METHODS: Using data from the binational Kids with CKD study (ages 6-18 years, n = 377), we performed multivariable regression to evaluate the association between CKD stage, school absences, and sports participation.
RESULTS: Overall, 62% of participants played sport with the most frequent sport activities engaged in being swimming (17%) and soccer (17%). Compared to children with CKD 1-2, the incidence rate ratios (IRR) (95% CI) for sports participation amongst children with CKD 3-5, dialysis, or transplant were 0.84 (0.64-1.09), 0.59 (0.39-0.90), and 0.75 (0.58-0.96), respectively. The median (IQR) days of school absences within a four-week period were 1 day (0-1), with children on dialysis reporting the highest number of school absences (9 days (5-15)), followed by transplant recipients (2 days (1-7)), children with CKD 3-5 (1 day (0-3)), and with CKD 1-2 (1 day (0-3)). Duration of CKD modified the association between CKD stage and school absences, with children with a transplant experiencing a higher number of missed school days with increasing duration of CKD, but not in children with CKD 1-5 or on dialysis (p-interaction < 0.01).
CONCLUSIONS: Children receiving dialysis and with a kidney transplant had greater school absences and played fewer sports compared to children with CKD stages 1-2. Innovative strategies to improve school attendance and sport participation are needed to improve life participation of children with CKD.
方法:使用来自患有CKD的双民族儿童研究的数据(年龄6-18岁,n=377),我们进行了多变量回归来评估CKD分期之间的关联,学校缺勤,体育参与。
结果:总体而言,62%的参与者参加了体育运动,其中最常见的体育活动是游泳(17%)和足球(17%)。与CKD1-2儿童相比,CKD3-5儿童的运动参与发生率(IRR)(95%CI),透析,或移植为0.84(0.64-1.09),0.59(0.39-0.90),和0.75(0.58-0.96),分别。四周内缺课天数中位数(IQR)为1天(0-1),接受透析的儿童报告缺课人数最多(9天(5-15天)),其次是移植受体(2天(1-7)),儿童CKD3-5(1天(0-3)),和CKD1-2(1天(0-3))。CKD的持续时间改变了CKD阶段和缺课之间的关系,随着CKD持续时间的增加,移植儿童的缺课天数增加,但在CKD1-5或透析儿童中没有(p相互作用<0.01)。
结论:与CKD1-2期儿童相比,接受透析和肾脏移植的儿童缺勤更多,运动更少。需要采取创新策略来提高入学率和体育参与度,以改善CKD儿童的生活参与度。