{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:01:16Z","timestamp":1790359276276,"version":"4.1.0"},"reference-count":44,"publisher":"Human Kinetics","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Background<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Physical activity (PA) may be a modifiable factor for chronic kidney disease (CKD) prevention, but evidence specific to Hispanic\/Latino populations is limited. Our objective was to examine associations between PA type\/volume with changes in kidney function among Hispanic\/Latino adults.\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    We included participants (mean age: 41.6\u00a0years, 55.2% women) in the Hispanic Community Health Study\/Study of Latinos with complete data. PA was measured using both 7-day accelerometry and the Global Physical Activity Questionnaire. Primary outcomes were percent change in estimated glomerular filtration rate (eGFR) and percent change in urine albumin-to-creatinine ratio over a mean of 6.1\u00a0years (N\u2009=\u20097071); incident CKD was the secondary outcome (N\u2009=\u20097177).\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    The mean eGFR change was \u22123.6\u00a0mL\/min\/1.73\u00a0m\n                    <jats:sup>2<\/jats:sup>\n                    , and mean urine albumin-to-creatinine ratio change was 4.0\u00a0mg\/g. In multivariable-adjusted models accounting for demographic, occupational, and clinical factors, neither accelerometer-measured light PA or moderate to vigorous PA (MVPA) nor self-reported MVPA were significantly associated with changes in eGFR, urine albumin-to-creatinine ratio, or incident CKD (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&gt;\u2009.05). Diabetes status significantly modified associations between eGFR percent change and accelerometer-measured light PA (interaction\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u2009.01), MVPA (interaction\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.02), and self-reported total MVPA (interaction\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.03). Among individuals with diabetes, higher self-reported total MVPA was associated with higher eGFR change (0.12% per 15\u00a0min\/d; 95% CI, 0.02\u20130.22), whereas greater accelerometer-measured MVPA was linked to higher CKD risk (incidence rate ratio: 1.12; 95% CI, 1.02\u20131.23). Among those without diabetes, associations were inverse with 95% CIs that overlapped the null.\n                    <jats:italic>\n                      <jats:bold>Conclusions<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    PA types\/volumes were not associated with kidney function decline or CKD incidence, though diabetes status may modify these relationships.\n                  <\/jats:p>","DOI":"10.1123\/jpah.2025-0918","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T18:24:57Z","timestamp":1780511097000},"page":"1394-1403","source":"Crossref","is-referenced-by-count":0,"title":["Physical Activity Patterns and Kidney Function Changes Among Hispanic\/Latino Adults: The Hispanic Community Health Study\/Study of Latinos"],"prefix":"10.1123","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7190-2111","authenticated-orcid":true,"given":"Andrea C.","family":"Rivas-Nieto","sequence":"first","affiliation":[{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8418-8802","authenticated-orcid":true,"given":"Sarah K.","family":"Alver","sequence":"additional","affiliation":[{"name":"Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9092-938X","authenticated-orcid":true,"given":"Stephen J.","family":"Mooney","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9214-6124","authenticated-orcid":true,"given":"Yasmin","family":"Mossavar-Rahmani","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2872-8119","authenticated-orcid":true,"given":"Xiaonan","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6580-4080","authenticated-orcid":true,"given":"James P.","family":"Lash","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Illinois Chicago, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3271-801X","authenticated-orcid":true,"given":"Robert","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"},{"name":"Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA, USA"},{"name":"Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"4S","key":"r1","series-title":"Kidney Int","doi-asserted-by":"publisher","first-page":"S117","DOI":"10.1016\/j.kint.2023.10.018","article-title":"KDIGO 2024 Clinical practice guideline for the evaluation and management of chronic kidney disease","volume":"105","year":"2024","unstructured":"Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. 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