Korean J Intern Med.  2017 Mar;32(2):323-334. 10.3904/kjim.2015.400.

Sleep duration and chronic kidney disease: The Korean Genome and Epidemiology Study (KoGES)-Kangwha study

• Choi H
• Kim HC
• Lee JY
• Lee JM
• Choi DP
• Suh I

• KMID: 2371656
• DOI: http://doi.org/10.3904/kjim.2015.400

Abstract

BACKGROUND/AIMS
Sleep duration affects health in various ways. The objective of this study was to investigate the associations of sleep duration with chronic kidney disease (CKD) in a Korean adult population.
METHODS
This cross-sectional analysis was conducted for total of 1,360 participants who completed baseline health examinations for the Korean Genome and Epidemiology Study-Kangwha study in 2010 to 2011. Sleep habits were measured by an interviewer-assisted questionnaire. Sleep duration was calculated based on the number of hours per day participants had slept over the past 1 year. CKD was defined as either proteinuria or estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m². Multiple logistic regression models were applied to examine associations between sleep duration and CKD.
RESULTS
Women with very long sleep duration (≥ 9 hours/day) were at significantly increased odds for having high serum creatinine (odds ratio [OR], 2.936; 95% confidence interval [CI], 1.176 to 7.326), low eGFR (OR, 3.320; 95% CI, 1.372 to 8.034), and CKD (OR, 3.112; 95% CI, 1.315 to 7.363), compared those with a typical sleep duration (7 to < 8 hours/day), after adjusting for sociodemographic status, socioeconomic status, health behaviors, comorbidities, and sleep quality. Among women, for every 1 hour increase in sleep duration per day, there was a 24.6% increase in the presence of CKD (OR, 1.246; 95% CI, 1.019 to 1.523). However, among men, sleep duration was not significantly associated with CKD.
CONCLUSIONS
Very long sleep duration was independently associated with a higher prevalence of CKD among Korean women. Gender may influence this association.

Keyword

Sleep duration; Sleep quantity; Renal insufficiency, chronic; Kidney function; General population

MeSH Terms

Adult
Comorbidity
Creatinine
Cross-Sectional Studies
Epidemiology*
Female
Genome*
Glomerular Filtration Rate
Health Behavior
Humans
Logistic Models
Male
Prevalence
Proteinuria
Renal Insufficiency, Chronic*
Social Class
Creatinine