Evidence map›Paper›PMID 39957059›Full record

ArticleJournal of cachexia, sarcopenia and muscle2025

Device-Measured Physical Activity, Sedentary Behaviour and Risk of Chronic Kidney Diseases Across Levels of Grip Strength.

Yu He, Jing Wang, Weijie Zhang, Xinru Chen, Qiqi Wu, Yuxuan Li, Yiliang Ou, Yaping Liu, Hongliang Feng, Jihui Zhang and 4 more

Abstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
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

14 authors.

Yu HeNephrology Division, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.
Jing WangCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Weijie ZhangCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Xinru ChenThe First School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China.
Qiqi WuCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Yuxuan LiNephrology Division, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.
Yiliang OuCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Yaping LiuCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Hongliang FengCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Jihui ZhangCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Sizhi AiCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Yannis Yan LiangCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Yuping NingKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, China.
Jun ZhangNephrology Division, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.ORCID 0009-0003-4131-1817

Funding

Guangdong Basic and Applied Basic Research Foundation 2024A1515011349Guangzhou Science and Technology Program 2023A03J0829National Natural Science Foundation Project Cultivation Special Fund of the Third Affiliated Hospital of Sun Yat-sen University 2022GZRPYMS09
6 · The paper itself

Abstract

backgroundThe study aimed to investigate whether the associations of accelerometer-measured physical activity (PA) and sedentary behaviour (SB) with incident chronic kidney disease (CKD) vary based on different levels of hand grip strength, identifying the modifying role of grip strength in these associations.

methodsThe study included 87 487 adults from the UK Biobank. PA and SB were quantified using accelerometers over 7-day period, while grip strength was assessed using a hand dynamometer. CKD events were ascertained through hospital records or death registries.

resultsParticipants had a mean age of 62.3 years, with 57.2% (50 062) identifying as female and 97% as White. Over a median follow-up of 7.0 years, the total incidence rate of CKD was 4.7 per 1000 person-years. Participants who performed higher volumes of PA were more likely to be younger; have better control of body weight, blood glucose and blood pressure; and have fewer major comorbidities (p < 0.001). Total PA, moderate-to-vigorous intensity PA (MVPA), and light intensity PA (LPA), were inversely associated with CKD risk in a dose-response manner (all p

conclusionsHand grip strength could significantly modify the associations of accelerometer-measured PA and SB with the risk of CKD. Regardless of intensity, PA consistently correlates with reduced risk of CKD, while SB is associated with increased risk, especially among individuals with lower grip strength. Notably, physical inactivity was found to be as predictive of CKD as traditional risk factors, highlighting the importance of promoting PA, especially among those with lower grip strength.

Indexed as

ExerciseHand StrengthRenal Insufficiency, ChronicSedentary BehaviorAccelerometryAgedFemaleHumansMaleMiddle AgedRisk Factorsgrip strengthphysical activitysedentary behaviourtriaxial accelerometerUK Biobank

Identifiers

PMID39957059
PMCPMC11830631

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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.