Evidence map›Paper›PMID 26282583›Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2016

Objectively measured sedentary time, physical activity and kidney function in people with recently diagnosed Type 2 diabetes: a prospective cohort analysis.

V Yw Guo, S Brage, U Ekelund, S J Griffin, R K Simmons, ADDITION-Plus study team

Open access · hybridAbstract read
In one paragraph

Article in Diabetic medicine : a journal of the British Diabetic Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  7. The Impact of Sedentary Behavior on Renal Function Decline in 132,123 Middle Aged and Older Adults: A Nationwide Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 3 countries.

V Yw GuoMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK.
S BrageMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK.
U EkelundMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK.
S J GriffinMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK.
R K SimmonsMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK.
ADDITION-Plus study team
University of Cambridge · GBMRC Epidemiology Unit · GB

Funding

Department of Health 08/116/300Department of Health RP-PG-0606-1259Medical Research Council G0001164Medical Research Council MC_U106179473Medical Research Council MC_U106179474Medical Research Council MC_UU_12015/3Medical Research Council MC_UU_12015/4
6 · The paper itself

Abstract

aimTo assess the prospective association between objectively measured physical activity and kidney function over 4 years in people with Type 2 diabetes.

methodsIndividuals (120 women and 206 men) participating in the ADDITION-Plus trial underwent assessment of sedentary time (SED-time), time spent in moderate-to-vigorous-intensity physical activity (MVPA) and total physical activity energy expenditure (PAEE) using a combined heart rate and movement sensor, and kidney function [estimated glomerular filtration rate (eGFR), serum creatinine and urine albumin-to-creatinine ratio (ACR)] at baseline and after 4 years of follow-up. Multivariate regression was used to quantify the association between change in SED-time, MVPA and PAEE and kidney measures at four-year follow-up, adjusting for change in current smoking status, waist circumference, HbA1c , systolic blood pressure, triglycerides and medication usage.

resultsOver 4 years, there was a decline in eGFR values from 87.3 to 81.7 ml/min/1.73m(2) (P < 0.001); the prevalence of reduced eGFR (eGFR < 60 ml/min/1.73m(2) ) increased from 6.1 to 13.2% (P < 0.001). There were small increases in serum creatinine (median: 81-84 μmol/l, P < 0.001) and urine ACR (median: 0.9-1.0 mg/mmol, P = 0.005). Increases in SED-time were associated with increases in serum creatinine after adjustment for MVPA and cardiovascular risk factors (β = 0.013, 95% CI: 0.001, 0.03). Conversely, increases in PAEE were associated with reductions in serum creatinine (β = -0.001, 95% CI: -0.003, -0.0001).

conclusionReducing time spent sedentary and increasing overall physical activity may offer intervention opportunities to improve kidney function among individuals with diabetes. (Trial Registry no. ISRCTN 99175498).

Indexed as

Energy MetabolismExerciseGlomerular Filtration RateSedentary BehaviorAdultAgedAlbuminuriaCohort StudiesCreatinineDiabetes Mellitus, Type 2Disease ProgressionFemaleFollow-Up StudiesHumansHypoglycemic AgentsLinear ModelsCreatinineHypoglycemic Agents

Identifiers

PMID26282583
PMCPMC5017300
OpenAlexW2117176788

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.