Intensity-Specific Physical Activity Measured by Accelerometer, Genetic Susceptibility, and the Risk of Kidney Stone Disease: Results From the UK Biobank.

Autor:	Liu Y; Department of General Surgery, Shenyang., Ku PW; Graduate Institute of Sports and Health Management, National Chung Hsing University, Taichung; Department of Kinesiology, National Tsing Hua University, Hsinchu City, Taiwan; Department of Behavioural Science and Health, University College London, London, United Kingdom., Li Z; Department of Urology Surgery, Shenyang., Yang H; Department of Clinical Epidemiology, Shenyang; Shengjing Hospital of China Medical University, and Liaoning Key Laboratory of Precision Medical Research on Major Chronic Disease, Shenyang., Zhang T; School of Public Health, Wannan Medical College, Wuhu., Chen L; Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China., Xia Y; Department of Clinical Epidemiology, Shenyang; Shengjing Hospital of China Medical University, and Liaoning Key Laboratory of Precision Medical Research on Major Chronic Disease, Shenyang. Electronic address: xytmu507@126.com., Bai S; Department of Urology Surgery, Shenyang. Electronic address: baisongcmu@163.com.
Jazyk:	angličtina
Zdroj:	American journal of kidney diseases : the official journal of the National Kidney Foundation [Am J Kidney Dis] 2024 Oct; Vol. 84 (4), pp. 437-446.e1. Date of Electronic Publication: 2024 May 14.
DOI:	10.1053/j.ajkd.2024.03.022
Abstrakt:	Rationale & Objective: Kidney stone disease (KSD), a significant health care problem within both developed and developing countries, has been associated with genetic risk factors. An association between physical activity and KSD risk also has been hypothesized, but studies have yielded inconsistent findings. This study investigated the association between the intensity of physical activity and the incidence of KSD accounting for genetic risk. Study Design: Prospective cohort study. Setting & Participants: A total of 80,473 participants from the UK Biobank Study. Exposure: Physical activity levels, including total physical activity (TPA), moderate-to-vigorous intensity physical activity (MVPA), and light-intensity physical activity (LPA), were measured using accelerometers and quantified using a machine learning model. A polygenic risk score (PRS) for KSD was also constructed. Outcome: Individuals with KSD were identified using the International Classification of Diseases, Tenth Revision (ICD-10), and procedure codes for KSD surgery. Analytical Approach: A Fine and Gray survival model was used to estimate the associations of incident KSD with TPA, MVPA, LPA, and PRS (as categorical variables). Restricted cubic splines were used to examine potential nonlinear associations within the fully adjusted models. Results: During an average follow-up of 6.19 years, 421 participants developed KSD. Participants in the highest quartiles of TPA, MVPA, and LPA had lower adjusted rates of KSD compared with those in the lowest quartiles: HR, 0.50 (95% CI, 0.44-0.56), 0.57 (95% CI, 0.51-0.64), and 0.66 (95% CI, 0.59-0.74), respectively. TPA, MVPA, and LPA were associated with a lower risk of KSD in participants with low and high genetic predisposition for KSD. Limitations: Selection bias as participants who provided accelerometry data may have been more adherent to health care. Conclusions: Physical activity was negatively associated with the risk of KSD, regardless of the genetic risk. Future large studies are warranted to confirm and explain the mechanisms underlying these associations. Plain-Language Summary: The association between the intensity of physical activity (PA) and the incidence of kidney stone disease (KSD) after accounting for genetic risk is unclear. We conducted a comprehensive prospective cohort study utilizing participants from the UK Biobank to assess the intensity of PA using accelerometers. Our study findings indicated that greater total PA, moderate-to-vigorous-intensity PA, and light-intensity PA were each associated with a lower risk of KSD irrespective of an individual's genetic risk. Our study informs the understanding of risk factors for KSD. (Copyright © 2024 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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