Evidence mapPaperPMID 41913129Full record

ArticleBMC nephrology2026

Associations of accelerometer-derived physical activity with chronic kidney disease risk in a population with hypertension: a prospective cohort study.

Hongguang Wu, Xiaoyan Li, Juda Hu, Peiyao Li, Xiaohong Li, Jing Chen, Haojian Dong, Yanqiu Ou, Petros Koutrakis

Abstract read
In one paragraph

Article in BMC nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hongguang Wu *Department of Cardiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China.
Xiaoyan Li *Department of Cardiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China.
Juda HuDepartment of Cardiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China.
Peiyao LiDepartment of Cardiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China.
Xiaohong LiDepartment of Cardiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China.
Jing ChenDepartment of Cardiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China.
Haojian DongDepartment of Cardiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China.
Yanqiu OuDepartment of Cardiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China. ouyanqiu@gdph.org.cn.
Petros KoutrakisEnvironmental Health Department, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Funding

Guangdong Provincial Medical Science and Technology Research Fund Project A2024085National Natural Science Foundation of China No.82170259National Natural Science Foundation of China No.82373529
6 · The paper itself

Abstract

backgroundHypertension is a key risk factor for chronic kidney disease (CKD), but evidence on whether physical activity (PA) reduces CKD risk in patients with hypertension remains limited. This study investigates the association between PA intensity and CKD prevention in this high-risk group.

methodsThis prospective cohort study analyzed 37,908 patients with hypertension from the UK Biobank without pre-existing CKD who underwent accelerometer-based PA monitoring between 2013 and 2015. PA was classified into light (LPA), moderate (MPA), and vigorous (VPA) intensities, with weekly duration calculated for each. CKD incidents were determined via hospital admissions and death records. Polygenic risk scores were used to evaluate genetic susceptibility. Cox proportional hazards models and restricted cubic splines were applied to examine associations between PA levels and CKD, adjusting for socioeconomic status, comorbidities, and genetic risk.

resultsDuring the median follow-up period of 7.71 years, 1,131 participants (2.98%) developed CKD. Higher MVPA levels were significantly associated with reduced CKD risk (highest vs. lowest quartile: Hazard Ratio(HR) 0.62, 95% Confidence Interval(CI) 0.50–0.77). Independently, MPA and VPA showed protective associations (highest vs. lowest quartile: HR 0.76, 95% CI 0.50–0.98 and HR 0.68, 95% CI 0.54–0.85, respectively). Of particular note, we found that MPA levels surpassing current guideline recommendations lowered the risk of CKD by 65%(HR 0.35, 95% CI 0.21–0.58) compared with the most inactive group. LPA alone showed no preventive effect on CKD risk.

conclusionsIn patients with hypertension, more MVPA duration rather than LPA could benefit more renal protection. These findings highlight the value of objective PA monitoring and support precise, intensity-specific exercise prescriptions for CKD prevention in populations with hypertension.

Indexed as

AccelerometryExerciseHypertensionRenal Insufficiency, ChronicAgedCohort StudiesFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsUK BiobankChronic kidney diseaseHypertensionPhysical activity

Identifiers

PMID41913129
PMCPMC13356791

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.