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

Sun, Haichun; Qin, Kang; Zou, Chenfeng; Wang, Haoxiang; Lu, Ciyong; Chen, Weiqing; Guo, Vivian Yawei

doi:10.1016/j.sleep.2021.08.007

Cited by 23 publications

(11 citation statements)

References 45 publications

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“…In addition, higher proportion of depressive symptoms was associated with higher risk of rapid eGFR decline or CKD development in Chinese middle-aged or older adults with normal kidney function ( 27 ). Consistent with our study, another study from CHARLS suggested that long night-time sleep duration and poor sleep quality were associated with increased risk of CKD in middle-aged and older Chinese ( 18 ). This study highlighted the significant association between poor sleep duration and quality with the risks of CKD development in Chinese middle-aged or older people.…”

Section: Discussionsupporting

confidence: 91%

“…CKD were previously reported to be associated with night-time sleep duration and quality in middle-aged or older adults ( 18 ). However, previous studies demonstrated inconsistent results regarding the relationship between sleep duration and kidney function decline or CKD progression.…”

Section: Discussionmentioning

confidence: 99%

“…The serum cystatin C may vary due to insulin resistance or inflammation ( 32 , 33 ). The kidney outcomes were assessed by eGFR cr or eGFR cys alone in previous studies ( 18 , 34 ). Therefore, taking both cystatin C and creatinine measurement into consideration to determine the eGFR could improve the accuracy ( 35 ).…”

Section: Discussionmentioning

confidence: 99%

“…The baseline survey was carried out from June 2011 to March 2012. The detailed design and methods on the demographic, lifestyle factors, clinical or biochemical measurements and blood samples in the study were reported previously ( 17 , 18 ). CHARLS data, which were collected from representative participants of 45 years old and above from among the Chinese population, aimed to establish a higher quality database.…”

Section: Methodsmentioning

confidence: 99%

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Association between sleep duration and quality with rapid kidney function decline and development of chronic kidney diseases in adults with normal kidney function: The China health and retirement longitudinal study

Jin

Dong

et al. 2023

Front. Public Health

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Research have shown that sleep is associated with renal function. However, the potential effects of sleep duration or quality on kidney function in middle-aged and older Chinese adults with normal kidney function has rarely been studied. Our study aimed to investigate the association of sleep and kidney function in middle-aged and older Chinese adults. Four thousand and eighty six participants with an eGFR ≥60 ml/min/1.73 m2 at baseline were enrolled between 2011 and 2015 from the China Health and Retirement Longitudinal Study. Survey questionnaire data were collected from conducted interviews in the 2011. The eGFR was estimated from serum creatinine and/or cystatin C using the Chronic Kidney Disease Epidemiology Collaboration equations (CKD-EPI). The primary outcome was defined as rapid kidney function decline. Secondary outcome was defined as rapid kidney function decline with clinical eGFR of <60 ml/min/1.73 m2 at the exit visit. The associations between sleep duration, sleep quality and renal function decline or chronic kidney disease (CKD) were assessed based with logistic regression model. Our results showed that 244 (6.0%) participants developed rapid decline in kidney function, while 102 (2.5%) developed CKD. In addition, participants who had 3–7 days of poor sleep quality per week had higher risks of CKD development (OR 1.86, 95% CI 1.24–2.80). However, compared with those who had 6–8 h of night-time sleep, no significantly higher risks of rapid decline in kidney function was found among those who had <6 h or >8 h of night time sleep after adjustments for demographic, clinical, or psychosocial covariates. Furthermore, daytime nap did not present significant risk in both rapid eGFR decline or CKD development. In conclusion, sleep quality was significantly associated with the development of CKD in middle-aged and older Chinese adults with normal kidney function.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Association between sleep duration and quality with rapid kidney function decline and development of chronic kidney diseases in adults with normal kidney function: The China health and retirement longitudinal study

Jin

Dong

et al. 2023

Front. Public Health

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“…Optimal sleep duration plays an essential role in maintaining human health and wellbeing ( 10 ). Previous studies have identified extreme sleep duration as a critical lifestyle risk factor for a series of chronic diseases ( 11 ), such as diabetes mellitus ( 12 ) and chronic kidney disease ( 13 , 14 ). Recently, several studies have suggested that sleep duration may be a potentially modifiable risk factor for hyperuricemia ( 15 – 18 ).…”

Section: Introductionmentioning

confidence: 99%

Linear and non-linear Mendelian randomization analyses of sex-specific associations between sleep duration and hyperuricemia

Zou

Wang

et al. 2022

Front. Nutr.

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BackgroundObservational studies have suggested a potential non-linear association between sleep duration and hyperuricemia. However, the causal nature and sex-specific differences are poorly understood. We aimed to determine the shape of sex-specific causal associations between sleep duration and hyperuricemia in the UK Biobank.MethodsLogistic regression was used to investigate the observational association between self-reported sleep duration and hyperuricemia among 387,980 white British participants (mean age: 56.9 years and 46.0% males). Linear and non-linear Mendelian Randomization (MR) analyses were performed to assess the causal association between continuous sleep duration and hyperuricemia. The causal effects of genetically predicted short (<7 h) and long (>8 h) sleep durations on hyperuricemia were further estimated, respectively.ResultsTraditional observational analysis suggested U- and J-shaped associations between sleep duration and hyperuricemia in females and males, respectively. Linear MR did not support the causal effect of sleep duration on hyperuricemia. Non-linear MR demonstrated an approximately U-shaped causal association between continuous sleep duration and hyperuricemia in overall participants and females, but not in males. Genetically predicted short sleep duration was significantly associated with hyperuricemia in females (OR [95% CI]: 1.21 [1.08–1.36]; P = 0.001), but not in males (1.08 [0.98–1.18]; P = 0.137). By contrast, genetically predicted long sleep duration was not significantly associated with the risk of hyperuricemia in either females or males.ConclusionGenetically predicted short sleep duration is a potential causal risk factor for hyperuricemia for females but has little effect on males. Long sleep duration does not appear to be causally associated with hyperuricemia.

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Short or long sleep duration was associated with chronic kidney disease in a Chinese nationwide cohort study

Peng,

2023

Int Urol Nephrol

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

Cited by 23 publications

References 45 publications

Association between sleep duration and quality with rapid kidney function decline and development of chronic kidney diseases in adults with normal kidney function: The China health and retirement longitudinal study

Association between sleep duration and quality with rapid kidney function decline and development of chronic kidney diseases in adults with normal kidney function: The China health and retirement longitudinal study

Linear and non-linear Mendelian randomization analyses of sex-specific associations between sleep duration and hyperuricemia

Short or long sleep duration was associated with chronic kidney disease in a Chinese nationwide cohort study

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