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The joint impact of habitual exercise and glycemic control on the incidence of chronic kidney disease (CKD) in middle-aged and older males.
Michishita, Ryoma; Matsuda, Takuro; Kawakami, Shotaro; Tanaka, Satoshi; Kiyonaga, Akira; Tanaka, Hiroaki; Morito, Natsumi; Higaki, Yasuki.
Afiliación
  • Michishita R; Department of Health Development, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan. rmichishita@med.uoeh-u.ac.jp.
  • Matsuda T; Fukuoka University Institute for Physical Activity, Fukuoka, Japan. rmichishita@med.uoeh-u.ac.jp.
  • Kawakami S; Fukuoka University Institute for Physical Activity, Fukuoka, Japan.
  • Tanaka S; Department of Rehabilitation, Fukuoka University Hospital, Fukuoka, Japan.
  • Kiyonaga A; Laboratory of Exercise Physiology, Faculty of Health and Sports Science, Fukuoka University, Fukuoka, Japan.
  • Tanaka H; Laboratory of Exercise Physiology, Faculty of Health and Sports Science, Fukuoka University, Fukuoka, Japan.
  • Morito N; Fukuoka University Institute for Physical Activity, Fukuoka, Japan.
  • Higaki Y; Fukuoka University Institute for Physical Activity, Fukuoka, Japan.
Environ Health Prev Med ; 22(1): 76, 2017 Nov 06.
Article en En | MEDLINE | ID: mdl-29165174
BACKGROUND: This retrospective study evaluated the influence of the joint impact of habitual exercise and glycemic control on the incidence of chronic kidney disease (CKD) during a 6-year follow-up period in middle-aged and older males. METHODS: The study population included 303 males without a history of cardiovascular disease, stroke, renal dysfunction, or dialysis treatment. Their lifestyle behaviors regarding exercise and physical activity were evaluated using a standardized self-administered questionnaire. The participants were divided into four categories according to the performance or non-performance of habitual exercise and the presence or absence of hyperglycemia. RESULTS: After 6 years, 32 subjects (10.6%) developed CKD (estimated glomerular filtration rate < 60 ml/min/1.73 m2 and/or proteinuria). The cumulative incidence of CKD was significantly higher among subjects who did not perform habitual exercise and hyperglycemic subjects (log-rank test: p < 0.05, respectively). According to a Cox proportional hazards model, the hazard ratio (HR) for the incidence of CKD in subjects with a normal glucose tolerance (NGT) who did not perform habitual exercise (HR = 2.82, 95% confidence of interval (CI) = 1.07-7.36, p = 0.034) and that in hyperglycemic subjects who did not perform habitual exercise (HR = 5.89, 95% CI = 1.87-16.63, p = 0.003) were significantly higher in comparison to the subjects with a NGT who performed habitual exercise. CONCLUSIONS: These results suggest that the habitual exercise and good glycemic control and their combination were associated with the incidence of CKD.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Insuficiencia Renal Crónica / Hiperglucemia Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Environ Health Prev Med Año: 2017 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Insuficiencia Renal Crónica / Hiperglucemia Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Environ Health Prev Med Año: 2017 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón