Table 2.
Characteristics of Included Studies Assessing the Effect of Exercise Lifestyle Interventions on CKD Progression
Study, Country | Sample Size (for Analysis) | Age (y) | BMI (kg/m2) | CKD Stage | Comorbid Conditions | Design | Study Duration (wk)a |
---|---|---|---|---|---|---|---|
Aoike (2015), Brazil15 | 29 | 55.1 ± 11.6 | 31.2 ± 6.1 | 3-4 | T2DM (∼45% of sample) | P | 12 |
Aoike (2018)/Gomes (2017),Brazil16,17 | 40 | 55.8 ± 8.3 | 31.2 ± 4.4 | 3-4 | T2DM (∼35% of sample) | P | 24 |
Barcellos (2018), Brazil18 | 109 | C: 65.1 (1.3); I: 65.0 (1.2)b | C: 30.1 (0.6); I: 29.7 (0.7)b | 2-4 | HT | P | 16 |
Baria (2014), Brazil19 | 27 | 52.1 ± 9.5 | 30.4 ± 3.8 | 3-4 | T2DM (∼22% of sample) | P | 12 |
Corrêa (2021)/Corrêa (2021)/de Deus (2021)/de Deus (2022), Brazil20, 21, 22, 23 | 105c; 90d | C: 58 ± 5; I1: 58 ± 6; I2: 58 ± 7 | C: 33.2 ± 1.6; I1: 33.6 ± 2.0; I2: 33.3 ± 1.9 | 2 | HT and T2DM | P | 24 |
Castaneda (2001), United States24 | 26 | C: 64 ± 13; I: 65 ± 9 | C: 26.8 ± 2.7; I: 29.3 ± 6.6 | Serum creatinine concentrations, 1.5-5.0 mg/dL | Diagnosed HT: control: 83%, intervention: 64%; mean number of chronic conditions: C: 6.4 ± 1.7, I: 5.5 ± 1.7 | P | 12 |
Eidemak (1997), Denmark25 | 30 | C: 44 (28-66); I: 45 (22-70)e | NR | eGFR median 25 (range 10-43) mL/min/1.73 m2 | NR | P | Mean follow-up time: C: 20 mo; I: 18 mo |
Grazioli (2022), Italy26 | 21 | 62.7 ± 5.0 | C1: 28.9 ± 3.0; C2: 27.3 ± 3.3; I1: 28.3 ± 4.5; I2: 25.5 ± 1.8 | 1-3b | NR | P | 12 |
Greenwood (2014), UK27 | 18 | C: 53.3 ± 12.9; I: 53.8 ± 13.5 | C: 28.44 ± 4.24; I: 27.40 ± 3.52 | 3-4 | Mixed | P | 12 mo |
Headley (2014)/Headley (2017)/Miele (2017), United States28, 29, 30 | 46 | C: 57.1 ± 9.0; I: 58.0 ± 8.0 | C: 36.5 ± 8.9; I: 34.9 ± 8.0 | 3 | T2DM or HT | P | 16 |
Hiraki (2017), Japan31 | 28 | 68.7 ± 6.8 | 23.7 ± 3.1 | 3-4 | Mixed | P | 12 mo |
Kirkman (2019)/Kirkman (2021), United States32,33 | 31d; 26f | C: 62 ± 9; I: 55 ± 13 | C: 34 ± 6; I: 30 ± 2 | 3-5 | NR | P | 12 |
Leehey (2009), United States34 | 11 | 66 (55-81)e | BMI ≥ 30 | 2-4 | T2DM and obesity | P | 24 |
Leehey (2016), United States35 | 32 | 66 ± 8.0g | 37 ± 4.5g | 2-4 | T2DM and obesity | P | 12 mo |
Mustata (2011), Canada36 | 20 | C: 72.5 (59-79); I: 64 (55-73)h | C: 29 (25-30); I: 27.5 (25-32)h | 3-4 | Diabetic cause of CKD (55%) | P | 12 mo |
Otobe (2021), Japan37 | 44 | C: 78.1 ± 7.4; I: 78.4 ± 6.4h | C: 24.1 ± 3.7; I: 23.8 ± 4.1h | 3-4 | Cerebrovascular disease (9.4%), ischemic heart disease (7.5%), diabetes (20.8%), HT (79.2%), dyslipidemia (54.7%), neurologic disorder (1.9%), and orthopedic disease (15.1%) | P | 24 |
Rahimimoghadam (2018), Iran38 | 50 | C: 52.11 ± 11.4; I: 49.12 ± 10.3 | NR | 2-3 | NR | P | 12 |
Rossi (2014), United States39 | 94 | C:67.7 ± 12.4; I: 69.2 ± 12.4 | C: 32.2 ± 7.3; I: 30.7 ± 8.7 | 3-4 | Diabetes (41%) and coronary artery disease (25%) | P | 12 |
Shi (2014), China40 | 21 | 69.4 ± 7.7 | NR | NR | CVD (100%), diabetes (33%), HT (71%), and hyperlipidemia (57%) | P | 12 |
Tang (2017), China41 | 84 | C: 43.90 ± 12.44; I: 46.26 ± 15.61 | C: 23.30 ± 3.18; I: 23.82 ± 3.76 | 1-3 | 45.2% with ≥ 1 comorbid condition | P | 12 |
Thompson (2022), Canada42 | 44 | 69 (56-73)h | 32 (27-35)h | eGFR 15-44 mL/min/1.732 | Chronic heart failure (2.3%), peripheral vascular disease (4.5%), stroke (11.4%), diabetes (54.5%), cancer (20.5%), and depression/anxiety (18.2%) | P | 24 |
Uchiyama (2021)/Adachi (2022), Japan43,44 | 46 | 73 (69-78)h | 23.9 ± 4.5 | 4 | Diabetes (30%) and cerebrovascular/cardiovascular disease (26%) | P | 24 |
Van Craenenbroeck (2015), Belgium45 | 40 | C: 54.7 ± 14.1; I: 51.5 ± 11.8 | C: 28.3 ± 5.8; I: 28.3 ± 6.2 | 3-4 | Diabetes (10%) | P | 12 |
Abbreviations: BMI, body mass index; C, control; HT, hypertension; I, intervention; NR, not reported; P, parallel; T1DM, type 1 diabetes mellitus; T2DM, type 2 diabetes mellitus.
Duration reported in weeks (using 4 wk/mo) for duration of <12 months and reported as months/years for duration of 12 months and more.
Mean (standard error).
For GFR, creatinine, body weight, and HbA1c.
For blood pressure.
Mean (range).
For eGFR, systolic blood pressure.
Characteristics reported for randomly assigned participants.
Median (interquartile range).