The Korean journal of internal medicine

The Korean Association of Internal Medicine (대한내과학회)
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Sleep duration and chronic kidney disease: The Korean Genome and Epidemiology Study (KoGES)-Kangwha study

  • Choi, Hansol (Department of Public Health, Yonsei University Graduate School) ;
  • Kim, Hyeon Chang (Cardiovascular and Metabolic Disease Etiology Research Center, Yonsei University College of Medicine) ;
  • Lee, Joo Young (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Lee, Ju-Mi (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Choi, Dong Phil (Department of Public Health, Yonsei University Graduate School) ;
  • Suh, Il (Department of Preventive Medicine, Yonsei University College of Medicine)
  • Received : 2015.12.24
  • Accepted : 2016.05.15
  • Published : 2017.03.01
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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) < $60mL/min/1.73m^2$. Multiple logistic regression models were applied to examine associations between sleep duration and CKD. Results: Women with very long sleep duration (${\geq}9hours/day$) 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.

Keywords

Acknowledgement

Supported by : Korea Centers for Disease Control and Prevention, Ministry of Health and Welfare

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