The association of nighttime sleep duration and quality with chronic kidney disease in middle-aged and older Chinese : a cohort study

Copyright © 2021 Elsevier B.V. All rights reserved..

OBJECTIVE: This cohort study aimed to assess the associations between sleep duration and quality with the risk of incident chronic kidney disease (CKD) in middle-aged and older Chinese.

METHODS: We used the 2011 and 2015 surveys of the China Health and Retirement Longitudinal Study (CHARLS). Nighttime sleep duration was categorized into five groups: ≤4, (4-6], (6-8], (8-10], and >10 h/night. Sleep quality was assessed by restless days in the past week (<1, 1-2, 3-4, and 5-7 days/week). Multivariate logistic regression was used to assess the association between sleep duration and quality with incident CKD.

RESULTS: A total of 11,339 participants free of CKD at baseline were included in this study. After four years follow-up, the incidence of CKD was 7.8%. There was a "U-shaped" association between sleep duration and risk of CKD. Compared to 6-8 h of nighttime sleep duration, those who slept ≤4 h/night (RR: 1.639, 95% CI: 1.287-2.087) or >10 h/night (RR: 2.342, 95% CI: 1.007-5.451) had increased risk of developing CKD after adjustment for confounders. Participants with 5-7 restless days per week had significantly increased risk of CKD (adjusted RR: 1.686, 95% CI: 1.352-2.102), compared to those who rarely or never had a restless sleep.

CONCLUSIONS: Extreme nighttime sleep duration and poor sleep quality were associated with increased risk of CKD in middle-aged and older Chinese. Obtaining an optimal nighttime sleep duration and better sleep quality might reduce the risk of CKD.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:86

Enthalten in:

Sleep medicine - 86(2021) vom: 05. Okt., Seite 25-31

Sprache:

Englisch

Beteiligte Personen:

Sun, Huimin [VerfasserIn]
Qin, Kang [VerfasserIn]
Zou, Chenfeng [VerfasserIn]
Wang, Harry Haoxiang [VerfasserIn]
Lu, Ciyong [VerfasserIn]
Chen, Weiqing [VerfasserIn]
Guo, Vivian Yawei [VerfasserIn]

Links:

Volltext

Themen:

Chronic kidney disease
Cohort study
Journal Article
Research Support, Non-U.S. Gov't
Sleep duration
Sleep quality

Anmerkungen:

Date Completed 28.10.2021

Date Revised 28.10.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.sleep.2021.08.007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM329981838