Okubo R, Kondo M, Tsunoda R, et al. - Some disability in ADLs/instrumental activities of daily living was experienced by a minority, but sizeable proportion of advanced chronic kidney disease (CKD) patients treated by nephrologists in Japan. Thus, physical functioning and physical activity should be routinely assessed in this population.

• Patients with non-dialysis-CKD stage G3b-5 (n = 1,628) were analyzed.

• Good physical functioning was present in 84.3%, and 40% of the patients were inactive.

• Older age, higher CKD stage, comorbid conditions such as diabetes, cardiovascular disease, cerebrovascular disease, and cancer (non-skin) were more commonly associated with poor physical functioning.

• Patients with older age and higher CKD stage more commonly experienced physical inactivity.