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Perturbation of Circadian Rhythm Is Associated with Increased Prevalence of Chronic Kidney Disease

Results of the Korean Nationwide Population-Based Survey

Bibliographic Data

ID15482196
AuthorsYina Fang (0000-0002-6171-9073, Korea University), Serhim Son (0000-0003-4539-4392, Korea University), Jihyun Yang (0000-0002-8616-238X, Korea University), Se Won Oh (0000-0003-3795-9322, Korea University), Sewon Oh (Department of Internal Medicine, Korea University Anam Hospital, Seoul 02841, Korea), Sang‐Kyung Jo (0000-0002-0496-0258, Korea University), Sang-Kyung Jo (Department of Internal Medicine, Korea University Anam Hospital, Seoul 02841, Korea), Won Yong Cho (0000-0001-8627-8940, Korea University), Myung-Gyu Kim (0000-0001-8807-2452, Korea University, corresponding author)
Year2022
Volume19
Issue9
Pages5732-5732
Publication date2022-05-08
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19095732
PMID35565131
OpenAlexW4229335466
LanguageEN
References cited36

Disturbances in circadian rhythms cause several health problems, such as psychosis, metabolic syndrome, and cancer; however, their effect on kidney disease remains unclear. This study aimed to evaluate the association between chronic kidney disease (CKD) and sleep disturbance in a Korean adult population. A total of 17,408 participants who completed the National Health and Nutrition Examination Survey from 2016 to 2018 were assessed for their sleep patterns and renal function. CKD was defined as an estimated glomerular filtration rate ≤ 60 mL/min/1.73 m2 or a positive dipstick urinalysis. Sleep onset time and sleep duration showed significant differences between the control and CKD groups (p < 0.001). After adjusting for the covariates, sleep onset time rather than sleep duration was independently associated with incidence of CKD, and this association was more significant in people who were older, in women, and in those with low body mass index and no comorbidities. When comparing the prevalence of newly diagnosed CKD according to sleep onset time in a population with no CKD risk factors or no history of CKD, the early bedtime group showed an independent association with incidence of new CKD (odds ratio (OR), 1.535; 95% confidence interval (CI), 1.011−2.330) even after adjusting for covariates. Impaired circadian rhythm along with sleep disturbance could be associated with CKD development; therefore, sleep disturbance might be an important therapeutic target for CKD

Circadian rhythm · Kidney disease · National Health and Nutrition Examination Survey · Odds ratio · Population · Renal function · Circadian rhythm and melatonin · Dietary Effects on Health · Medicine · Sleep and related disorders · Internal Medicine

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