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Sedentary behaviour, physical activity, and renal function in older adults: isotemporal substitution modelling
Keisei Kosaki1,2,3, Koichiro Tanahashi4, Masahiro Matsui5
1Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan.
Replacing sedentary time with moderate- to vigorous-intensity physical activity (MVPA) may improve kidney function in older adults. This study highlights the benefits of MVPA for renal health, suggesting a positive impact on estimated glomerular filtration rate (eGFR).
Area of Science:
- Gerontology and Geriatric Medicine
- Nephrology and Urology
- Exercise Physiology and Sports Science
Background:
- Physical inactivity and prolonged sedentary behavior are linked to impaired kidney function.
- The specific benefits of substituting sedentary time with physical activity for renal health remain unclear.
- Understanding these relationships is crucial for developing interventions to protect kidney function in aging populations.
Purpose of the Study:
- To investigate the association between sedentary behavior, physical activity levels, and renal function in older adults.
- To model the potential impact of replacing sedentary time with light-intensity physical activity (LPA) or moderate- to vigorous-intensity physical activity (MVPA) on estimated glomerular filtration rate (eGFR).
Main Methods:
- A cross-sectional study involving 174 older Japanese adults (aged 50-83 years).
- Objective assessment of time spent in sedentary behavior, LPA, and MVPA using uniaxial accelerometers.
- Renal function evaluated by eGFR, calculated from serum creatinine and cystatin C levels.
Main Results:
- Univariate analysis showed weak correlations between eGFR and sedentary behavior (rs = -0.229), LPA (rs = 0.265), and MVPA (rs = 0.353).
- Isotemporal substitution models indicated that replacing 30 minutes/day of sedentary behavior with LPA did not significantly affect eGFR (β = 2.26, p = 0.112).
- However, replacing 30 minutes/day of sedentary behavior with MVPA was significantly associated with improved eGFR (β = 5.49, p < 0.05).
Conclusions:
- Sedentary behavior appears detrimental, while physical activity is beneficial for renal function in older adults.
- Substituting sedentary time with moderate- to vigorous-intensity physical activity may offer significant benefits for kidney health.
- These findings support the recommendation of increasing MVPA to preserve or improve renal function in the aging population.
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