{"id":10956,"date":"2024-03-15T06:00:16","date_gmt":"2024-03-15T05:00:16","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=10956"},"modified":"2024-03-13T18:13:53","modified_gmt":"2024-03-13T17:13:53","slug":"are-short-bouts-of-physical-activity-associated-with-a-reduced-risk-of-renal-disease-in-adults-with-type-2-diabetes-and-overweight-or-obesity","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2024\/03\/15\/are-short-bouts-of-physical-activity-associated-with-a-reduced-risk-of-renal-disease-in-adults-with-type-2-diabetes-and-overweight-or-obesity\/","title":{"rendered":"Are short bouts of physical activity associated with a reduced risk of renal disease in adults with Type 2 Diabetes and overweight or obesity?"},"content":{"rendered":"<p><em><b>Authors:\u00a0<\/b><span style=\"font-weight: 400\">Mengyi Liu and<\/span><span style=\"font-weight: 400\">\u00a0Xianhui Qin<\/span><\/em><\/p>\n<h4>Why is this study important?<\/h4>\n<p><span style=\"font-weight: 400\">Evidence regarding the association between physical activity (PA) and the risk chronic kidney diseases (CKD) in participants with Type 2 Diabetes (T2D) is generally limited due to the use of self-report questionnaires.<\/span> <span style=\"font-weight: 400\">Moreover, although the 2008 Physical Activity Guidelines for Americans recommend accumulating\u2009\u2265150\u2009min\/week moderate to vigorous PA (MVPA) in bouts lasting\u2009\u226510\u2009min, the 10-min bout statement has recently been removed in the US and World Health Organization (WHO)\u00a0 guidelines. This is important as most free-living and unstructured MVPA activity is likely performed in episodes typically &lt;10 minutes in duration, and bouts of PA &lt;10 minutes in duration may also have health-related benefits. Nevertheless, little is known about the renal health benefits of MVPA in short episodes lasting &lt;10 min.<\/span><\/p>\n<h4>How did the study go about this?<\/h4>\n<p><span style=\"font-weight: 400\">To address the above important knowledge gap, we aimed to examine the longitudinal association of objectively measured MVPA and changes in MVPA with the risk of progression to CKD in 1,746 participants with T2D and overweight\/obesity who had baseline estimated glomerular filtration rate (eGFR) of \u226560 ml\/min\/1.73 m<\/span><span style=\"font-weight: 400\">2<\/span><span style=\"font-weight: 400\"> in the Look AHEAD trial. We also evaluated whether the association varied when PA was considered in short (&lt;10 min) and long (\u226510\u2009min) bouts. MVPA was measured at baseline, year 1, year 4, and year 8 using an RT3 accelerometer.<\/span><\/p>\n<h4>What did the study find?<\/h4>\n<p><span style=\"font-weight: 400\">Drawing on data from 1,746 participants, the median time spent in total MVPA, MVPA accumulated in bouts of &lt;10 min, and MVPA accumulated in bouts of \u226510 min was 328.8, 266.8, and 40.6 min\/week, respectively. This means that the majority of MVPA occurred in bouts &lt;10 min.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Overall, there was a linear association of MVPA with progression to CKD.<\/span> <span style=\"font-weight: 400\">An increase of 100 minutes per week in total MVPA was associated with a 9% lower risk of progression to CKD.<\/span> <span style=\"font-weight: 400\">An increase of 100 minutes per week in MVPA accumulated in bouts &lt;10 min was associated with an 8% lower risk of progression to CKD. An increase of 100 minutes per week in MVPA accumulated in bouts \u226510 min was associated with a 19% lower risk of progression to CKD.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Moreover, 783 (63.3%) participants had a reduction in MVPA time from baseline to year 4. Compared with the largest MVPA reduction, an increase in total MVPA was associated with a 33% lower risk of progression to CKD, and an increase in MVPA accumulated in bouts of both &lt;10 min and \u226510 min was associated with a 33% and 29% lower risk of progression to CKD, respectively.\u00a0<\/span><\/p>\n<h4>What are the key take-home points?<\/h4>\n<p><span style=\"font-weight: 400\">Our\u00a0 results suggest that people with T2D and overweight\/obesity should be encouraged to engage in as much MVPA as they can tolerate to maximize the benefits, regardless of length of the bout,<\/span> <span style=\"font-weight: 400\">while supporting recent changes in the US and WHO guidelines that have removed the suggestion that MVPA should be accumulated in bouts of at least 10 minutes.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Our study has important public health implications because it suggests that maintaining a high level of MVPA, regardless of length of the bout, may have renal benefit for adults with overweight\/obesity and T2D. This is especially important for PA promotion in individuals who are unwilling or unable to engage in PA bouts that are \u226510 minutes in duration.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/bjsm.bmj.com\/content\/58\/6\/313#\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-10957\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/03\/Copy-of-Copy-of-Retro-Aesthetic-Motivational-Quote-Social-Graphic-2-300x300.jpg\" alt=\"\" width=\"491\" height=\"491\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/03\/Copy-of-Copy-of-Retro-Aesthetic-Motivational-Quote-Social-Graphic-2-300x300.jpg 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/03\/Copy-of-Copy-of-Retro-Aesthetic-Motivational-Quote-Social-Graphic-2-150x150.jpg 150w, https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/03\/Copy-of-Copy-of-Retro-Aesthetic-Motivational-Quote-Social-Graphic-2-768x768.jpg 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/03\/Copy-of-Copy-of-Retro-Aesthetic-Motivational-Quote-Social-Graphic-2-640x640.jpg 640w, https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/03\/Copy-of-Copy-of-Retro-Aesthetic-Motivational-Quote-Social-Graphic-2.jpg 1080w\" sizes=\"auto, (max-width: 491px) 100vw, 491px\" \/><\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Authors:\u00a0Mengyi Liu and\u00a0Xianhui Qin Why is this study important? Evidence regarding the association between physical activity (PA) and the risk chronic kidney diseases (CKD) in participants with Type 2 Diabetes (T2D) is generally limited due to the use of self-report questionnaires. Moreover, although the 2008 Physical Activity Guidelines for Americans recommend accumulating\u2009\u2265150\u2009min\/week moderate to vigorous [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2024\/03\/15\/are-short-bouts-of-physical-activity-associated-with-a-reduced-risk-of-renal-disease-in-adults-with-type-2-diabetes-and-overweight-or-obesity\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":464,"featured_media":10957,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[655,16068,16281,136,16282,1807,16280,16189],"class_list":["post-10956","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-exercise","tag-featured","tag-kidney-disease","tag-obesity","tag-overweight","tag-physical-activity","tag-renal-disease","tag-type-2-diabetes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Are short bouts of physical activity associated with a reduced risk of renal disease in adults with Type 2 Diabetes and overweight or obesity? - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/?p=10956\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Are short bouts of physical activity associated with a reduced risk of renal disease in adults with Type 2 Diabetes and overweight or obesity? - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"Authors:\u00a0Mengyi Liu and\u00a0Xianhui Qin Why is this study important? Evidence regarding the association between physical activity (PA) and the risk chronic kidney diseases (CKD) in participants with Type 2 Diabetes (T2D) is generally limited due to the use of self-report questionnaires. 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