mg/24h) were evaluated with linear regression analyses and multinomial logistic regression analyses, respectively.
After adjustment for potential confounders, each extra hour of total physical activity was associated with a more favorable kidney function (betaeGFR = 2.30 (95%CI = 1.46; 3.14)), whereas each extra hour of sedentary behavior was associated with a more adverse kidney function (betaeGFR = -0.71 (-1.08; -0.35)). Also, compared to individuals with the lowest levels of total physical activity, individuals with the highest levels had less kidney damage (OR15-<30mg/24h = 0.63 (0.41; 0.96), OR≥30mg/24h = 0.84 (0.53; 1.35). An extra hour of sedentary behavior was associated with more kidney damage (OR15-<30 mg/24h = 1.11 (1.01; 1.22), OR≥30 mg/24h = 1.10 (0.99; 1.22)). Further, a highly sedentary pattern was associated with a more adverse kidney function, but no association was seen with kidney damage.
Physical activity and sedentary behavior were associated with kidney function and kidney damage. Additionally, sedentary behavior patterns were associated with kidney function. Causal studies are required to examine whether this indeed implicates that prevention strategies should focus not only on increasing physical activity, but on reducing sedentary behavior as well.</description><subject>Accelerometers</subject><subject>Aerobics</subject><subject>Bias</subject><subject>Biology and Life Sciences</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Clinical trials</subject><subject>Damage patterns</subject><subject>Diabetes</subject><subject>Epidemiology</subject><subject>Epidermal growth factor receptors</subject><subject>Excretion</subject><subject>Exercise</subject><subject>Glomerular filtration rate</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Hypertension</subject><subject>Internal medicine</subject><subject>Kidney diseases</subject><subject>Kidneys</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Meta-analysis</subject><subject>Metabolism</subject><subject>Nutrition</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Risk taking</subject><subject>Sedentary behavior</subject><subject>Social Sciences</subject><subject>Systematic 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and pattern of physical activity and sedentary behavior are associated with kidney function and kidney damage: The Maastricht Study</title><author>Martens, Remy J H ; van der Berg, Julianne D ; Stehouwer, Coen D A ; Henry, Ronald M A ; Bosma, Hans ; Dagnelie, Pieter C ; van Dongen, Martien C J M ; Eussen, Simone J P M ; Schram, Miranda T ; Sep, Simone J S ; van der Kallen, Carla J H ; Schaper, Nicolaas C ; Savelberg, Hans H C M ; van der Sande, Frank M ; Kroon, Abraham A ; Kooman, Jeroen P ; Koster, Annemarie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c585t-1cc8d8b3ada314bb084c25ca11b0b36a0d8e71cee4efc63c76143bacb0d3d72c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Accelerometers</topic><topic>Aerobics</topic><topic>Bias</topic><topic>Biology and Life Sciences</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Clinical 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Nicolaas C</au><au>Savelberg, Hans H C M</au><au>van der Sande, Frank M</au><au>Kroon, Abraham A</au><au>Kooman, Jeroen P</au><au>Koster, Annemarie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Amount and pattern of physical activity and sedentary behavior are associated with kidney function and kidney damage: The Maastricht Study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-04-04</date><risdate>2018</risdate><volume>13</volume><issue>4</issue><spage>e0195306</spage><epage>e0195306</epage><pages>e0195306-e0195306</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Chronic kidney disease, which is defined as having a reduced kidney function (estimated glomerular filtration rate (eGFR)) and/or signs of kidney damage (albuminuria), is highly prevalent in Western society and is associated with adverse health outcomes, such as cardiovascular disease. This warrants a search for risk factors of lower eGFR and higher albuminuria. Physical activity and sedentary behavior may be such risk factors.
To examine associations of physical activity (total, high, low), sedentary time and sedentary behavior patterns (breaks, prolonged bouts, average bout duration) with eGFR and albuminuria.
We examined these associations in 2,258 participants of the Maastricht Study (average age 60.1±8.1 years; 51.3% men), who wore an accelerometer 24h/day on 7 consecutive days. Associations with continuous eGFR and categories of urinary albumin excretion (UAE; <15 [reference category], 15-<30, ≥30 mg/24h) were evaluated with linear regression analyses and multinomial logistic regression analyses, respectively.
After adjustment for potential confounders, each extra hour of total physical activity was associated with a more favorable kidney function (betaeGFR = 2.30 (95%CI = 1.46; 3.14)), whereas each extra hour of sedentary behavior was associated with a more adverse kidney function (betaeGFR = -0.71 (-1.08; -0.35)). Also, compared to individuals with the lowest levels of total physical activity, individuals with the highest levels had less kidney damage (OR15-<30mg/24h = 0.63 (0.41; 0.96), OR≥30mg/24h = 0.84 (0.53; 1.35). An extra hour of sedentary behavior was associated with more kidney damage (OR15-<30 mg/24h = 1.11 (1.01; 1.22), OR≥30 mg/24h = 1.10 (0.99; 1.22)). Further, a highly sedentary pattern was associated with a more adverse kidney function, but no association was seen with kidney damage.
Physical activity and sedentary behavior were associated with kidney function and kidney damage. Additionally, sedentary behavior patterns were associated with kidney function. Causal studies are required to examine whether this indeed implicates that prevention strategies should focus not only on increasing physical activity, but on reducing sedentary behavior as well.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29617428</pmid><doi>10.1371/journal.pone.0195306</doi><orcidid>https://orcid.org/0000-0003-4632-6412</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2018-04, Vol.13 (4), p.e0195306-e0195306 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2021717317 |
| source | Public Library of Science (PLoS) Journals Open Access; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Accelerometers Aerobics Bias Biology and Life Sciences Cardiovascular disease Cardiovascular diseases Clinical trials Damage patterns Diabetes Epidemiology Epidermal growth factor receptors Excretion Exercise Glomerular filtration rate Health aspects Health risks Hypertension Internal medicine Kidney diseases Kidneys Medical research Medicine Medicine and Health Sciences Meta-analysis Metabolism Nutrition Physical activity Physical fitness Public health Regression analysis Risk analysis Risk factors Risk taking Sedentary behavior Social Sciences Systematic review |
| title | Amount and pattern of physical activity and sedentary behavior are associated with kidney function and kidney damage: The Maastricht Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T15%3A18%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Amount%20and%20pattern%20of%20physical%20activity%20and%20sedentary%20behavior%20are%20associated%20with%20kidney%20function%20and%20kidney%20damage:%20The%20Maastricht%20Study&rft.jtitle=PloS%20one&rft.au=Martens,%20Remy%20J%20H&rft.date=2018-04-04&rft.volume=13&rft.issue=4&rft.spage=e0195306&rft.epage=e0195306&rft.pages=e0195306-e0195306&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0195306&rft_dat=%3Cgale_plos_%3EA533367017%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2021717317&rft_id=info:pmid/29617428&rft_galeid=A533367017&rft_doaj_id=oai_doaj_org_article_5fc656e4aeaa4bc5bea14a83d8ef6cf4&rfr_iscdi=true |