Factors shaping physical activity engagement in patients with moderate to advanced stage of chronic kidney disease from a hospital-based cross-sectional study, Bangladesh
Abstract Background 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. Methods...
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BMC
2025-08-01
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| Series: | BMC Nephrology |
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| Online Access: | https://doi.org/10.1186/s12882-025-04409-4 |
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| author | Tasmia Tasnim Tanjina Rahman Ashika Akter Lisha Bodrun Nahar Swarna Moni Kazi Muhammad Rezaul Karim |
| author_facet | Tasmia Tasnim Tanjina Rahman Ashika Akter Lisha Bodrun Nahar Swarna Moni Kazi Muhammad Rezaul Karim |
| author_sort | Tasmia Tasnim |
| collection | DOAJ |
| description | Abstract Background 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. Methods 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. Results 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). Conclusions 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. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-6b2648752fc14877afa87384e8a2d20c |
| institution | Kabale University |
| issn | 1471-2369 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj-art-6b2648752fc14877afa87384e8a2d20c2025-08-24T11:12:51ZengBMCBMC Nephrology1471-23692025-08-0126111210.1186/s12882-025-04409-4Factors shaping physical activity engagement in patients with moderate to advanced stage of chronic kidney disease from a hospital-based cross-sectional study, BangladeshTasmia Tasnim0Tanjina Rahman1Ashika Akter Lisha2Bodrun Nahar Swarna Moni3Kazi Muhammad Rezaul Karim4Department of Nutrition and Food Engineering, Daffodil International UniversityInstitute of Nutrition and Food Science, University of DhakaDepartment of Nutrition and Food Engineering, Daffodil International UniversityDepartment of Nutrition and Food Engineering, Daffodil International UniversityInstitute of Nutrition and Food Science, University of DhakaAbstract Background 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. Methods 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. Results 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). Conclusions 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. Clinical trial number Not applicable.https://doi.org/10.1186/s12882-025-04409-4Chronic kidney diseasePhysical activitySeverity of CKDGlobal physical activity questionnaireModerate-intensity physical activity (MVPA)Moderate physical activity (MPA) |
| spellingShingle | Tasmia Tasnim Tanjina Rahman Ashika Akter Lisha Bodrun Nahar Swarna Moni Kazi Muhammad Rezaul Karim Factors shaping physical activity engagement in patients with moderate to advanced stage of chronic kidney disease from a hospital-based cross-sectional study, Bangladesh BMC Nephrology Chronic kidney disease Physical activity Severity of CKD Global physical activity questionnaire Moderate-intensity physical activity (MVPA) Moderate physical activity (MPA) |
| title | Factors shaping physical activity engagement in patients with moderate to advanced stage of chronic kidney disease from a hospital-based cross-sectional study, Bangladesh |
| title_full | Factors shaping physical activity engagement in patients with moderate to advanced stage of chronic kidney disease from a hospital-based cross-sectional study, Bangladesh |
| title_fullStr | Factors shaping physical activity engagement in patients with moderate to advanced stage of chronic kidney disease from a hospital-based cross-sectional study, Bangladesh |
| title_full_unstemmed | Factors shaping physical activity engagement in patients with moderate to advanced stage of chronic kidney disease from a hospital-based cross-sectional study, Bangladesh |
| title_short | Factors shaping physical activity engagement in patients with moderate to advanced stage of chronic kidney disease from a hospital-based cross-sectional study, Bangladesh |
| title_sort | factors shaping physical activity engagement in patients with moderate to advanced stage of chronic kidney disease from a hospital based cross sectional study bangladesh |
| topic | Chronic kidney disease Physical activity Severity of CKD Global physical activity questionnaire Moderate-intensity physical activity (MVPA) Moderate physical activity (MPA) |
| url | https://doi.org/10.1186/s12882-025-04409-4 |
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