The risk of chronic kidney disease or proteinuria with long or short sleep duration: a systematic review and meta-analysis of cohort studies.

IF 2.2 4区医学 Q2 UROLOGY & NEPHROLOGY

Clinical and Experimental Nephrology Pub Date : 2024-10-23 DOI:10.1007/s10157-024-02575-7

Meng Hu, Yongchong Wang, Wen Zhu, Xiaozhen Chen

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引用次数: 0

Abstract

Objective: Irregular sleep duration has been linked with systemic diseases as well as chronic kidney disease (CKD). However, most of the evidence is low-quality and from cross-sectional data. We hereby present a meta-analysis of cohort studies examining the longitudinal association between short and long sleep with the risk of CKD or proteinuria.

Methods: Databases of Embase, PubMed, CENTRAL, Web of Science, and Scopus were searched up to 5th April 2024. The risk of CKD/proteinuria was assessed with short or long sleep duration.

Results: Nine studies were included. Both short and long sleep duration were associated with a mild increase in the risk of CKD/proteinuria. Based on different cutoffs for short sleep, we noted that sleep of ≤ 7 h was not associated with a significantly increased risk of CKD/proteinuria. A mild significant risk was noted in the subgroup of ≤ 6 h while a significant association was noted for sleep ≤ 5 h. For longer sleep duration, individuals with ≥ 8 h of sleep had an increased risk of CKD/proteinuria. However, the results were non-significant for individuals with ≥ 9 h of sleep. Non-significant results were noted for separate analyses on male, female, high body mass index, and elderly (≥ 60 years) individuals.

Conclusion: Both short and long sleep durations are associated with a significant increase in the risk of CKD/proteinuria in the adult population.

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睡眠时间长或短导致慢性肾病或蛋白尿的风险：队列研究的系统回顾和荟萃分析。

目的：睡眠时间不规律与全身性疾病和慢性肾脏病（CKD）有关。然而，大多数证据的质量不高，且来自横断面数据。我们在此对队列研究进行荟萃分析，研究睡眠时间长短与 CKD 或蛋白尿风险之间的纵向关系：方法：检索了截至 2024 年 4 月 5 日的 Embase、PubMed、CENTRAL、Web of Science 和 Scopus 等数据库。结果：共纳入 9 项研究：结果：共纳入 9 项研究。睡眠时间短和睡眠时间长都与慢性肾脏病/蛋白尿风险的轻度增加有关。根据睡眠时间短的不同临界值，我们注意到睡眠时间少于 7 小时与慢性肾功能衰竭/蛋白尿风险的显著增加无关。对于睡眠时间较长的人群，睡眠时间≥8小时的人患慢性肾功能衰竭/蛋白尿的风险增加。然而，睡眠时间≥9小时的人的结果不显著。对男性、女性、高体重指数和老年人（≥ 60 岁）进行单独分析，结果均不显著：结论：睡眠时间过短和过长都与成年人患慢性肾脏病/蛋白尿的风险显著增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Nephrology UROLOGY & NEPHROLOGY-

CiteScore

4.10

自引率

4.30%

发文量

135

审稿时长

4-8 weeks

期刊介绍： Clinical and Experimental Nephrology is a peer-reviewed monthly journal, officially published by the Japanese Society of Nephrology (JSN) to provide an international forum for the discussion of research and issues relating to the study of nephrology. Out of respect for the founders of the JSN, the title of this journal uses the term “nephrology,” a word created and brought into use with the establishment of the JSN (Japanese Journal of Nephrology, Vol. 2, No. 1, 1960). The journal publishes articles on all aspects of nephrology, including basic, experimental, and clinical research, so as to share the latest research findings and ideas not only with members of the JSN, but with all researchers who wish to contribute to a better understanding of recent advances in nephrology. The journal is unique in that it introduces to an international readership original reports from Japan and also the clinical standards discussed and agreed by JSN.