Tasnim Tasmia, Rahman Tanjina, Lisha Ashika Akter, Moni Bodrun Nahar Swarna, Karim Kazi Muhammad Rezaul
Department of Nutrition and Food Engineering, Daffodil International University, Daffodil Smart City, Birulia, Savar, Dhaka, 1216, Bangladesh.
Institute of Nutrition and Food Science, University of Dhaka, Dhaka, 1000, Bangladesh.
BMC Nephrol. 2025 Aug 22;26(1):481. doi: 10.1186/s12882-025-04409-4.
Patients with chronic kidney disease (CKD) may experience better health outcomes when they engage in physical activity (PA). The aim of the study was to assess the physical activity level of chronic kidney disease (CKD) patients and its potentials risk factor for health.
A cross-sectional study was carried out at Mymensingh Medical College Hospital, Mymensingh, Bangladesh from October 2023 to January 2024. A total of 253 CKD patients aged 18 years and older at moderate to advanced stages were enrolled in the study. The global physical activity questionnaire (GPAQ) was used to measure the physical activity for health of CKD patients. Physical component summary (PCS) and mental component summary (MCS) scores were measured by Short-Form Health Survey (SF-12) questionnaire. Socio-demographic and medical records were also collected. Both logistic regression and descriptive statistics were used for data.
Of 253 participants (62.8% male, mean age 60.1 years), 41.1% did not meet PA recommendations. Median PA durations were 28.57 min/day for moderate PA (MPA), 8.57 min/day for transport, and 11.43 min/day for recreation. Poor physical function (PCS ≤ 41.04) was observed in 85.8% of participants, and 51.0% had depressive disorders (MCS ≤ 45.6). Logistic regression identified younger age [adjusted OR (AOR) 3.29], moderate stage of CKD (AOR 2.39), good physical function (AOR 3.01), absence of depression (AOR 4.87), and family history of CKD (AOR 2.65) were significant predictors of meeting PA recommendations (p < 0.05).
A substantial proportion of Bangladeshi CKD patients do not meet PA recommendations, with younger age, moderate CKD, better physical function, absence of depression, and family history of CKD predicting higher PA engagement. Targeted interventions addressing these factors, particularly early in CKD progression, are needed to promote PA and improve health outcomes in this population.
Not applicable.
慢性肾脏病（CKD）患者进行体育活动（PA）时，健康状况可能会更好。本研究的目的是评估慢性肾脏病（CKD）患者的体育活动水平及其潜在的健康风险因素。
2023年10月至2024年1月在孟加拉国迈门辛市迈门辛医学院医院进行了一项横断面研究。共有253名年龄在18岁及以上的中晚期CKD患者纳入研究。采用全球体力活动问卷（GPAQ）来测量CKD患者的健康相关体力活动。通过简短健康调查问卷（SF-12）测量身体成分总结（PCS）和心理成分总结（MCS）得分。还收集了社会人口学和医疗记录。数据采用逻辑回归和描述性统计分析。
253名参与者中（62.8%为男性，平均年龄60.1岁），41.1%未达到PA建议水平。中等强度体力活动（MPA）的中位持续时间为每天28.57分钟，交通出行相关体力活动为每天8.57分钟，娱乐相关体力活动为每天11.43分钟。85.8%的参与者存在身体功能较差（PCS≤41.04）的情况，51.0%有抑郁障碍（MCS≤45.6）。逻辑回归分析显示，年龄较小[调整后比值比（AOR）3.29]、CKD处于中度阶段（AOR 2.39）、身体功能良好（AOR 3.01）、无抑郁（AOR 4.87）以及有CKD家族史（AOR 2.65）是达到PA建议水平的显著预测因素（p<0.05）。
相当一部分孟加拉国CKD患者未达到PA建议水平，年龄较小、CKD处于中度、身体功能较好、无抑郁以及有CKD家族史预示着更高的PA参与度。需要针对这些因素进行有针对性的干预，尤其是在CKD进展的早期阶段，以促进PA并改善该人群的健康状况。
不适用。
