Daily Step Counts in Patients With Chronic Kidney Disease: A Systematic Review and Meta-Analysis of Observational Studies

Physical inactivity is an essential factor in the prognosis of patients with chronic kidney disease (CKD). Daily step count is a straightforward measure to assess physical activity levels. Understanding the step counts among different CKD stages is essential to change sedentary behavior. This system...

Full description

Saved in:
Bibliographic Details
Published inFrontiers in medicine Vol. 9; p. 842423
Main Authors Zhang, Fan, Ren, Yibo, Wang, Hui, Bai, Yan, Huang, Liuyan
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 17.02.2022
Subjects
chronic kidney disease
daily step counts
Medicine
meta-analysis
physical activity
systematic review
meta-analysis
chronic kidney disease
daily step counts
systematic review
physical activity
Online AccessGet full text

Cover

Abstract Physical inactivity is an essential factor in the prognosis of patients with chronic kidney disease (CKD). Daily step count is a straightforward measure to assess physical activity levels. Understanding the step counts among different CKD stages is essential to change sedentary behavior. This systematic review and meta-analysis aimed to investigate the daily step counts in patients with CKD at a different stage. A systematic review and meta-analysis. The literature search was performed in PubMed, Embase, and Web of Science from inception to November 3rd, 2021. Observational studies (cross-sectional, case-control, or cohort studies) reported specific values of step counts in CKD patients by the wearable device were included. A random-effects model was used to pool the data. Subgroup analysis explored differences in outcomes by stage of CKD. Heterogeneity between studies was assessed using the χ test of Cochrane's statistic. A contour-enhanced funnel plot was conducted to investigate publication bias. Univariate and multivariate meta-regression was conducted to examine possible sources of heterogeneity. Twenty-eight articles were identified and used for quantitative analysis. The result showed that the daily step count in patients with CKD was 4642.47 (95% : 4274.18-5010.76), and significantly lower than the healthy population. Subgroup analysis revealed that the step counts decreased before dialysis, dropped to a freezing point at the hemodialysis phase, and increased after kidney transplantation. Meta-regression analysis showed that daily step counts were relatively higher in the Americas or younger than 60 or kidney transplant recipients. The status of daily step counts in patients with CKD decreases with CKD severity and increases after kidney transplantation. Although studies have begun to focus on strategies to improve step counts in patients with CKD, future studies should focus more on step counts in pre-dialysis patients and changing their physically inactive lifestyle early to alleviate deteriorating renal function. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=291551, identifier: CRD42021291551.
AbstractList Background Physical inactivity is an essential factor in the prognosis of patients with chronic kidney disease (CKD). Daily step count is a straightforward measure to assess physical activity levels. Understanding the step counts among different CKD stages is essential to change sedentary behavior. Objectives This systematic review and meta-analysis aimed to investigate the daily step counts in patients with CKD at a different stage. Design A systematic review and meta-analysis. Data Sources The literature search was performed in PubMed, Embase, and Web of Science from inception to November 3rd, 2021. Review Methods Observational studies (cross-sectional, case-control, or cohort studies) reported specific values of step counts in CKD patients by the wearable device were included. A random-effects model was used to pool the data. Subgroup analysis explored differences in outcomes by stage of CKD. Heterogeneity between studies was assessed using the χ 2 test of Cochrane's Q statistic. A contour-enhanced funnel plot was conducted to investigate publication bias. Univariate and multivariate meta-regression was conducted to examine possible sources of heterogeneity. Results Twenty-eight articles were identified and used for quantitative analysis. The result showed that the daily step count in patients with CKD was 4642.47 (95% CI : 4274.18–5010.76), and significantly lower than the healthy population. Subgroup analysis revealed that the step counts decreased before dialysis, dropped to a freezing point at the hemodialysis phase, and increased after kidney transplantation. Meta-regression analysis showed that daily step counts were relatively higher in the Americas or younger than 60 or kidney transplant recipients. Conclusion The status of daily step counts in patients with CKD decreases with CKD severity and increases after kidney transplantation. Although studies have begun to focus on strategies to improve step counts in patients with CKD, future studies should focus more on step counts in pre-dialysis patients and changing their physically inactive lifestyle early to alleviate deteriorating renal function. Systematic Review Registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=291551 , identifier: CRD42021291551.
Physical inactivity is an essential factor in the prognosis of patients with chronic kidney disease (CKD). Daily step count is a straightforward measure to assess physical activity levels. Understanding the step counts among different CKD stages is essential to change sedentary behavior. This systematic review and meta-analysis aimed to investigate the daily step counts in patients with CKD at a different stage. A systematic review and meta-analysis. The literature search was performed in PubMed, Embase, and Web of Science from inception to November 3rd, 2021. Observational studies (cross-sectional, case-control, or cohort studies) reported specific values of step counts in CKD patients by the wearable device were included. A random-effects model was used to pool the data. Subgroup analysis explored differences in outcomes by stage of CKD. Heterogeneity between studies was assessed using the χ test of Cochrane's statistic. A contour-enhanced funnel plot was conducted to investigate publication bias. Univariate and multivariate meta-regression was conducted to examine possible sources of heterogeneity. Twenty-eight articles were identified and used for quantitative analysis. The result showed that the daily step count in patients with CKD was 4642.47 (95% : 4274.18-5010.76), and significantly lower than the healthy population. Subgroup analysis revealed that the step counts decreased before dialysis, dropped to a freezing point at the hemodialysis phase, and increased after kidney transplantation. Meta-regression analysis showed that daily step counts were relatively higher in the Americas or younger than 60 or kidney transplant recipients. The status of daily step counts in patients with CKD decreases with CKD severity and increases after kidney transplantation. Although studies have begun to focus on strategies to improve step counts in patients with CKD, future studies should focus more on step counts in pre-dialysis patients and changing their physically inactive lifestyle early to alleviate deteriorating renal function. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=291551, identifier: CRD42021291551.
BackgroundPhysical inactivity is an essential factor in the prognosis of patients with chronic kidney disease (CKD). Daily step count is a straightforward measure to assess physical activity levels. Understanding the step counts among different CKD stages is essential to change sedentary behavior.ObjectivesThis systematic review and meta-analysis aimed to investigate the daily step counts in patients with CKD at a different stage.DesignA systematic review and meta-analysis.Data SourcesThe literature search was performed in PubMed, Embase, and Web of Science from inception to November 3rd, 2021.Review MethodsObservational studies (cross-sectional, case-control, or cohort studies) reported specific values of step counts in CKD patients by the wearable device were included. A random-effects model was used to pool the data. Subgroup analysis explored differences in outcomes by stage of CKD. Heterogeneity between studies was assessed using the χ2 test of Cochrane's Q statistic. A contour-enhanced funnel plot was conducted to investigate publication bias. Univariate and multivariate meta-regression was conducted to examine possible sources of heterogeneity.ResultsTwenty-eight articles were identified and used for quantitative analysis. The result showed that the daily step count in patients with CKD was 4642.47 (95% CI: 4274.18–5010.76), and significantly lower than the healthy population. Subgroup analysis revealed that the step counts decreased before dialysis, dropped to a freezing point at the hemodialysis phase, and increased after kidney transplantation. Meta-regression analysis showed that daily step counts were relatively higher in the Americas or younger than 60 or kidney transplant recipients.ConclusionThe status of daily step counts in patients with CKD decreases with CKD severity and increases after kidney transplantation. Although studies have begun to focus on strategies to improve step counts in patients with CKD, future studies should focus more on step counts in pre-dialysis patients and changing their physically inactive lifestyle early to alleviate deteriorating renal function.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=291551, identifier: CRD42021291551.
Author Bai, Yan
Huang, Liuyan
Wang, Hui
Ren, Yibo
Zhang, Fan
AuthorAffiliation 2 Department of Anorectal, Longhua Hospital Shanghai University of Traditional Chinese Medicine , Shanghai , China
3 Department of Cardiology, Longhua Hospital Shanghai University of Traditional Chinese Medicine , Shanghai , China
1 Department of Nephrology, Longhua Hospital Shanghai University of Traditional Chinese Medicine , Shanghai , China
AuthorAffiliation_xml – name: 2 Department of Anorectal, Longhua Hospital Shanghai University of Traditional Chinese Medicine , Shanghai , China
– name: 1 Department of Nephrology, Longhua Hospital Shanghai University of Traditional Chinese Medicine , Shanghai , China
– name: 3 Department of Cardiology, Longhua Hospital Shanghai University of Traditional Chinese Medicine , Shanghai , China
Author_xml – sequence: 1
  givenname: Fan
  surname: Zhang
  fullname: Zhang, Fan
  organization: Department of Nephrology, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China
– sequence: 2
  givenname: Yibo
  surname: Ren
  fullname: Ren, Yibo
  organization: Department of Nephrology, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China
– sequence: 3
  givenname: Hui
  surname: Wang
  fullname: Wang, Hui
  organization: Department of Anorectal, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China
– sequence: 4
  givenname: Yan
  surname: Bai
  fullname: Bai, Yan
  organization: Department of Cardiology, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China
– sequence: 5
  givenname: Liuyan
  surname: Huang
  fullname: Huang, Liuyan
  organization: Department of Nephrology, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/35252275$$D View this record in MEDLINE/PubMed
BookMark eNpVkk1vEzEQhleoiJbSOyfkI5cEf63t5YAUpXxUFBVRENysiT3buNqsg70btP8eh5SqPXk0fueZ8fh9Xh31sceqesnoXAjTvGk36Oeccj43kksunlQnnDdqZmrz6-hBfFyd5XxLKWWC15KJZ9WxqHnNua5PqukcQjeR6wG3ZBnHfsgk9OQrDAH38c8wrMlynWIfHPkcfI8TOQ8ZIeNbsiDXUx5wU8SOfMNdwD8Eek--4ACzRQ_dlEMmsSVXq4xpV2SxJEuv0QfML6qnLXQZz-7O0-rHh_ffl59ml1cfL5aLy5mTig8zptC12iuuaqYEKmwAPPOyaU1LqcBGONn6mjJnvNYevVKSMkDDJBqFIE6riwPXR7i12xQ2kCYbIdh_iZhuLKTygg5tg9JxBKYlcmn8CkAIyZ0WvOXaQF1Y7w6s7bgq23dlRwm6R9DHN31Y25u4s8Y0jAtRAK_vACn-HjEPdhOyw66DHuOYLVdCGc20boqUHqQuxZwTtvdtGLV7A9i9AezeAPZggFLy6uF49wX_v1v8BRGjsDc
CitedBy_id crossref_primary_10_3389_fneph_2022_916308
crossref_primary_10_3390_metabo13010056
crossref_primary_10_34067_KID_0002082022
crossref_primary_10_3390_kidneydial2040051
crossref_primary_10_3389_fmed_2023_1160450
crossref_primary_10_1093_eurjpc_zwae130
crossref_primary_10_3390_nu15071592
crossref_primary_10_1007_s40620_023_01881_9
crossref_primary_10_1080_0886022X_2023_2255677
crossref_primary_10_3390_s23031361
Cites_doi 10.18926/AMO/54593
10.1016/j.ekir.2021.05.025
10.1007/s11255-020-02578-9
10.1001/jama.2015.15845
10.1016/S0140-6736(18)32558-3
10.1007/s11255-020-02468-0
10.1080/09638288.2019.1606857
10.1053/j.jrn.2017.07.004
10.1053/j.ajkd.2014.03.020
10.1681/ASN.2013070702
10.1053/j.jrn.2020.07.007
10.1136/bmj.n71
10.1007/s40620-014-0164-y
10.2215/CJN.06330611
10.1249/MSS.0000000000001802
10.1001/jama.2020.1382
10.1681/ASN.2016121374
10.1123/jpah.2017-0412
10.1038/nrneph.2014.75
10.1002/sim.1186
10.1053/j.jrn.2014.07.010
10.1186/s40779-020-00238-8
10.2522/ptj.20060037
10.1111/hdi.12913
10.1093/ndt/gfz235
10.1186/s12882-019-1652-z
10.1016/j.nefroe.2016.12.005
10.3390/medicina55080427
10.1111/ctr.12325
10.1111/j.1399-3046.2009.01195.x
10.1093/ndt/gfr404
10.1186/s12882-021-02407-w
10.3390/nu13051444
10.1016/j.ekir.2018.10.014
10.1053/j.ajkd.2019.07.026
10.1007/s40279-021-01536-4
10.1016/j.xkme.2021.04.013
10.1038/nrneph.2016.187
10.3390/s100807772
10.1159/000452751
10.1155/2013/780783
10.1111/jgs.12266
10.1159/000441314
10.1093/ndt/gfaa173
10.1016/j.transproceed.2014.05.019
10.1053/j.ajkd.2017.12.005
10.1093/ndt/gfr692
10.1186/1479-5868-8-80
10.1007/s11255-020-02677-7
10.1016/j.transproceed.2015.12.022
10.1016/j.nefro.2016.04.009
10.1161/CIRCULATIONAHA.107.185649
10.2215/CJN.09810913
10.2215/CJN.12300720
10.1159/000485161
10.1186/1471-2288-14-135
10.5414/CNP75218
10.1001/jama.298.19.2296
10.1177/2040622318785575
10.1177/1526924820958148
10.1177/0962280216669183
10.1053/j.jrn.2019.03.081
10.1053/j.jrn.2010.09.006
ContentType Journal Article
Copyright Copyright © 2022 Zhang, Ren, Wang, Bai and Huang.
Copyright © 2022 Zhang, Ren, Wang, Bai and Huang. 2022 Zhang, Ren, Wang, Bai and Huang
Copyright_xml – notice: Copyright © 2022 Zhang, Ren, Wang, Bai and Huang.
– notice: Copyright © 2022 Zhang, Ren, Wang, Bai and Huang. 2022 Zhang, Ren, Wang, Bai and Huang
DBID NPM
AAYXX
CITATION
7X8
5PM
DOA
DOI 10.3389/fmed.2022.842423
DatabaseName PubMed
CrossRef
MEDLINE - Academic
PubMed Central (Full Participant titles)
Directory of Open Access Journals
DatabaseTitle PubMed
CrossRef
MEDLINE - Academic
DatabaseTitleList CrossRef
PubMed

MEDLINE - Academic
Database_xml – sequence: 1
  dbid: DOA
  name: Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 2296-858X
EndPage 842423
ExternalDocumentID oai_doaj_org_article_9e4c2ea174e248dbaa3342c732f278a5
10_3389_fmed_2022_842423
35252275
Genre Systematic Review
GroupedDBID 53G
5VS
9T4
AAFWJ
ACGFS
ACXDI
ADBBV
ADRAZ
ALMA_UNASSIGNED_HOLDINGS
AOIJS
BAWUL
BCNDV
DIK
GROUPED_DOAJ
HYE
IAO
IEA
IHR
IHW
IPNFZ
ISR
KQ8
M48
M~E
NPM
OK1
PGMZT
RIG
RPM
AAYXX
AFPKN
CITATION
7X8
5PM
ID FETCH-LOGICAL-c462t-16ecf7d6265163e6e9aad1d49f8f003e93c4fd501c8d77ded66401ae814e86ea3
IEDL.DBID RPM
ISSN 2296-858X
IngestDate Tue Oct 22 15:15:00 EDT 2024
Tue Sep 17 20:56:33 EDT 2024
Sat Oct 26 01:23:18 EDT 2024
Thu Sep 26 19:19:23 EDT 2024
Wed Oct 16 00:41:21 EDT 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Keywords meta-analysis
chronic kidney disease
daily step counts
systematic review
physical activity
Language English
License Copyright © 2022 Zhang, Ren, Wang, Bai and Huang.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c462t-16ecf7d6265163e6e9aad1d49f8f003e93c4fd501c8d77ded66401ae814e86ea3
Notes content type line 23
SourceType-Scholarly Journals-1
Reviewed by: Wisit Kaewput, Phramongkutklao Hospital, Thailand; Naoki Nakagawa, Asahikawa Medical University, Japan; Kiyonori Ito, Jichi Medical University Saitama Medical Center, Japan
These authors have contributed equally to this work
Edited by: Yoshiyuki Morishita, Jichi Medical University Saitama Medical Center, Japan
This article was submitted to Nephrology, a section of the journal Frontiers in Medicine
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8891233/
PMID 35252275
PQID 2636871779
PQPubID 23479
PageCount 1
ParticipantIDs doaj_primary_oai_doaj_org_article_9e4c2ea174e248dbaa3342c732f278a5
pubmedcentral_primary_oai_pubmedcentral_nih_gov_8891233
proquest_miscellaneous_2636871779
crossref_primary_10_3389_fmed_2022_842423
pubmed_primary_35252275
PublicationCentury 2000
PublicationDate 2022-02-17
PublicationDateYYYYMMDD 2022-02-17
PublicationDate_xml – month: 02
  year: 2022
  text: 2022-02-17
  day: 17
PublicationDecade 2020
PublicationPlace Switzerland
PublicationPlace_xml – name: Switzerland
PublicationTitle Frontiers in medicine
PublicationTitleAlternate Front Med (Lausanne)
PublicationYear 2022
Publisher Frontiers Media S.A
Publisher_xml – name: Frontiers Media S.A
References Lou (B34) 2019; 20
B26
Dontje (B32) 2014; 28
D'Alessandro (B24) 2019; 55
Panaye (B14) 2015; 25
Akber (B20) 2012; 7
Takahashi (B53) 2018; 72
Saint-Maurice (B2) 2020; 323
Tudor-Locke (B50) 2011; 8
Delgado (B54) 2012; 27
Bohannon (B7) 2007; 87
Han (B10) 2018; 45
Luo (B21) 2018; 27
Lyden (B66) 2021; 16
Cobo (B25) 2017; 37
Heiwe (B43) 2014; 64
Matsuzawa (B15) 2013; 2013
Matsuzawa (B40) 2018; 28
Aggio (B60) 2019; 51
Page (B8) 2021; 372
McAdams-DeMarco (B55) 2013; 61
Sheshadri (B13) 2019; 4
Hoshino (B42) 2021; 13
Zhang (B12) 2020; 52
Pecoits-Filho (B64) 2021; 36
Brys (B18) 2020; 52
O'Brien (B65) 2020; 30
B4
Wan (B22) 2014; 14
Shibata (B37) 2014; 59
Jayedi (B47) 2021; 52
Viana (B52) 2014; 25
Mafra (B23) 2011; 21
Zelle (B56) 2017; 13
Lunney (B16) 2021; 3
Raymond (B41) 2016; 48
Carney (B59) 2014; 10
Carvalho (B35) 2014; 46
Martins do Valle (B63) 2020; 42
Chen (B5) 2014; 9
Higgins (B28) 2002; 21
Lorenz (B58) 2021; 6
Oishi (B36) 2012; 28
Sheshadri (B61) 2020; 75
B49
MacKinnon (B44) 2018; 9
Coresh (B1) 2017; 28
Malhotra (B11) 2021; 25
Kittiskulnam (B17) 2019; 29
Wilkinson (B46) 2021; 36
Martins (B3) 2021; 22
Yu (B51) 2018; 15
Yang (B45) 2010; 10
Han (B39) 2016; 41
Avesani (B19) 2012; 27
Mata (B68) 2015; 314
Haskell (B48) 2007; 116
Yamamoto (B31) 2021; 31
Portilla Franco (B57) 2016; 36
Bravata (B6) 2007; 298
Ma (B27) 2020; 7
Assawasaksakul (B62) 2021; 53
Katayama (B38) 2016; 70
Cupisti (B29) 2011; 75
Williams (B9) 2017; 43
Cobo (B30) 2015; 28
Hamiwka (B33) 2009; 13
Fellmeth (B67) 2018; 392
References_xml – volume: 70
  start-page: 353
  year: 2016
  ident: B38
  article-title: Relationship between changes in physical activity and changes in health-related quality of life in patients on chronic hemodialysis with 1-year follow-up
  publication-title: Acta Med Okayama.
  doi: 10.18926/AMO/54593
  contributor:
    fullname: Katayama
– volume: 6
  start-page: 2270
  year: 2021
  ident: B58
  article-title: Frailty in CKD and transplantation
  publication-title: Kidney Int Rep.
  doi: 10.1016/j.ekir.2021.05.025
  contributor:
    fullname: Lorenz
– volume: 52
  start-page: 1959
  year: 2020
  ident: B18
  article-title: Daily physical activity in patients on chronic haemodialysis and its relation with fatigue and depressive symptoms
  publication-title: Int Urol Nephrol.
  doi: 10.1007/s11255-020-02578-9
  contributor:
    fullname: Brys
– volume: 314
  start-page: 2373
  year: 2015
  ident: B68
  article-title: Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis
  publication-title: JAMA.
  doi: 10.1001/jama.2015.15845
  contributor:
    fullname: Mata
– volume: 392
  start-page: 2567
  year: 2018
  ident: B67
  article-title: Health impacts of parental migration on left-behind children and adolescents: a systematic review and meta-analysis
  publication-title: Lancet.
  doi: 10.1016/S0140-6736(18)32558-3
  contributor:
    fullname: Fellmeth
– volume: 52
  start-page: 1143
  year: 2020
  ident: B12
  article-title: Risk factors for decreased upper-limb muscle strength and its impact on survival in maintenance hemodialysis patients
  publication-title: Int Urol Nephrol.
  doi: 10.1007/s11255-020-02468-0
  contributor:
    fullname: Zhang
– volume: 42
  start-page: 3638
  year: 2020
  ident: B63
  article-title: Effects of intradialytic resistance training on physical activity in daily life, muscle strength, physical capacity and quality of life in hemodialysis patients: a randomized clinical trial
  publication-title: Disabil Rehabil.
  doi: 10.1080/09638288.2019.1606857
  contributor:
    fullname: Martins do Valle
– volume: 28
  start-page: 45
  year: 2018
  ident: B40
  article-title: Physical activity dose for hemodialysis patients: where to begin? Results from a Prospective Cohort Study
  publication-title: J Ren Nutr.
  doi: 10.1053/j.jrn.2017.07.004
  contributor:
    fullname: Matsuzawa
– volume: 64
  start-page: 383
  year: 2014
  ident: B43
  article-title: Exercise training in adults with CKD: a systematic review and meta-analysis
  publication-title: Am J Kidney Dis.
  doi: 10.1053/j.ajkd.2014.03.020
  contributor:
    fullname: Heiwe
– volume: 25
  start-page: 2121
  year: 2014
  ident: B52
  article-title: Evidence for anti-inflammatory effects of exercise in CKD
  publication-title: J Am Soc Nephrol.
  doi: 10.1681/ASN.2013070702
  contributor:
    fullname: Viana
– volume: 31
  start-page: 380
  year: 2021
  ident: B31
  article-title: Impact of physical activity on dialysis and nondialysis days and clinical outcomes among patients on hemodialysis
  publication-title: J Ren Nutr.
  doi: 10.1053/j.jrn.2020.07.007
  contributor:
    fullname: Yamamoto
– volume: 372
  start-page: n71
  year: 2021
  ident: B8
  article-title: The PRISMA 2020 statement: an updated guideline for reporting systematic reviews
  publication-title: BMJ.
  doi: 10.1136/bmj.n71
  contributor:
    fullname: Page
– volume: 28
  start-page: 503
  year: 2015
  ident: B30
  article-title: Clinical determinants of reduced physical activity in hemodialysis and peritoneal dialysis patients
  publication-title: J Nephrol.
  doi: 10.1007/s40620-014-0164-y
  contributor:
    fullname: Cobo
– volume: 7
  start-page: 720
  year: 2012
  ident: B20
  article-title: Pedometer-assessed physical activity in children and young adults with CKD
  publication-title: Clin J Am Soc Nephrol.
  doi: 10.2215/CJN.06330611
  contributor:
    fullname: Akber
– volume: 51
  start-page: 481
  year: 2019
  ident: B60
  article-title: Twenty-year trajectories of physical activity types from midlife to old age
  publication-title: Med Sci Sports Exerc.
  doi: 10.1249/MSS.0000000000001802
  contributor:
    fullname: Aggio
– volume: 323
  start-page: 1151
  year: 2020
  ident: B2
  article-title: Association of daily step count and step intensity with mortality among US adults
  publication-title: JAMA.
  doi: 10.1001/jama.2020.1382
  contributor:
    fullname: Saint-Maurice
– volume: 28
  start-page: 1020
  year: 2017
  ident: B1
  article-title: Update on the Burden of CKD
  publication-title: J Am Soc Nephrol.
  doi: 10.1681/ASN.2016121374
  contributor:
    fullname: Coresh
– volume: 15
  start-page: 600
  year: 2018
  ident: B51
  article-title: Walking, but not other physical activity at a higher intensity, is associated with improved kidney function: a cross-sectional health survey of general adult population
  publication-title: J Phys Act Health.
  doi: 10.1123/jpah.2017-0412
  contributor:
    fullname: Yu
– volume: 10
  start-page: 300
  year: 2014
  ident: B59
  article-title: Chronic kidney disease. Walking reduces inflammation in predialysis CKD
  publication-title: Nat Rev Nephrol.
  doi: 10.1038/nrneph.2014.75
  contributor:
    fullname: Carney
– volume: 21
  start-page: 1539
  year: 2002
  ident: B28
  article-title: Quantifying heterogeneity in a meta-analysis
  publication-title: Stat Med.
  doi: 10.1002/sim.1186
  contributor:
    fullname: Higgins
– volume: 25
  start-page: 31
  year: 2015
  ident: B14
  article-title: Phenotypes influencing low physical activity in maintenance dialysis
  publication-title: J Ren Nutr.
  doi: 10.1053/j.jrn.2014.07.010
  contributor:
    fullname: Panaye
– volume: 7
  start-page: 7
  year: 2020
  ident: B27
  article-title: Methodological quality (risk of bias) assessment tools for primary and secondary medical studies: what are they and which is better?
  publication-title: Mil Med Res.
  doi: 10.1186/s40779-020-00238-8
  contributor:
    fullname: Ma
– volume: 87
  start-page: 1642
  year: 2007
  ident: B7
  article-title: Number of pedometer-assessed steps taken per day by adults: a descriptive meta-analysis
  publication-title: Phys Ther.
  doi: 10.2522/ptj.20060037
  contributor:
    fullname: Bohannon
– volume: 25
  start-page: 240
  year: 2021
  ident: B11
  article-title: Physical activity in hemodialysis patients on nondialysis and dialysis days: prospective observational study
  publication-title: Hemodial Int.
  doi: 10.1111/hdi.12913
  contributor:
    fullname: Malhotra
– volume: 36
  start-page: 641
  year: 2021
  ident: B46
  article-title: Prevalence and correlates of physical activity across kidney disease stages: an observational multicentre study
  publication-title: Nephrol Dial Transplant.
  doi: 10.1093/ndt/gfz235
  contributor:
    fullname: Wilkinson
– volume: 20
  start-page: 477
  year: 2019
  ident: B34
  article-title: Physical activity and somatic symptoms among hemodialysis patients: a multi-center study in Zhejiang, China
  publication-title: BMC Nephrol.
  doi: 10.1186/s12882-019-1652-z
  contributor:
    fullname: Lou
– ident: B49
– volume: 36
  start-page: 609
  year: 2016
  ident: B57
  article-title: Frailty in elderly people with chronic kidney disease
  publication-title: Nefrologia.
  doi: 10.1016/j.nefroe.2016.12.005
  contributor:
    fullname: Portilla Franco
– volume: 55
  start-page: 427
  year: 2019
  ident: B24
  article-title: Nutritional aspects in diabetic CKD patients on tertiary care
  publication-title: Medicina.
  doi: 10.3390/medicina55080427
  contributor:
    fullname: D'Alessandro
– volume: 28
  start-page: 394
  year: 2014
  ident: B32
  article-title: Longitudinal measurement of physical activity following kidney transplantation
  publication-title: Clin Transplant.
  doi: 10.1111/ctr.12325
  contributor:
    fullname: Dontje
– volume: 13
  start-page: 861
  year: 2009
  ident: B33
  article-title: Physical activity and health related quality of life in children following kidney transplantation
  publication-title: Pediatr Transplant.
  doi: 10.1111/j.1399-3046.2009.01195.x
  contributor:
    fullname: Hamiwka
– volume: 27
  start-page: 1152
  year: 2012
  ident: B54
  article-title: Barriers to exercise participation among dialysis patients
  publication-title: Nephrol Dial Transplant.
  doi: 10.1093/ndt/gfr404
  contributor:
    fullname: Delgado
– volume: 22
  start-page: 227
  year: 2021
  ident: B3
  article-title: Association between physical activity and mortality in end-stage kidney disease: a systematic review of observational studies
  publication-title: BMC Nephrol.
  doi: 10.1186/s12882-021-02407-w
  contributor:
    fullname: Martins
– volume: 13
  start-page: 14444
  year: 2021
  ident: B42
  article-title: Renal rehabilitation: exercise intervention and nutritional support in dialysis patients
  publication-title: Nutrients.
  doi: 10.3390/nu13051444
  contributor:
    fullname: Hoshino
– volume: 4
  start-page: 285
  year: 2019
  ident: B13
  article-title: Higher physical activity is associated with less fatigue and insomnia among patients on hemodialysis
  publication-title: Kidney Int Rep.
  doi: 10.1016/j.ekir.2018.10.014
  contributor:
    fullname: Sheshadri
– volume: 75
  start-page: 488
  year: 2020
  ident: B61
  article-title: A walking intervention to increase weekly steps in dialysis patients: a pilot randomized controlled trial
  publication-title: Am J Kidney Dis.
  doi: 10.1053/j.ajkd.2019.07.026
  contributor:
    fullname: Sheshadri
– volume: 52
  start-page: 89
  year: 2021
  ident: B47
  article-title: Daily step count and all-cause mortality: a dose-response meta-analysis of prospective cohort studies
  publication-title: Sports Med.
  doi: 10.1007/s40279-021-01536-4
  contributor:
    fullname: Jayedi
– volume: 3
  start-page: 768
  year: 2021
  ident: B16
  article-title: Wearable fitness trackers to predict clinical deterioration in maintenance hemodialysis: a prospective cohort feasibility study
  publication-title: Kidney Med.
  doi: 10.1016/j.xkme.2021.04.013
  contributor:
    fullname: Lunney
– volume: 13
  start-page: 152
  year: 2017
  ident: B56
  article-title: Physical inactivity: a risk factor and target for intervention in renal care
  publication-title: Nat Rev Nephrol.
  doi: 10.1038/nrneph.2016.187
  contributor:
    fullname: Zelle
– volume: 10
  start-page: 7772
  year: 2010
  ident: B45
  article-title: A review of accelerometry-based wearable motion detectors for physical activity monitoring
  publication-title: Sensors.
  doi: 10.3390/s100807772
  contributor:
    fullname: Yang
– volume: 43
  start-page: 235
  year: 2017
  ident: B9
  article-title: Physical activity and sleep patterns in hemodialysis patients in a suburban environment
  publication-title: Blood Purif.
  doi: 10.1159/000452751
  contributor:
    fullname: Williams
– volume: 2013
  start-page: 780783
  year: 2013
  ident: B15
  article-title: Association of habitual physical activity measured by an accelerometer with high-density lipoprotein cholesterol levels in maintenance hemodialysis patients
  publication-title: Sci World J.
  doi: 10.1155/2013/780783
  contributor:
    fullname: Matsuzawa
– volume: 61
  start-page: 896
  year: 2013
  ident: B55
  article-title: Frailty as a novel predictor of mortality and hospitalization in individuals of all ages undergoing hemodialysis
  publication-title: J Am Geriatr Soc.
  doi: 10.1111/jgs.12266
  contributor:
    fullname: McAdams-DeMarco
– volume: 59
  start-page: E161
  year: 2014
  ident: B37
  article-title: Relation between sleep quality and daily physical activity in hemodialysis outpatients
  publication-title: Kobe J Med Sci.
  contributor:
    fullname: Shibata
– volume: 41
  start-page: 194
  year: 2016
  ident: B39
  article-title: Quantifying physical activity levels and sleep in hemodialysis patients using a commercially available activity tracker
  publication-title: Blood Purif.
  doi: 10.1159/000441314
  contributor:
    fullname: Han
– volume: 36
  start-page: 1057
  year: 2021
  ident: B64
  article-title: Effect of hemodiafiltration on measured physical activity: primary results of the HDFIT randomized controlled trial
  publication-title: Nephrol Dial Transplant.
  doi: 10.1093/ndt/gfaa173
  contributor:
    fullname: Pecoits-Filho
– volume: 46
  start-page: 1713
  year: 2014
  ident: B35
  article-title: Physical activity in daily life assessed by an accelerometer in kidney transplant recipients and hemodialysis patients
  publication-title: Transplant Proc.
  doi: 10.1016/j.transproceed.2014.05.019
  contributor:
    fullname: Carvalho
– volume: 72
  start-page: 433
  year: 2018
  ident: B53
  article-title: Physical activity in kidney transplant recipients: a review
  publication-title: Am J Kidney Dis.
  doi: 10.1053/j.ajkd.2017.12.005
  contributor:
    fullname: Takahashi
– volume: 27
  start-page: 2430
  year: 2012
  ident: B19
  article-title: Physical activity and energy expenditure in haemodialysis patients: an international survey
  publication-title: Nephrol Dial Transplant.
  doi: 10.1093/ndt/gfr692
  contributor:
    fullname: Avesani
– volume: 8
  start-page: 80
  year: 2011
  ident: B50
  article-title: How many steps/day are enough? For older adults and special populations
  publication-title: Int J Behav Nutr Phys Act.
  doi: 10.1186/1479-5868-8-80
  contributor:
    fullname: Tudor-Locke
– volume: 53
  start-page: 359
  year: 2021
  ident: B62
  article-title: Effects of intradialytic cycling exercise on daily physical activity, physical fitness, body composition, and clinical parameters in high-volume online hemodiafiltration patients: a pilot randomized-controlled trial
  publication-title: Int Urol Nephrol.
  doi: 10.1007/s11255-020-02677-7
  contributor:
    fullname: Assawasaksakul
– volume: 48
  start-page: 59
  year: 2016
  ident: B41
  article-title: Walking, Sedentary Time and health-related quality life among kidney transplant recipients: an exploratory study
  publication-title: Transplant Proc.
  doi: 10.1016/j.transproceed.2015.12.022
  contributor:
    fullname: Raymond
– volume: 37
  start-page: 54
  year: 2017
  ident: B25
  article-title: Hypogonadism associated with muscle atrophy, physical inactivity and ESA hyporesponsiveness in men undergoing haemodialysis
  publication-title: Nefrologia.
  doi: 10.1016/j.nefro.2016.04.009
  contributor:
    fullname: Cobo
– volume: 116
  start-page: 1081
  year: 2007
  ident: B48
  article-title: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association
  publication-title: Circulation.
  doi: 10.1161/CIRCULATIONAHA.107.185649
  contributor:
    fullname: Haskell
– volume: 9
  start-page: 1183
  year: 2014
  ident: B5
  article-title: Association of walking with survival and RRT among patients with CKD stages 3-5
  publication-title: Clin J Am Soc Nephrol.
  doi: 10.2215/CJN.09810913
  contributor:
    fullname: Chen
– volume: 16
  start-page: 717
  year: 2021
  ident: B66
  article-title: Targeting sedentary behavior in CKD: a pilot and feasibility randomized controlled trial
  publication-title: Clin J Am Soc Nephrol.
  doi: 10.2215/CJN.12300720
  contributor:
    fullname: Lyden
– volume: 45
  start-page: 236
  year: 2018
  ident: B10
  article-title: Relationships between neighborhood walkability and objectively measured physical activity levels in hemodialysis patients
  publication-title: Blood Purif.
  doi: 10.1159/000485161
  contributor:
    fullname: Han
– volume: 14
  start-page: 135
  year: 2014
  ident: B22
  article-title: Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range
  publication-title: BMC Med Res Methodol.
  doi: 10.1186/1471-2288-14-135
  contributor:
    fullname: Wan
– volume: 75
  start-page: 218
  year: 2011
  ident: B29
  article-title: Assessment of habitual physical activity and energy expenditure in dialysis patients and relationships to nutritional parameters
  publication-title: Clin Nephrol.
  doi: 10.5414/CNP75218
  contributor:
    fullname: Cupisti
– volume: 298
  start-page: 2296
  year: 2007
  ident: B6
  article-title: Using pedometers to increase physical activity and improve health: a systematic review
  publication-title: JAMA.
  doi: 10.1001/jama.298.19.2296
  contributor:
    fullname: Bravata
– ident: B26
– ident: B4
– volume: 9
  start-page: 209
  year: 2018
  ident: B44
  article-title: The association of physical function and physical activity with all-cause mortality and adverse clinical outcomes in nondialysis chronic kidney disease: a systematic review
  publication-title: Ther Adv Chronic Dis.
  doi: 10.1177/2040622318785575
  contributor:
    fullname: MacKinnon
– volume: 30
  start-page: 306
  year: 2020
  ident: B65
  article-title: A pilot randomized controlled trial using system CHANGE™ approach to increase physical activity in older kidney transplant recipients
  publication-title: Prog Transplant.
  doi: 10.1177/1526924820958148
  contributor:
    fullname: O'Brien
– volume: 27
  start-page: 1785
  year: 2018
  ident: B21
  article-title: Optimally estimating the sample mean from the sample size, median, mid-range, and/or mid-quartile range
  publication-title: Stat Methods Med Res.
  doi: 10.1177/0962280216669183
  contributor:
    fullname: Luo
– volume: 29
  start-page: 498
  year: 2019
  ident: B17
  article-title: Validation of a new physical activity instrument against pedometers among dialysis patients
  publication-title: J Ren Nutr.
  doi: 10.1053/j.jrn.2019.03.081
  contributor:
    fullname: Kittiskulnam
– volume: 21
  start-page: 387
  year: 2011
  ident: B23
  article-title: Influence of inflammation on total energy expenditure in hemodialysis patients
  publication-title: J Ren Nutr.
  doi: 10.1053/j.jrn.2010.09.006
  contributor:
    fullname: Mafra
– volume: 28
  start-page: 148
  year: 2012
  ident: B36
  article-title: Physical activity is associated with serum albumin in peritoneal dialysis patients
  publication-title: Adv Perit Dial.
  contributor:
    fullname: Oishi
SSID ssj0001325413
Score 2.2958772
SecondaryResourceType review_article
Snippet Physical inactivity is an essential factor in the prognosis of patients with chronic kidney disease (CKD). Daily step count is a straightforward measure to...
Background Physical inactivity is an essential factor in the prognosis of patients with chronic kidney disease (CKD). Daily step count is a straightforward...
BACKGROUNDPhysical inactivity is an essential factor in the prognosis of patients with chronic kidney disease (CKD). Daily step count is a straightforward...
BackgroundPhysical inactivity is an essential factor in the prognosis of patients with chronic kidney disease (CKD). Daily step count is a straightforward...
SourceID doaj
pubmedcentral
proquest
crossref
pubmed
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
StartPage 842423
SubjectTerms chronic kidney disease
daily step counts
Medicine
meta-analysis
physical activity
systematic review
SummonAdditionalLinks – databaseName: Directory of Open Access Journals
  dbid: DOA
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Nb9QwELWqHlAviNICS6EyUi8cAonteGxu_aCqqFqQoKI3yxuP1Ugoi9j0sP-ecZxd7VZIXHrNhzLyG8fveSYvjB2RPiulAFFgLH2hQJjCK9I8gcg_0EsZYxjcPq_1xY36clvfrv3qK_WEZXvgPHAfLapGoCfijEKZMPVeSiUakCIKMD67l5Z2TUwNuyuShE8lc12SVJglmDAZgwrxwajEITbWocGu_18c82Gr5Nrac_6MPR1JIz_Owe6yLeyesydXY1l8jy3OfPtrwVPHFk8fmfdz3nb8W7ZMnfOfbX_HRxdcftmGDhf8LBdmPvFj_n1l5sxzpYD7LvAr7H2xtCzhs8i_TlcbuBTL2H-4z27OP_84vSjGfyoUjdKiLyqNTYRAMqYmJoYarfehCspGE2mCo5WNiqEuq8YEgIBBa1JgHk2l0Gj08gXb7mYdvmJcTkkc1t4ghKhUXXqd3MiEsFBasAgT9n45wu53ts5wJDkSGi6h4RIaLqMxYScJgtV1yfR6OECp4MZUcP9LhQl7twTQ0SRJlQ_f4ex-7oSWmpQhgJ2wlxnQ1aOSH6wQQHfDBtQbsWye6dq7wYjbGEsLv3z9GMEfsJ00HqkhvII3bLv_c49vie_008Mhtf8CS_7-6g
  priority: 102
  providerName: Directory of Open Access Journals
– databaseName: Scholars Portal Journals: Open Access(OpenAccess)
  dbid: M48
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Nb9QwELVKKyEuqHwvpchIXDikSsaOPypVqKVUFaiABCt6s7zxuI1UZWE3ldh_zzjJLizaI9ckViy_TPyeZ_zM2GvSZ7kADRnG3GdSg8m8JM0TiPxr-iljDJ3b5yd1PpYfLsvLP9ujhwGcb5R26Typ8ezm4NfPxVsK-KOkOGm-JQQweX4CHBiZ6MEdtgOSdHoq5BvIfrfiIkgMFaLPVW5suDY3dRb-m3jnv-WTf81HZ7vs_kAk-XGP_AO2hc1DdvdiSJU_YotTX98seKri4mnjeTvndcO_9Daqc_69bq_54IzLP9ahwQU_7ZM1h_yYf10ZPPM-e8B9E_gFtj5b2pjwaeSfJ6tFXerLUJP4mI3P3n97d54N5yxklVTQZoXCKupA0qYkdoYKrfehCNJGEyno0YpKxlDmRWWC1gGDUqTKPJpColHoxRO23UwbfMa4mJBgLL1BHaKUZe5VcigDsDq32qIesTfLEXY_ejsNRzIkoeESGi6h4Xo0RuwkQbB6Lhlhdxemsys3xJWzKCtAT7oKQZow8V4ICZUWEEEbX47YqyWAjgInZUN8g9PbuQMlFKlFre2IPe0BXb0qecQCaGqt16Be68v6naa-7sy5jbFEBsTz_9H5PXYvjUcqEi_0C7bdzm5xnzhQO3nZfdq_AZJyBs8
  priority: 102
  providerName: Scholars Portal
Title Daily Step Counts in Patients With Chronic Kidney Disease: A Systematic Review and Meta-Analysis of Observational Studies
URI https://www.ncbi.nlm.nih.gov/pubmed/35252275
https://search.proquest.com/docview/2636871779
https://pubmed.ncbi.nlm.nih.gov/PMC8891233
https://doaj.org/article/9e4c2ea174e248dbaa3342c732f278a5
Volume 9
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT9wwEB4BB8Sl6rtpKTJSLz1kN7EdP7hRKEJU2yK1qNwiJ55AJMgiNhz233ecx2q36qmXHPJQLH9jZz7P5y8An4ifJYJrHmOVuFhqbmInifN4Sv41TcpY-c7t87s6v5IX19n1FmTjXphOtF8W9aS5u5809W2nrXy4L6ejTmx6OTsxxtKEK6bbsE0BukbRu4UVQZwnFX1JkgiYJYQweIJyPjEypA97sBtMQDkP4sK1r1Fn2v-vTPNvweTaF-jsOTwbUkd23DfxBWxh8xJ2Z0Nx_BUsT119t2RBt8XCVvN2weqGXfbGqQv2u25v2eCFy77VvsElO-3LM0fsmP1cWTqzvl7AXOPZDFsXj8YlbF6xH8VqGZfaMqgQX8PV2ddfJ-fx8GeFuJSKt3GqsKy0JzKTUT6GCq1zPvXSVqaiYY5WlLLyWZKWxmvt0StFPMyhSSUahU68gZ1m3uA7YKIgipg5g9pXUmaJU8GTjHOrE6st6gg-jz2cP_QGGjkRjwBMHoDJAzB5D0wEXwIEq_uC9XV3Yv54kw8BkFuUJUdHTAq5NL5wTgjJSy14xbVxWQSHI4A5DZVQ_3ANzp8WOVdCET_U2kbwtgd09aoxICLQG1BvtGXzCkVnZ8c9ROP7_37yA-yFTgha8FTvw077-IQfKdVpi4NuiYCOM2kOujD_A23MATA
link.rule.ids 230,315,730,783,787,867,888,2109,24330,27936,27937,53804,53806
linkProvider National Library of Medicine
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwEB6VIpVeeD_C00hcOCSb2E7scCst1UK7pRIt9BY58YRGtNmqmz0sv55xHqvdigtc40RxPDP2fJ7PXwDeET4LBVfcxzI0vlRc-0YS5rGU_CualLG0rdrnUTI-lV_O4rMNiIezMC1pv8iroL64DOrqvOVWXl0Wo4EnNjqe7Gqd0oQrRrfgNsVrKFdAeru1Igj1RKIrShIES8lG6FRBOQ-0dAnENmw5GVDOHb1wZT1qZfv_lmvepEyurEH79-D70PuOevIrmDd5UPy-Iez4z593H-72WSnb6ZofwAbWD2Fr0tfdH8Fiz1QXC-YoYcydYm9mrKrZcafJOmM_quac9TK77KCyNS7YXlf5-cB22LelWjTrShHM1JZNsDH-oInCpiX7mi93iKkvPcHxMZzufzrZHfv9Txv8Qia88aMEi1JZwkkxpXqYYGqMjaxMS13SDIKpKGRp4zAqtFXKok0SgngGdSRRJ2jEE9ispzU-AyZyQp-x0ahsKWUcmsTJnXGeqjBVKSoP3g-my646bY6MMI2zeOYsnjmLZ53FPfjobLu8z6lqtxem1z-zfvCzFGXB0RBIQy61zY0RQvJCCV5ypU3swdvBMzKKQldaMTVO57OMJyIh6KlU6sHTzlOWrxo8zQO15kNrfVlvIc9olb57T3j-30--gTvjk8lhdvj56OAFbLsBcZTzSL2EzeZ6jq8oo2ry1238_AFWMiFZ
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bb9MwFLZgSNVeuF_C1Ui88JA2sR3b4W2sVIPRUQkmJl4sJz5hEVtarelD-fUc51K1E097TRzFzndsny_nyxdC3iE_izhTLIQisqFQTIdWIOdxmPwrXJShcI3b54k8OhVfzpKzrV99NaL9PCuH1cXlsCrPG23l4jIf9Tqx0Wx6qHWKCy4fLVwxuk3u4JyN5BZRb16vcGQ-MW8Lk0jDUsQJvDMoY0MtfBKxTwbeCpQxLzHc2pMa6_7_5ZvXZZNb-9DkHvnVj6CVn_wZrupsmP-9Zu54oyHeJ3e77JQetE0ekFtQPSSDaVd_f0TWY1terKmXhlH_NXu9pGVFZ60365L-LOtz2tnt0uPSVbCm47YC9IEe0O8b12jaliSorRydQm3D3huFzgv6Ldu8Kca-dELHx-R08unH4VHY_bwhzIVkdRhLyAvlkC8lmPKBhNRaFzuRFrrAlQRSnovCJVGca6eUAyclUj0LOhagJVj-hOxV8wqeEcozZKGJ1aBcIUQSWeltzxhLVZSqFFRA3vfwmUXr0WGQ23jUjUfdeNRNi3pAPnp8N-28u3ZzYH7123QAmBREzsAiWQMmtMus5VywXHFWMKVtEpC3fXQYnI2-xGIrmK-WhkkukYIqlQbkaRstm1v10RYQtRNHO33ZPYPR0Th-d9Hw_MZXviGD2Xhivn4-OX5B9v3z8MrzWL0ke_XVCl5hYlVnr5sp9A9cOCPZ
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Daily+Step+Counts+in+Patients+With+Chronic+Kidney+Disease%3A+A+Systematic+Review+and+Meta-Analysis+of+Observational+Studies&rft.jtitle=Frontiers+in+medicine&rft.au=Fan+Zhang&rft.au=Yibo+Ren&rft.au=Hui+Wang&rft.au=Yan+Bai&rft.date=2022-02-17&rft.pub=Frontiers+Media+S.A&rft.eissn=2296-858X&rft.volume=9&rft_id=info:doi/10.3389%2Ffmed.2022.842423&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_9e4c2ea174e248dbaa3342c732f278a5
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2296-858X&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2296-858X&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2296-858X&client=summon