Sleep Health. 2016 Mar;2(1):75-81. doi: 10.1016/j.sleh.2015.12.003. Epub 2016 Feb 02.
Association of sleep duration with kidney function and albuminuria: NHANES 2009-2012.
Sleep health
Megan E Petrov, Matthew P Buman, Mark L Unruh, Carol M Baldwin, Mihyun Jeong, Luxana Reynaga-Ornelas, Shawn D Youngstedt
Affiliations
Affiliations
- College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd Street, Phoenix, AZ, USA. Electronic address: [email protected].
- School of Nutrition and Health Promotion, Arizona State University, Phoenix, AZ, USA. Electronic address: [email protected].
- Division of Nephrology, University of New Mexico, Albuquerque, NM, USA. Electronic address: [email protected].
- College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd Street, Phoenix, AZ, USA. Electronic address: [email protected].
- College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd Street, Phoenix, AZ, USA. Electronic address: [email protected].
- School of Nursing and Obstetrics, University of Guanajuato, León, Mexico. Electronic address: [email protected].
- College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd Street, Phoenix, AZ, USA; School of Nutrition and Health Promotion, Arizona State University, Phoenix, AZ, USA. Electronic address: [email protected].
PMID: 29073456
PMCID: PMC8381730 DOI: 10.1016/j.sleh.2015.12.003
Abstract
OBJECTIVE: The purpose of this study was to examine the association between self-reported sleep duration and markers of kidney function.
DESIGN: A cross-sectional survey from the 2009-2012 National Health and Nutrition Examination Survey.
SETTING AND PARTICIPANTS: The participants were 8690 adults (e20years) without a previous sleep disorder diagnosis, end-stage kidney failure, or other kidney or liver problems. Subsamples with pre-diabetes and pre-hypertension were examined.
MEASUREMENTS: Participants reported habitual sleep duration, coded as d5, 6, 7, 8, and e9hours per night. Biomarkers of kidney function were determined, including glomerular filtration rate (eGFR) estimated from the Chronic Kidney Disease Epidemiology Collaboration equation, urine albumin-to-creatinine ratio (ACR), microalbuminuria status, and glomerular hyperfiltration status. Weighted and adjusted general linear models assessed associations between sleep duration with eGFR and ACR. Logistic regression analyses evaluated the associations of microalbuminuria and glomerular hyperfiltration status with sleep duration.
RESULTS: Greater eGFR was related to short sleep duration in the total sample and among participants with pre-diabetes. Greater ACR was associated with short and long sleep duration. Short sleep duration (d5hours) was associated with an increased odds for glomerular hyperfiltration (OR, 1.41; 95% CI, 0.97-2.06) and microalbuminuria (OR, 1.31; 95% CI, 0.96-1.79).
CONCLUSIONS: In a US representative sample of adults, self-reported short and long sleep duration were related to higher ACR. Short sleep duration was associated with higher eGFR and microalbuminuria. Research is needed to understand whether these associations indicate increased risk for kidney damage and cardiovascular risk.
Copyright © 2016 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
Keywords: Albuminuria; Chronic kidney disease; Glomerular filtration rate; National survey; Renal function; Sleep duration
References
- Glob J Health Sci. 2015 Feb 24;7(5):59-72 - PubMed
- Sleep. 2010 Aug;33(8):1037-42 - PubMed
- Am J Epidemiol. 2002 Jun 15;155(12):1114-9 - PubMed
- Am J Kidney Dis. 2011 Oct;58(4):554-64 - PubMed
- Nephrol Dial Transplant. 2012 May;27(5):1708-14 - PubMed
- J Sleep Res. 2015 Jun;24(3):351-8 - PubMed
- Arch Intern Med. 2009 Jun 8;169(11):1055-61 - PubMed
- Sleep Med. 2014 Sep;15(9):1140-6 - PubMed
- Sleep. 2013 Nov 01;36(11):1587-95 - PubMed
- J Atheroscler Thromb. 2012;19(10):932-40 - PubMed
- Cardiorenal Med. 2014 Dec;4(3-4):210-6 - PubMed
- Am J Kidney Dis. 2012 Mar;59(3):343-55 - PubMed
- Prim Care Diabetes. 2013 Apr;7(1):39-44 - PubMed
- J Am Coll Cardiol. 2003 Jan 1;41(1):47-55 - PubMed
- Am J Kidney Dis. 2012 Nov;60(5):823-33 - PubMed
- Circ Cardiovasc Genet. 2010 Jun;3(3):240-7 - PubMed
- PLoS One. 2013 Nov 12;8(11):e78968 - PubMed
- Sleep. 2008 May;31(5):645-52 - PubMed
- Sleep Health. 2015 Sep;1(3):169-176 - PubMed
- Sleep. 2010 May;33(5):585-92 - PubMed
- Ann Intern Med. 2009 May 5;150(9):604-12 - PubMed
- Am J Kidney Dis. 2006 Nov;48(5):720-6 - PubMed
- J Natl Med Assoc. 2008 Mar;100(3):317-22 - PubMed
- Nat Rev Nephrol. 2012 Feb 21;8(5):293-300 - PubMed
- Kidney Int. 2007 Apr;71(8):816-21 - PubMed
- Sleep. 2009 Feb;32(2):200-4 - PubMed
- Medicine (Baltimore). 2015 Jan;94(4):e429 - PubMed
- Nephrol Dial Transplant. 2012 May;27(5):1821-5 - PubMed
- J Sleep Res. 2009 Jun;18(2):148-58 - PubMed
- Hypertension. 2006 May;47(5):833-9 - PubMed
- Eur Heart J. 2011 Jun;32(12):1484-92 - PubMed
- Am J Epidemiol. 2009 May 1;169(9):1052-63 - PubMed
- Am J Med. 1983 Dec;75(6):943-50 - PubMed
- Am J Hypertens. 2012 Mar;25(3):335-41 - PubMed
- Am J Kidney Dis. 2010 Mar;55(3 Suppl 2):S15-22 - PubMed
- J Am Soc Nephrol. 2004 May;15(5):1307-15 - PubMed
- Diabetes Care. 2015 Mar;38(3):529-37 - PubMed
- J Am Soc Nephrol. 2011 Sep;22(9):1721-8 - PubMed
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