Evidence map›Paper›PMID 33004418›Full record

Observational studyJournal of the American Society of Nephrology : JASN2020

Short or Long Sleep Duration and CKD: A Mendelian Randomization Study.

Sehoon Park, Soojin Lee, Yaerim Kim, Yeonhee Lee, Min Woo Kang, Kwangsoo Kim, Yong Chul Kim, Seung Seok Han, Hajeong Lee, Jung Pyo Lee and 4 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Society of Nephrology : JASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 4 pooled it
13.9field-weighted citation impact, top 1% 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

67 citing papers in PubMed, 4 syntheses or guidelines pooled it, 131 citations in OpenAlex.

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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Sehoon ParkDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea.
Soojin LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Yaerim KimDepartment of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea dkkim73@gmail.com.ORCID 0000-0003-1596-1528
Yeonhee LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Min Woo KangDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Kwangsoo KimBiomedical Research Institute, Seoul National University Hospital, Seoul, Korea dkkim73@gmail.com.ORCID 0000-0002-4586-5062
Yong Chul KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea dkkim73@gmail.com.
Seung Seok HanDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID 0000-0003-0137-5261
Hajeong LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Jung Pyo LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID 0000-0002-4714-1260
Kwon Wook JooDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID 0000-0002-5574-554X
Chun Soo LimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID 0000-0001-9123-6542
Yon Su KimDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea dkkim73@gmail.com.
Dong Ki KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea dkkim73@gmail.com.ORCID 0000-0002-5195-7852
Seoul National University · KRSeoul National University Hospital · KR

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853
6 · The paper itself

Abstract

backgroundStudies have found sleeping behaviors, such as sleep duration, to be associated with kidney function and cardiovascular disease risk. However, whether short or long sleep duration is a causative factor for kidney function impairment has been rarely studied.

methodsWe studied data from participants aged 40-69 years in the UK Biobank prospective cohort, including 25,605 self-reporting short-duration sleep (<6 hours per 24 hours), 404,550 reporting intermediate-duration sleep (6-8 hours), and 35,659 reporting long-duration sleep (≥9 hours) in the clinical analysis. Using logistic regression analysis, we investigated the observational association between the sleep duration group and prevalent CKD stages 3-5, analyzed by logistic regression analysis. We performed Mendelian randomization (MR) analysis involving 321,260 White British individuals using genetic instruments (genetic variants linked with short- or long-duration sleep behavior as instrumental variables). We performed genetic risk score analysis as a one-sample MR and extended the finding with a two-sample MR analysis with CKD outcome information from the independent CKDGen Consortium genome-wide association study meta-analysis.

resultsShort or long sleep duration clinically associated with higher prevalence of CKD compared with intermediate duration. The genetic risk score for short (but not long) sleep was significantly related to CKD (per unit reflecting a two-fold increase in the odds of the phenotype; adjusted odds ratio, 1.80; 95% confidence interval, 1.25 to 2.60). Two-sample MR analysis demonstrated causal effects of short sleep duration on CKD by the inverse variance weighted method, supported by causal estimates from MR-Egger regression.

conclusionsThese findings support an adverse effect of a short sleep duration on kidney function. Clinicians may encourage patients to avoid short-duration sleeping behavior to reduce CKD risk.

Indexed as

SleepAdultAgedCohort StudiesFemaleHumansLogistic ModelsMaleMendelian Randomization AnalysisMiddle AgedOdds RatioPrevalenceRenal Insufficiency, ChronicTime FactorsUnited Kingdomchronic kidney diseaseend-stage kidney diseasegenetic risk scoreMendelian randomizationsleep

Identifiers

PMID33004418
PMCPMC7790216
OpenAlexW3090993883

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.