농업인에서 수면 시간과 만성콩팥병의 연관성에 대한 분석
Association between Chronic Kidney Disease and Sleep Duration among Jeju Farmers: Safety for Agricultural Injuries of Farmers Cohort Study
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study was conducted to identify the association between sleep duration and chronic kidney disease (CKD) among the agriculture population. Methods: We utilized the study of Safety for Agricultural Injuries of Famers cohort collected from September 2015 to June 2018, which was data on the health and behaviors of the adult agriculture population on Jeju Island, South Korea. CKD was defined as estimated glomerular filtration rate <60 mL/min/1.73 m2. Results: A total of 493 participants were included in the analysis, and 72 (14.6%) of them were identified as diagnosed with CKD. There was a statistical difference in the prevalence of CKD among the subjects with <6 hours (24.1%), 6 to 8 hours (8.4%) and ≥8 hours (18.2%) of daily average sleep duration (p<0.001). Multivariable analyses revealed that daily average sleep duration of <6 hours [odds ratio (OR)=3.79, p=0.007] and ≥8 hours (OR=3.39, p=0.009) were significantly associated with CKD compared to 6 to 8 hours of the duration. Conclusions: Our findings suggest that both shorter and longer sleep duration give a higher risk of having CKD among the agriculture population. Adequate sleep within 6 to 8 hours a day can help prevent CKD in the agriculture population.
Abstract
Objectives: This study was conducted to identify the association between sleep duration and chronic kidney disease (CKD) among the agriculture population. Methods: We utilized the study of Safety for Agricultural Injuries of Famers cohort collected from September 2015 to June 2018, which was data on the health and behaviors of the adult agriculture population on Jeju Island, South Korea. CKD was defined as estimated glomerular filtration rate <60 mL/min/1.73 m2. Results: A total of 493 participants were included in the analysis, and 72 (14.6%) of them were identified as diagnosed with CKD. There was a statistical difference in the prevalence of CKD among the subjects with <6 hours (24.1%), 6 to 8 hours (8.4%) and ≥8 hours (18.2%) of daily average sleep duration (p<0.001). Multivariable analyses revealed that daily average sleep duration of <6 hours [odds ratio (OR)=3.79, p=0.007] and ≥8 hours (OR=3.39, p=0.009) were significantly associated with CKD compared to 6 to 8 hours of the duration. Conclusions: Our findings suggest that both shorter and longer sleep duration give a higher risk of having CKD among the agriculture population. Adequate sleep within 6 to 8 hours a day can help prevent CKD in the agriculture population.
참고문헌 (22)
- 박지인, "Prevalence of Chronic Kidney Disease in Korea: the Korean National Health and Nutritional Examination Survey 2011-2013", Journal of Korean Medical Science, 31(6), pp.915~923 (2016), 대한의학회
- 유기봉, "우리나라의 만성콩팥병으로 인한 사회경제적 부담 추정에 관한 연구", 대한보건연구, 40(3), pp.13~23 (2014), 사단법인 대한보건협회[DOI]
- 진동찬, "우리나라 말기신부전 환자의 투석현황", 대한의사협회지, 56(7), pp.562~568 (2013), 대한의사협회
- Chapman E, "Risk factors for chronic kidney disease of non-traditional causes: a systematic review", Rev Panam Salud Publica, 43, pp.e35~ (2019)
- Cappuccio FP, "Meta-analysis of short sleep duration and obesity in children and adults", Sleep, 31, pp.619~626 (2008)
- Cappuccio FP, "Quantity and quality of sleep and incidence of type 2 diabetes : a systematic review and meta-analysis", Diabetes Care, 33, pp.414~420 (2010)
- Gangwisch JE, "Short sleep duration as a risk factor for hypertension : analyses of the first National Health and Nutrition Examination Survey", Hypertension, 47, pp.833~839 (2006)
- Cappuccio FP, "Sleep duration predicts cardiovascular outcomes : a systematic review and meta-analysis of prospective studies", Eur Heart J, 32, pp.1484~1492 (2011)
- Wolff B, "Relation of self-reported sleep duration with carotid intima-media thickness in a general population sample", Atherosclerosis, 196, pp.727~732 (2008)
- Li J, "Sleep and CKD in Chinese adults : a crosssectional study", Clin J Am Soc Nephrol, 12, pp.885~892 (2017)
- Ye Y, "Self-reported sleep duration and daytime napping are associated with renal hyperfiltration and microalbuminuria in an apparently healthy Chinese population", PLoS One, 14, pp.e0214776~ (2019)
- Bo Y, "Sleep and the risk of chronic kidney disease : a cohort study", J Clin Sleep Med, 15, pp.393~400 (2019)
- Yu JH, "U-shaped association between sleep duration and urinary albumin excretion in Korean adults: 2011-2014 Korea National Health and Nutrition Examination Survey", PLoS One, 13, pp.e0192980~ (2018)
- Levey AS, "A more accurate method to estimate glomerular filtration rate from serum creatinine:a new prediction equation. Modification of Diet in Renal Disease Study Group", Ann Intern Med, 130, pp.461~470 (1999)
- Stevens PE, "Evaluation and management of chronic kidney disease: synopsis of the kidney disease: improving global outcomes 2012 clinical practice guideline", Ann Intern Med, 158, pp.825~830 (2013)
- Maung SC, "Sleep disorders and chronic kidney disease", World J Nephrol, 5, pp.224~232 (2016)
- Violo L, "Chronic kidney disease of unknown cause in agricultural communities", N Engl J Med, 381, pp.688~689 (2019)
- Samson DR, "Segmented sleep in a nonelectric, small-scale agricultural society in Madagascar", Am J Hum Biol, 29, pp.e22979~ (2017)
- Miner B, "Sleep in the aging population", Sleep Med Clin, 12, pp.31~38 (2017)
- Adeseun GA, "The impact of obstructive sleep apnea on chronic kidney disease", Curr Hypertens Rep, 12, pp.378~383 (2010)
- Lee J, "The prevalence of restless legs syndrome across the full spectrum of kidney disease", J Clin Sleep Med, 9, pp.455~459 (2013)
- Nigam G, "Exploring sleep disorders in patients with chronic kidney disease", Nat Sci Sleep, 10, pp.35~43 (2018)