Evidence map›Paper›PMID 39779275›Full record

SynthesisBMJ open2025

Effect of exercise on kidney-relevant biomarkers in the general population: a systematic review and meta-analysis.

Qiaoling Liu, Carlos Celis-Morales, Jennifer Lees, Patrick Mark, Paul Welsh

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
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

5 authors.

Qiaoling LiuSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK q.liu.3@research.gla.ac.uk.ORCID http://orcid.org/0000-0003-2109-3974
Carlos Celis-MoralesSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0003-2612-3917
Jennifer LeesSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
Patrick MarkSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
Paul WelshSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectivePhysical activity (PA) has been generally recognised as beneficial for health. The effect of a change in PA on kidney biomarkers in healthy individuals without kidney disease remains unclear. This manuscript synthesised the evidence of the association of changes in PA with kidney biomarkers in the general population free from kidney disease.

designSystematic review and meta-analysis. DATA SOURCES: Embase, PubMed, MEDLINE and Web of Science databases were searched from inception to 12 March 2023. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies of longitudinal or interventional design were selected initially. The following studies were excluded: (1) case-control studies, (2) studies where PA was measured at a single time point, (3) populations with known kidney disease, (4) studies evaluating the impact of a single episode/event of PA and (5) non-English language studies. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted data from a pre-designed table and assessed the risk of bias using the Cochrane Risk of Bias tool. Data were pooled using a random-effects model. Hedge's g was used to synthesise effect sizes and obtain an overall estimate. Heterogeneity between studies was measured using I

results16 interventional studies with randomised or non-randomised designs involving 500 participants were identified. The median follow-up was 84 days. 10 studies were at high risk of bias. Studies with low quality were published prior to the year 2000. Changes in PA were found only to have a positive association with serum creatinine (SCr) (Hedge's g=0.69; 95% CI 0.13, 1.24; I

conclusionsHigher levels of PA are associated with increased SCr levels in healthy people. It remains unclear if this association is related to impaired kidney function or gain in muscle mass, as data on other kidney biomarkers did not support a certain link. PROSPERO REGISTRATION NUMBER: This review has been registered on PROSPERO (CRD42023407820).

Indexed as

BiomarkersExerciseCreatinineHumansKidneyBiomarkersCreatininebehaviourExerciseMeta-AnalysisNephrologyPhysical Fitness

Identifiers

PMID39779275
PMCPMC11749449

What OpenQuestion holds

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Registered trials

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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.