{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:16:57Z","timestamp":1787991417199,"version":"build-2784847793"},"reference-count":33,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP22K21148"],"award-info":[{"award-number":["JP22K21148"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Physical activity is associated with prognosis in older adults with chronic kidney disease (CKD). However, previous studies have relied mainly on self\u2010report questionnaires, and objective evidence remains limited, particularly among patients undergoing peritoneal dialysis (PD). We assessed physical activity using a triaxial accelerometer across CKD stages and PD and examined its association with exercise self\u2010efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included 114 outpatients recruited between June 2023 and June 2024. Physical activity was measured with a triaxial accelerometer over four consecutive days. Exercise self\u2010efficacy was assessed using the Exercise Self\u2010Efficacy Scale. Group differences and associations between physical activity and clinical variables were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 114 participants (early:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200937; advanced:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200947; PD:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930) were analyzed. Physical activity declined with disease progression and was lowest in the PD group. Median daily step counts were 4729, 3831, and 3086 in the early, advanced, and PD stages, respectively, with a significant difference between early\u2010stage CKD and PD (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04). Median moderate\u2010to\u2010vigorous physical activity (min\/week) was 75, 40, and 32.5, respectively, remaining below recommended levels in all groups. In the PD group, higher exercise self\u2010efficacy was independently associated with greater moderate\u2010to\u2010vigorous physical activity and step counts.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Physical activity declined with CKD progression, reaching low levels among patients undergoing PD. In this group, exercise self\u2010efficacy was associated with physical activity, suggesting its relevance when developing strategies to support activity. Further research should identify appropriate ways to encourage physical activity in aging CKD populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70758","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T11:02:46Z","timestamp":1785841366000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Physical Activity Across the Clinical Trajectory of Chronic Kidney Disease and in Patients Undergoing Peritoneal Dialysis: A Cross\u2010Sectional Study Using Accelerometry"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7037-2153","authenticated-orcid":false,"given":"Megumi","family":"Yoshida","sequence":"first","affiliation":[{"name":"Department of Health Sciences, Faculty of Medical Sciences Kyushu University  Fukuoka 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Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3629-320X","authenticated-orcid":false,"given":"Kimie","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(14)61601\u20109"},{"key":"e_1_2_11_3_1","volume-title":"2022 Annual Dialysis Data Report, JSDT Renal Data Registry","author":"Japanese Society for Dialysis Therapy","year":"2023"},{"key":"e_1_2_11_4_1","volume-title":"Clinical Practice Guideline for Renal Rehabilitation","author":"Japanese Society of Renal 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