Association between sedentary behavior and chronic kidney disease in Korean adults

Abstract Background Chronic kidney disease (CKD) is a significant health care burden, with a worldwide prevalence of approximately 11%. The general population spends over 50% of the awake time sedentary activities. However, to the best of our knowledge, no study has evaluated the association between...

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Main Authors: Ye Seul Jang, Yu Shin Park, Hyunkyu Kim, Kyungduk Hurh, Eun-Cheol Park, Suk-Yong Jang
Format: Article
Language:English
Published: BMC 2023-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-14929-5
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author Ye Seul Jang
Yu Shin Park
Hyunkyu Kim
Kyungduk Hurh
Eun-Cheol Park
Suk-Yong Jang
author_facet Ye Seul Jang
Yu Shin Park
Hyunkyu Kim
Kyungduk Hurh
Eun-Cheol Park
Suk-Yong Jang
author_sort Ye Seul Jang
collection DOAJ
description Abstract Background Chronic kidney disease (CKD) is a significant health care burden, with a worldwide prevalence of approximately 11%. The general population spends over 50% of the awake time sedentary activities. However, to the best of our knowledge, no study has evaluated the association between sedentary time and CKD, with a focus on both kidney damage and kidney function, in the South Korean population. Accordingly, the present study aimed to address this gap in the knowledge. Method We used data from the 8th Korea National Health and Nutrition Examination Survey. The analysis included 9,534 participants, especially excluded those who had been diagnosed with kidney disease or who were currently undergoing treatment. Sedentary behavior was self-reported by the participants. An estimated glomerular filtration rate (eGFR) and/or albuminuria were used as measures for detection of CKD according to the guidelines of the Kidney Disease Improving Global Outcomes. We analyzed the data using multiple logistic regression. Results Among the women, the risk of CKD was significantly greater among those who sat for ≥ 12 h/d relative to those who sat for < 6 h/d, after adjusting for physical activity and other covariates (odds ratio [OR]: 1.45, 95% confidence interval [CI]: 1.01–2.06). Similarly, among those who sat over 12 h/d, those who engaged in low levels of physical activity had a higher risk of CKD than those who engaged in high levels of activity (OR: 1.65, 95% CI: 1.04–2.61). No statistically significant results were found for men. Conclusion Excessive sedentary behavior was associated with an increased risk of CKD, especially albuminuria, regardless of the level of physical activity, only in women. These findings emphasize the importance of avoiding excessive sitting for a long time and increasing overall physical activity levels.
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spelling doaj.art-9253e9d90ceb4fd8944e1f302b24b3702023-02-12T12:25:02ZengBMCBMC Public Health1471-24582023-02-0123111010.1186/s12889-022-14929-5Association between sedentary behavior and chronic kidney disease in Korean adultsYe Seul Jang0Yu Shin Park1Hyunkyu Kim2Kyungduk Hurh3Eun-Cheol Park4Suk-Yong Jang5Department of Public Health, Graduate School, Yonsei UniversityDepartment of Public Health, Graduate School, Yonsei UniversityInstitute of Health Services Research, Yonsei UniversityInstitute of Health Services Research, Yonsei UniversityInstitute of Health Services Research, Yonsei UniversityInstitute of Health Services Research, Yonsei UniversityAbstract Background Chronic kidney disease (CKD) is a significant health care burden, with a worldwide prevalence of approximately 11%. The general population spends over 50% of the awake time sedentary activities. However, to the best of our knowledge, no study has evaluated the association between sedentary time and CKD, with a focus on both kidney damage and kidney function, in the South Korean population. Accordingly, the present study aimed to address this gap in the knowledge. Method We used data from the 8th Korea National Health and Nutrition Examination Survey. The analysis included 9,534 participants, especially excluded those who had been diagnosed with kidney disease or who were currently undergoing treatment. Sedentary behavior was self-reported by the participants. An estimated glomerular filtration rate (eGFR) and/or albuminuria were used as measures for detection of CKD according to the guidelines of the Kidney Disease Improving Global Outcomes. We analyzed the data using multiple logistic regression. Results Among the women, the risk of CKD was significantly greater among those who sat for ≥ 12 h/d relative to those who sat for < 6 h/d, after adjusting for physical activity and other covariates (odds ratio [OR]: 1.45, 95% confidence interval [CI]: 1.01–2.06). Similarly, among those who sat over 12 h/d, those who engaged in low levels of physical activity had a higher risk of CKD than those who engaged in high levels of activity (OR: 1.65, 95% CI: 1.04–2.61). No statistically significant results were found for men. Conclusion Excessive sedentary behavior was associated with an increased risk of CKD, especially albuminuria, regardless of the level of physical activity, only in women. These findings emphasize the importance of avoiding excessive sitting for a long time and increasing overall physical activity levels.https://doi.org/10.1186/s12889-022-14929-5Chronic kidney diseaseSedentary behaviorAlbuminuria
spellingShingle Ye Seul Jang
Yu Shin Park
Hyunkyu Kim
Kyungduk Hurh
Eun-Cheol Park
Suk-Yong Jang
Association between sedentary behavior and chronic kidney disease in Korean adults
BMC Public Health
Chronic kidney disease
Sedentary behavior
Albuminuria
title Association between sedentary behavior and chronic kidney disease in Korean adults
title_full Association between sedentary behavior and chronic kidney disease in Korean adults
title_fullStr Association between sedentary behavior and chronic kidney disease in Korean adults
title_full_unstemmed Association between sedentary behavior and chronic kidney disease in Korean adults
title_short Association between sedentary behavior and chronic kidney disease in Korean adults
title_sort association between sedentary behavior and chronic kidney disease in korean adults
topic Chronic kidney disease
Sedentary behavior
Albuminuria
url https://doi.org/10.1186/s12889-022-14929-5
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