US Trends in Prevalence of Sleep Problems and Associations with Chronic Kidney Disease and Mortality
| Autor: | Shieu, Monica, Morgenstern, Hal, Bragg-Gresham, Jennifer, Gillespie, Brenda W, Shamim-Uzzaman, Q Afifa, Tuot, Delphine, Saydah, Sharon, Rolka, Deborah, Burrows, Nilka Rios, Powe, Neil R, Saran, Rajiv, Centers for Disease Control and Prevention Chronic Kidney Disease Surveillance Team |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Sleep Wake Disorders Kidney Disease prevalence cross-sectional studies self report mortality United States renal insufficiency survival analysis chronic Centers for Disease Control and Prevention Chronic Kidney Disease Surveillance Team Good Health and Well Being Clinical Research Humans Sleep Sleep Research logistic models chronic kidney disease nocturia |
| Zdroj: | Kidney360, vol 1, iss 6 |
| ISSN: | 2005-2006 |
| Popis: | BackgroundTo better understand the relation between sleep problems and CKD, we examined temporal trends in the prevalence of self-reported sleep problems in adults in the United States and their associations with CKD and all-cause mortality.MethodsUsing data from 27,365 adult participants in five biannual National Health and Examination Surveys (2005-2006 through 2013-2014), we studied five self-reported sleep problems-trouble sleeping, sleep disorder, nocturia (urinating ≥2 times/night), inadequate sleep (9 hours/night)-plus a composite index. We conducted three types of analysis: temporal trends in the prevalence of each sleep measure by CKD status, using model-based standardization; cross-sectional analysis of associations between four CKD measures and each sleep measure, using logistic regression; and survival analysis of the association between each sleep measure and mortality, using Cox regression.ResultsThe prevalence of trouble sleeping and sleep disorder increased over the five surveys by 4% and 3%, respectively, whereas the other sleep problems remained relatively stable. All sleep problems, except inadequate sleep, were more common during the study period among adults with CKD than without CKD (40% versus 21% for nocturia; 5% versus 2% for excessive sleep; 30% versus 25% for trouble sleeping; 12% versus 8% for sleep disorder). Both eGFR 9 versus 7-9 hours/night=1.7; 95% CI, 1.3 to 2.1; and for nocturia=1.2; 95% CI, 1.1 to 1.4).ConclusionsThe high prevalence of sleep problems among persons with CKD and their associations with mortality suggest their potential importance to clinical practice. Future work could examine the health effects of identifying and treating sleep problems in patients with CKD. |
| Databáze: | OpenAIRE |
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