Evidence map›Paper›PMID 40721562›Full record

ArticleJournal of nephrology2025

Association of accelerometer-measured physical activity with adverse cardiovascular outcomes in individuals with or without chronic kidney diseases: the UK biobank study.

Byounghwi Ko, Ye Eun Ko, Chan-Young Jung, Dong Hoon Kang, Cheol Ho Park, Hee Byung Koh, Ga Young Heo, Hyung Woo Kim, Jung Tak Park, Tae-Hyun Yoo and 8 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Rethinking exercise targets: sex differences in the road to a longer life.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    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

18 authors.

Byounghwi KoDepartment of Internal Medicine, Yonsei University College of Medicine, Institute of Kidney Disease Research, Yonsei-ro 50, Seodaemun-gu, Seoul, Republic of Korea.
Ye Eun KoDepartment of Internal Medicine, Yonsei University College of Medicine, Institute of Kidney Disease Research, Yonsei-ro 50, Seodaemun-gu, Seoul, Republic of Korea.
Chan-Young JungDivision of Nephrology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Dong Hoon KangDepartment of Internal Medicine, National Health Insurance Service Medical Center, Ilsan Hospital, Goyangshi, Gyeonggi-do, Republic of Korea.
Cheol Ho ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Institute of Kidney Disease Research, Yonsei-ro 50, Seodaemun-gu, Seoul, Republic of Korea.
Hee Byung KohDepartment of Internal Medicine, Yonsei University College of Medicine, Institute of Kidney Disease Research, Yonsei-ro 50, Seodaemun-gu, Seoul, Republic of Korea.
Ga Young HeoDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Hyung Woo KimDepartment of Internal Medicine, Yonsei University College of Medicine, Institute of Kidney Disease Research, Yonsei-ro 50, Seodaemun-gu, Seoul, Republic of Korea.
Jung Tak ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Institute of Kidney Disease Research, Yonsei-ro 50, Seodaemun-gu, Seoul, Republic of Korea.
Tae-Hyun YooDepartment of Internal Medicine, Yonsei University College of Medicine, Institute of Kidney Disease Research, Yonsei-ro 50, Seodaemun-gu, Seoul, Republic of Korea.
Shin-Wook KangDepartment of Internal Medicine, Yonsei University College of Medicine, Institute of Kidney Disease Research, Yonsei-ro 50, Seodaemun-gu, Seoul, Republic of Korea.
Sue Kyung ParkDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Soo Wan KimDivision of Nephrology, Chonnam National University Medical School, Gwangju, Republic of Korea.
Yeong Hoon KimDivision of Nephrology, Internal Medicine, Inje University Busan Paik Hospital, Busan, Republic of Korea.
Suah SungDepartment of Internal Medicine, Nowon Eulji Medical Center, Eulji University, Seoul, Republic of Korea.
Kook Hwan OhDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Seung Hyeok HanDepartment of Internal Medicine, Yonsei University College of Medicine, Institute of Kidney Disease Research, Yonsei-ro 50, Seodaemun-gu, Seoul, Republic of Korea. hansh@yuhs.ac.ORCID http://orcid.org/0000-0001-7923-5635
Korean cohort study for Outcomes in patients With Chronic Kidney Disease (KNOW-CKD) Investigators

Funding

Korea Centers for Disease Control and Prevention 2011E3300300Korea Centers for Disease Control and Prevention 2012E3301100Korea Centers for Disease Control and Prevention 2013E3301600Korea Centers for Disease Control and Prevention 2013E3301601Korea Centers for Disease Control and Prevention 2013E3301602Korea Centers for Disease Control and Prevention 2016E3300200Korea Centers for Disease Control and Prevention 2016E3300201Korea Centers for Disease Control and Prevention 2016E3300202Korea Centers for Disease Control and Prevention 2019E320100Korea Centers for Disease Control and Prevention 2019E320101Korea Centers for Disease Control and Prevention 2019E320102Korea Centers for Disease Control and Prevention 2022-11-007National Institute of Health 2025E110100
6 · The paper itself

Abstract

backgroundPhysical activity is important for health and longevity, but little is known on patients living with chronic kidney disease (CKD). In fact, most studies in patients with CKD have relied on self-reported data, highlighting an unmet need for studies using objective measurements. We investigated the association between device-measured physical activity and adverse outcomes by CKD status.

methodsThis study included 65,088 participants without CKD and 1170 with CKD, from the UK Biobank, who completed a one-week accelerometer assessment. CKD was defined as either baseline estimated glomerualr filtration rate (eGFR) < 60 mL/min/1.73 m

resultsOver a median follow-up period of 8.04 years, all-cause mortality occurred in 2028 (3.06%) participants, with an incidence of 3.84/1000 person-years. Compared with the 1st quartile, the adjusted hazard ratios (95% confidence intervals) for all-cause mortality for the 2nd, 3rd, and 4th quartiles were 0.72 (0.64-0.80), 0.65 (0.57-0.72), and 0.57 (0.49-0.66) in non-CKD, and 0.56 (0.33-0.96), 0.42 (0.23-0.79), and 0.33 (0.16-0.68) in CKD participants. This pattern was consistent for non-cardiovascular deaths. However, device-measured physical activity was not significantly associated with three-point major adverse cardiovascular events in CKD, while a significant association was observed in the non-CKD group.

conclusionDevice-measured physical activity showed differential associations with outcomes by CKD status. The null association between physical activity and three-point major adverse cardiovascular events in CKD suggests a complex cardiovascular pathophysiology in this population.

Indexed as

AccelerometryCardiovascular DiseasesExerciseRenal Insufficiency, ChronicAgedBiological Specimen BanksFemaleGlomerular Filtration RateHumansMaleMiddle AgedRisk AssessmentRisk FactorsTime FactorsUK BiobankUnited KingdomAll-cause mortalityCardiovascular diseaseChronic kidney diseaseMovement behaviorPhysical activityStroke

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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.