Association between sleep quality and urolithiasis among general population in Western China: a cross-sectional study

Abstract

Background Growing number of studies have evidently shown that sleep disorders are associated with the recently increased risk of various diseases in general human population. However, the relationship between sleep quality and urolithiasis condition in humans is still unclear. The present study explored the relationship between quality of sleep and urolithiasis in Chinese population of population, western China and hence investigated the effects of sleep quality on urolithiasis disease. Methods A cross-sectional analysis was performed using data from the West China Natural Population Cohort Study (WCNPCS). The data was collected between May 2019 and June 2021. This study evaluated the association between the sleep quality and urolithiasis. The sleep quality was assessed using the Chinese version of the Pittsburgh Sleep Quality Index (PSQI) whereas urolithiasis, as the outcome was a binary variable. Multivariable logistic regression models that adjust the sociodemographic characteristics and health-related factors were used to assess the association between sleep quality and urolithiasis. Interaction was tested in prespecified subgroup of interest. Results After adjusting a series of confounding variables, the Pittsburgh Sleep Quality Index scores were found to have a significant positive correlation with the prevalence of urolithiasis (OR: 1.178; 95% CI = 1.083–1.282; p < 0.001). The risk of urolithiasis was significantly increased with an elevation of the component Pittsburgh Sleep Quality Index score in sleep latency, sleep duration, habitual sleep efficiency, and daytime dysfunction. Conclusions It was evident that there is an association between sleep quality and prevalence of renal stones in natural population in western China regions. Poor sleep quality is related to urolithiasis. The findings of the current study hence highlighted the need for future public health guidelines to develop detailed strategies for improving sleep quality.

Sleep and circadian rhythm disturbance in kidney stone disease: a narrative review

“…Grandner et al analyzed more than 700,000 adults from two large cohorts to illustrate that the HTN risk was higher in sleep deficiency compared to 7 h (≤ 4 h: OR=1.86, ≤ 5 h: OR=1.56, ≤ 6 h: OR=1.27, p < 0.0005 for all) (130). A dose-response meta-analysis found a higher HTN risk for shorter sleep duration, and previous meta-analyses reported similar results to strengthen this association (47,131). For OSA patients, the HTN risk was higher than that in healthy controls (OR=2.84, 95% CI: 1.70 to 3.98) and was positively correlated with the OSA grade (132).…”

“…Another large population-based study obtained similar results, and it estimated the sleep score to assess sleep quality according to a previous study and indicated that a reduced sleep score led to increased KSD risk (hazard ratio [HR] = 1.07, 95% CI: 1.05 to 1.10) ( 45 , 46 ). A prospective study in China measured sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and KSD prevalence, and the PSQI was positively correlated with KSD prevalence (OR=1.18, 95% CI: 1.08 to 1.28) ( 47 ). Another sleep disturbance, obstructive sleep apnea (OSA), is common, with an incidence of 4.0% to 32.8% for middle age and 22.4% for older than 60 years ( 42 ), and has been confirmed to be a risk factor for KSD (HR=1.35, 95% CI: 1.23 to 1.48) ( 48 ).…”

Metabolic hormonal alterations in functional hypothalamic amenorrhea and anovulation associated with Polycystic ovary syndrome

“…Moreover, initiatives to address the broader socio-economic and cultural factors influencing women's health, such as access to healthcare services, nutritional support, and mental health resources, are critical for mitigating the global impact of FHA and PCOS [68]. Overall, addressing the complex challenges posed by FHA and PCOS requires a comprehensive and integrated approach involving healthcare providers, policymakers, researchers, and advocacy organizations on a global scale [69].…”

Association between kidney stones and poor sleep factors in U.S. adults

“…[ 9 ] Poor sleep quality can lead to decreased immunity and increase the risk of some malignant diseases. Sleep duration, [ 10 ] posture, [ 11 ] and quality [ 12 ] have also been reported to play a vital role in kidney stones. Despite this, previous reports on this subject are sparse, and differ in terms of sleep factors.…”