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
Hauptverfasser: Sun, Huimin, Qin, Kang, Zou, Chenfeng, Wang, Harry Haoxiang, Lu, Ciyong, Chen, Weiqing, Guo, Vivian Yawei
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container_issue
container_start_page 25
container_title Sleep medicine
container_volume 86
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 &gt;10 h/night. Sleep quality was assessed by restless days in the past week (&lt;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 &gt;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. 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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. 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subjects Chronic kidney disease
Cohort study
Sleep duration
Sleep quality
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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