Evidence map›Paper›PMID 30853043›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2019

Sleep and the Risk of Chronic Kidney Disease: A Cohort Study.

Yacong Bo, Eng-Kiong Yeoh, Cui Guo, Zilong Zhang, Tony Tam, Ta-Chien Chan, Ly-Yun Chang, Xiang Qian Lao

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 65 citations in OpenAlex.

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  12. A Systematic Review of Sleep Hygiene Strategy in CKD.Kidney international reports · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

Yacong BoJockey Club School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong.
Eng-Kiong YeohJockey Club School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong.
Cui GuoJockey Club School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong.
Zilong ZhangJockey Club School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong.
Tony TamDepartment of Sociology, the Chinese University of Hong Kong, Hong Kong.
Ta-Chien ChanResearch Center for Humanities and Social Sciences, Academia Sinica, Taiwan.
Ly-Yun ChangMJ Health Research Foundation, MJ Group, Taiwan.
Xiang Qian LaoJockey Club School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong.
Chinese University of Hong Kong · HKInstitute of Sociology, Academia Sinica · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesLittle information is available regarding the effect of sleep on the development of chronic kidney disease (CKD). This large-cohort study aimed to investigate the association between sleep and the incidence of CKD.

methodsWe recruited 194,039 participants without CKD aged 20 years or older between 1996 and 2014. Incident CKD was defined as an estimated glomerular filtration rate of < 60 mL/min/1.73 m

resultsRegarding sleep duration, participants who slept for fewer than 4 hours (HR 1.45, 95% CI 1.22-1.71), 4 to 6 hours (1.07, 1.02-1.14), or more than 8 hours (1.12, 1.04-1.21) had an increased risk of incident CKD, compared to those who slept 6 to 8 hours. Regarding sleep quality, participants who fell asleep but awoke easily (1.13, 1.07-1.19), had difficulty falling asleep (1.14, 1.06-1.22), or used sleeping pills or sedatives (1.14, 1.20-1.66) had a higher risk of incident CKD, compared to those who slept well. Furthermore, participants with sleep scores of 4 to 6 (1.07, 1.02-1.13) and less than 4 (1.61, 1.37-1.89) had an increased risk of incident CKD, compared to those with a sleep score higher than 6.

conclusionsA poor sleep profile is associated with increased risk of CKD development. Therefore, sleep duration and quality should be considered when developing strategies to improve sleep and thus prevent CKD. COMMENTARY: A commentary on this article appears in this issue on page 371.

Indexed as

SleepAdultFemaleGlomerular Filtration RateHumansMaleProportional Hazards ModelsRenal Insufficiency, ChronicRisk FactorsSleep DeprivationSleep Wake DisordersSurveys and Questionnaireschronic kidney diseaseeGFRestimated glomerular filtration ratesleep

Identifiers

PMID30853043
PMCPMC6411180
OpenAlexW2920880791

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.