Physical Activity, Sedentary Behavior, and Skeletal Muscle Strength in Patients With Chronic Kidney Disease: An Isotemporal Substitution Approach
| Autor: | Makoto Kuro-o, Masaki Yoshioka, Kanako Takahashi, Ai Shibata, Masahiro Matsui, Koichiro Oka, Chie Saito, Seiji Maeda, Keisei Kosaki, Kunihiro Yamagata |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty 030232 urology & nephrology Physical activity Renal function Physical Therapy Sports Therapy and Rehabilitation Isometric exercise 03 medical and health sciences 0302 clinical medicine Accelerometry medicine Humans In patient 030212 general & internal medicine Muscle Strength Renal Insufficiency Chronic Exercise Aged business.industry Triaxial accelerometer Skeletal muscle Sedentary behavior Middle Aged medicine.disease medicine.anatomical_structure Cross-Sectional Studies Physical therapy Female Sedentary Behavior business Kidney disease |
| Zdroj: | Physical therapy. 101(7) |
| ISSN: | 1538-6724 |
| Popis: | Objective Insufficient physical activity and excessive sedentary behavior can contribute to decreased skeletal muscle strength, which is strongly associated with increased mortality in patients with chronic kidney disease (CKD). However, the potential impact of replacing sedentary behavior with physical activity on skeletal muscle strength remains unclear in these individuals. The purpose of this study was to examine the associations of physical activity, sedentary behavior, and skeletal muscle strength in patients with CKD using an isotemporal substitution model to estimate the associations on replacing time from one behavior to another while keeping the total time and other behaviors fixed. Methods A total of 108 patients with CKD (mean age = 65 [SD = 9] y; mean estimated glomerular filtration rate = 57 [SD = 22] mL/min/1.73 m2) participated in this cross-sectional analysis study. The time spent in sedentary behavior, light-intensity physical activity, and moderate- to vigorous-intensity physical activity (MVPA) was assessed using a triaxial accelerometer. Handgrip strength, isometric knee extension strength, and 30-second chair stand test were used to measure skeletal muscle strength. Results In multivariate analyses (single-factor and partition models), the time spent in MVPA was beneficially associated with both isometric knee extension strength and 30-second chair stand test. Furthermore, the isotemporal substitution model found that replacing 10 min/d of sedentary behavior or light-intensity physical activity with equivalent MVPA time was beneficially associated with both isometric knee extension strength and 30-second chair standtest. Conclusion These cross-sectional findings indicate that MVPA time is beneficially associated with lower extremity muscle strength and that a slight increase in the MVPA time may contribute to maintaining skeletal muscle strength in patients with CKD. Impact Increasing the time spent in MVPA (10 min/d) may be a feasible strategy in patients with CKD who have a high prevalence of impaired physical function. |
| Databáze: | OpenAIRE |
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