The Sensitivity, Specificity and Cutoff of Physical Activity and Psychological Stress on Chronic Kidney Disease
Abstract
Introduction: The prevalence of chronic kidney disease (CKD) in Kendari City, Southeast Sulawesi tends to increase. CKD is a Silent Killer disease, because sufferers do not realize it early. There are many risk factors for CKD, including low physical activity and psychological stress, but their effects on CKD unclears in Kendari City. The aim of study is to analyse level sensitivity, specificity and cutoff point of physical activity and psychological stress effect on CKD in Kendari City.
Methods: This study applied a quantitative method with cross sectional study recruited 136 people who aged 17-75 years old. They were interviewed with a questionnaire and took urine samples to determine proteinuria as a biomarker of CKD, using the 24-hour urinalysis method. Data analysis used the ROC curve at a 95% confidence interval (p<0.05) was considered statistically significant.
Results: This study found that physical activity had the ability to predict CKD by 68.6% (95%CI: 59.7%-77.5%). Meanwhile, the psychological stress variable has the ability to predict CKD is 76.1% (95% CI: 64.6%-87.7%). The sensitivity and specificity of physical activity are 62.9% and 63.6% respectively. The cut-off point of physical activity is 4.25 hours per day. Meanwhile, the sensitivity and specificity of psychological stress is 71.4% and 69.6% respectively. The Cutoff points for psychological stress is 12.50 or mild stress.
Conclusion: Physical activity and psychological stress variables can both be used to predict CKD in Kendari City. However, the ability of the psychological stress variable is slightly stronger than the physical activity variable. Someone who does physical activity equal to or above 4.25 hours per day is 62.9% less likely to suffer from kidney disease, compared to those whose physical activity is less than 4.25 hours per day. Thus, for someone who experiences mild psychological stress or above, they are 71.4% more likely to experience kidney disease, compared to those who are not stressed. The results of this study can contribute to the literature to determine program standards in carrying out health promotion and prevention towards controlling chronic kidney disease.
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