The association of nighttime sleep duration and quality with chronic kidney disease in middle-aged and older Chinese: a cohort study
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. We used the 2011 and 2015 surveys of the China Health and Retirement Longitudinal Study (CHARLS). Nighttime sleep duration wa...
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Veröffentlicht in: | Sleep medicine 2021-10, Vol.86, p.25-31 |
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creator | Sun, Huimin Qin, Kang Zou, Chenfeng Wang, Harry Haoxiang Lu, Ciyong Chen, Weiqing Guo, Vivian Yawei |
description | 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.
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 (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.
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.
•The four-year incidence of chronic kidney disease (CKD) in middle-aged and older Chinese was 7.8%.•There was a U-shaped association between sleep duration and risk of CKD.•Poor sleep quality was associated with increased risk of CKD. |
doi_str_mv | 10.1016/j.sleep.2021.08.007 |
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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.
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.
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.
•The four-year incidence of chronic kidney disease (CKD) in middle-aged and older Chinese was 7.8%.•There was a U-shaped association between sleep duration and risk of CKD.•Poor sleep quality was associated with increased risk of CKD.</description><identifier>ISSN: 1389-9457</identifier><identifier>EISSN: 1878-5506</identifier><identifier>DOI: 10.1016/j.sleep.2021.08.007</identifier><language>eng</language><publisher>Elsevier B.V</publisher><subject>Chronic kidney disease ; Cohort study ; Sleep duration ; Sleep quality</subject><ispartof>Sleep medicine, 2021-10, Vol.86, p.25-31</ispartof><rights>2021 Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c336t-4bc427aedcbd7859ef62deccb0caea74a4a778a99f7c0dc868272ef388f63bc43</citedby><cites>FETCH-LOGICAL-c336t-4bc427aedcbd7859ef62deccb0caea74a4a778a99f7c0dc868272ef388f63bc43</cites><orcidid>0000-0002-5624-857X ; 0000-0002-7250-7033 ; 0000-0001-9399-1808 ; 0000-0002-0361-6527</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1389945721004391$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids></links><search><creatorcontrib>Sun, Huimin</creatorcontrib><creatorcontrib>Qin, Kang</creatorcontrib><creatorcontrib>Zou, Chenfeng</creatorcontrib><creatorcontrib>Wang, Harry Haoxiang</creatorcontrib><creatorcontrib>Lu, Ciyong</creatorcontrib><creatorcontrib>Chen, Weiqing</creatorcontrib><creatorcontrib>Guo, Vivian Yawei</creatorcontrib><title>The association of nighttime sleep duration and quality with chronic kidney disease in middle-aged and older Chinese: a cohort study</title><title>Sleep medicine</title><description>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.
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.
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.
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.
•The four-year incidence of chronic kidney disease (CKD) in middle-aged and older Chinese was 7.8%.•There was a U-shaped association between sleep duration and risk of CKD.•Poor sleep quality was associated with increased risk of CKD.</description><subject>Chronic kidney disease</subject><subject>Cohort study</subject><subject>Sleep duration</subject><subject>Sleep quality</subject><issn>1389-9457</issn><issn>1878-5506</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kD1v2zAQhoUiAZo4_QVZOHaRQuqDpAp0CIwmLRCgSzoT9PEUnSuTDkml8N4fHtnu3OkOuPd5gXuK4lbwSnAh77ZVmhD3Vc1rUXFdca4-FFdCK112HZcXy97ovuzbTn0srlPaci6U0O1V8fd5RGZTCkA2U_AsDMzTy5gz7ZCdWpmb4_lmvWOvs50oH9gfyiODMQZPwH6T83hgjhLahIw825FzE5b2Bd0JC5PDyNYjeUz4hVkGYQwxs5Rnd7gpLgc7Jfz0b66KXw_fntffy6efjz_W908lNI3MZbuBtlYWHWyc0l2Pg6wdAmw4WLSqta1VStu-HxRwB1rqWtU4NFoPslnYZlV8PvfuY3idMWWzowQ4TdZjmJOpOylrKXR3jDbnKMSQUsTB7CPtbDwYwc3Rudmakx1zdG64Novzhfp6pnD54o0wmgSEHtBRRMjGBfov_w4iI48h</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Sun, Huimin</creator><creator>Qin, Kang</creator><creator>Zou, Chenfeng</creator><creator>Wang, Harry Haoxiang</creator><creator>Lu, Ciyong</creator><creator>Chen, Weiqing</creator><creator>Guo, Vivian Yawei</creator><general>Elsevier B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5624-857X</orcidid><orcidid>https://orcid.org/0000-0002-7250-7033</orcidid><orcidid>https://orcid.org/0000-0001-9399-1808</orcidid><orcidid>https://orcid.org/0000-0002-0361-6527</orcidid></search><sort><creationdate>202110</creationdate><title>The association of nighttime sleep duration and quality with chronic kidney disease in middle-aged and older Chinese: a cohort study</title><author>Sun, Huimin ; Qin, Kang ; Zou, Chenfeng ; Wang, Harry Haoxiang ; Lu, Ciyong ; Chen, Weiqing ; Guo, Vivian Yawei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-4bc427aedcbd7859ef62deccb0caea74a4a778a99f7c0dc868272ef388f63bc43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Chronic kidney disease</topic><topic>Cohort study</topic><topic>Sleep duration</topic><topic>Sleep quality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sun, Huimin</creatorcontrib><creatorcontrib>Qin, Kang</creatorcontrib><creatorcontrib>Zou, Chenfeng</creatorcontrib><creatorcontrib>Wang, Harry Haoxiang</creatorcontrib><creatorcontrib>Lu, Ciyong</creatorcontrib><creatorcontrib>Chen, Weiqing</creatorcontrib><creatorcontrib>Guo, Vivian Yawei</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sun, Huimin</au><au>Qin, Kang</au><au>Zou, Chenfeng</au><au>Wang, Harry Haoxiang</au><au>Lu, Ciyong</au><au>Chen, Weiqing</au><au>Guo, Vivian Yawei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association of nighttime sleep duration and quality with chronic kidney disease in middle-aged and older Chinese: a cohort study</atitle><jtitle>Sleep medicine</jtitle><date>2021-10</date><risdate>2021</risdate><volume>86</volume><spage>25</spage><epage>31</epage><pages>25-31</pages><issn>1389-9457</issn><eissn>1878-5506</eissn><abstract>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.
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.
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.
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.
•The four-year incidence of chronic kidney disease (CKD) in middle-aged and older Chinese was 7.8%.•There was a U-shaped association between sleep duration and risk of CKD.•Poor sleep quality was associated with increased risk of CKD.</abstract><pub>Elsevier B.V</pub><doi>10.1016/j.sleep.2021.08.007</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5624-857X</orcidid><orcidid>https://orcid.org/0000-0002-7250-7033</orcidid><orcidid>https://orcid.org/0000-0001-9399-1808</orcidid><orcidid>https://orcid.org/0000-0002-0361-6527</orcidid></addata></record> |
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title | The association of nighttime sleep duration and quality with chronic kidney disease in middle-aged and older Chinese: a cohort study |
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