SEX DISPARITY OF THE ASSOCIATION BETWEEN SEDENTARY BEHAVIOR AND CHRONIC KIDNEY DISEASE

 

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SEX DISPARITY OF THE ASSOCIATION BETWEEN SEDENTARY BEHAVIOR AND CHRONIC KIDNEY DISEASE

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Katanyu
Siwawut
Natanon Chamnarnphol natanon.c@gmail.com American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States -
Panchanit Yongkiatkan panchanityk@gmail.com American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States -
Sorawis Ngaohirunpat sorawis.ngao@gmail.com American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States -
Issaree Boonyawannukul doctorpoundpoundz.fbi@gmail.com American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States - Faculty of Medicine Srinagarind Hospital Khon Kaen University Khon Kaen Thailand
Nongnapas Assawamasbunlue nongnapas.assawa@gmail.com American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States -
Napat Wongmat napat.6402@gmail.com American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States -
Thanin Asawaroekwisoot thaninasawaroekwisoot@gmail.com American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States -
Darinorn Pleanrungsi darinorn.ple@student.mahidol.edu American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States - Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand
Katanyu Siwawut katanyu.siw@student.mahidol.edu American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States * Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand
Thanasin Chalermchat thanasin.cha@student.mahidol.edu American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States - Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand
Nopavit Mohpichai nopavit.moh@gmail.com American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States - Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand
Raynah Silprasert raynahroypim@gmail.com American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States -
Kyunghee Lee hicaru1004@hanmail.net American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States - Division of Nephrology, Department of Internal Medicine Daegu Veterans Health Service Medical Center Daegu Korea (Republic of)
Surasak Kantachuvesiri surasak.kan@mahidol.ac.th Excellent Center for Organ Transplantation aculty of Medicine Ramathibodi Hospital, Mahidol University Bangkok Thailand -
Ekamol Tantisattamo ekamoltan@gmail.com American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine Orange, CA United States - Excellent Center for Organ Transplantation aculty of Medicine Ramathibodi Hospital, Mahidol University Bangkok Thailand Nephrology Section, Department of Medicine, Tibor Rubin Veterans Affairs Medical Center Veterans Affairs Long Beach Healthcare System Long Beach, CA United States

Sedentary behavior has been well-studied as one of the most common modifiable risk factors for cardiovascular diseases worldwide. However, its relationship by gender with chronic kidney disease (CKD) remains unclear. Therefore, to better understand this association. we conducted this study to address the gap in this knowledge.

A retrospective cross-sectional study was conducted using data from the 2017-2020 National Health and Nutrition Examination Survey (NHANES). Sedentary behavior is defined by using self-reported duration of sedentary behavior excluding sleeping time (minutes/day). The association between tertiles of sedentary behavior and stages of CKD were assessed using multiple ordered logistic regression analyses, adjusting for demographics, comorbidities, laboratory values, and socioeconomic status.

Among the 2,823 adults, mean age±SD was 49±17 years, 36% were white, and 49.7% were male. The mean estimated glomerular filtration rate (eGFR) were 95±22 mL/min/1.73m2. The mean, P25 and P75 of sedentary behavior were 337±201, 180 and 480 minutes, respectively. In fully adjusted models, the participants in the 2nd and 3rd tertiles (T2 and T3) had worsening one more consecutive CKD stage from all cumulative below CKD stages with the highest odds in the T24 (aORT2 1.41(1.12-1.78) P 0.003, aORT3 1.24(1.01-1.53) P 0.0043) compared to the 1st tertile (T1). In subgroup analysis by gender, there was higher sedentary behavior-CKD stage association in male participants (aORT2 1.82(1.32-2.51) P <0.001, aORT3 1.43(1.06-1.91) P 0.017), but the association was not observed in female participants (aORT2 1.08(0.77-1.51) P 0.636, aORT3 1.05(0.77-1.42) P 0.732).


A longer duration of sedentary behavior was associated with a higher stage of CKD, especially in male populations. Longitudinal studies are required to further elucidate mechanism of these findings.

Kewords