在没有糖尿病的普通人群中,定期的体力活动与与年龄相关的IOhexol清除减缓有关
Inger T T Enoksen1,2, Bjørn O Eriksen1,3, Stein I Hallan4,5
1Metabolic and Renal Research Group, UiT - The Arctic University of Norway, Tromsø, Norway.
Clinical journal of the American Society of Nephrology : CJASN
|September 3, 2025
概括
定期体力活动减缓功能衰退,降低慢性病加速衰退的风险. 推广PA是一种成本效益高的策略,以应对日益增长的全球CKD负担.
科学领域:
- 肝脏病学
- 公共卫生
- 预防医学
背景情况:
- 慢性病 (CKD) 的全球患病率正在增加,尤其是在老年人群中.
- 身体活动对与年龄相关的功能下降的影响尚未得到充分证实.
研究的目的:
- 研究身体活动 (PA) 与功能下降的速度之间的关联.
- 在一般人群中检查PA与加速膜率 (GFR) 降低之间的关系.
主要方法:
- 在11年内对1837人进行长度研究 (RENIS队列).
- 测量GFR (mGFR) 通过iohexol清除值进行评估;PA通过体育活动频率,强度和持续时间 (PAFID) 问卷进行评估.
- 统计分析包括线性混合模型和后勤回归来评估PA对GFR变化和下降风险的影响.
主要成果:
- 更高的PA频率与加速GFR下降的几率降低了71%.
- 在PA频率和较慢的年度mGFR下降之间观察到剂量反应关系.
- 患有近日血压的患者的mGFR下降速度较慢,为0. 47ml/ min/ 1. 73m2/ 年.
结论:
- 增加体育活动频率与功能衰退的缓慢和加速衰退的风险降低有关.
- 促进定期体育活动是减轻慢性病全球负担的重要且低成本策略.
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