Evidence map›Paper›PMID 38049616›Full record

ArticleFrontiers of medicine2024

Associations of sleeping patterns and isotemporal substitution of other behavior with the prevalence of CKD in Chinese adults.

Yi Ding, Xiaoli Xu, Zhuojun Xin, Qiuyu Cao, Jiaojiao Huang, Xianglin Wu, Yanan Huo, Qin Wan, Yingfen Qin, Ruying Hu and 34 more

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Article in Frontiers of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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44 authors.

Yi Ding *Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Xiaoli Xu *Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Zhuojun XinDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Qiuyu CaoDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Jiaojiao HuangDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Xianglin WuDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Yanan HuoJiangxi Provincial People's Hospital, Affiliated to Nanchang University, Nanchang, 330000, China.
Qin WanDepartment of Endocrinology, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China.
Yingfen QinDepartment of Endocrinology, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530000, China.
Ruying HuZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, 310000, China.
Lixin ShiDepartment of Endocrinology, Affiliated Hospital of Guiyang Medical University, Guiyang, 550000, China.
Qing SuXinhua Hospital, Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200000, China.
Xuefeng YuTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430000, China.
Li YanSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510000, China.
Guijun QinDepartment of Endocrinology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Xulei TangDepartment of Endocrinology, The First Hospital of Lanzhou University, Lanzhou, 730000, China.
Gang ChenFujian Provincial Hospital, Fujian Medical University, Fuzhou, 350000, China.
Min XuDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Tiange WangDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Zhiyun ZhaoDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Zhengnan GaoDalian Municipal Central Hospital, Affiliated of Dalian Medical University, Dalian, 116000, China.
Guixia WangDepartment of Endocrinology, The First Hospital of Jilin University, Changchun, 130000, China.
Feixia ShenDepartment of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Zuojie LuoDepartment of Endocrinology, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530000, China.
Li ChenQilu Hospital of Shandong University, Jinan, 250000, China.
Qiang LiDepartment of Endocrinology, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150000, China.
Zhen YeZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, 310000, China.
Yinfei ZhangDepartment of Endocrinology, Central Hospital of Shanghai Jiading District, Shanghai, 200000, China.
Chao LiuDepartment of Endocrinology, Jiangsu Province Hospital on Integration of Chinese and Western Medicine, Nanjing, 210000, China.
Youmin WangDepartment of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230000, China.
Tao YangDepartment of Endocrinology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210000, China.
Huacong DengDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 410000, China.
Lulu ChenUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430000, China.
Tianshu ZengUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430000, China.
Jiajun ZhaoShandong Provincial Hospital, Affiliated to Shandong University, Jinan, 250000, China.
Yiming MuDepartment of Endocrinology, Chinese People's Liberation Army General Hospital, Beijing, 100000, China.
Shengli WuDepartment of Endocrinology, Karamay Municipal People's Hospital, Karamay, 834000, China.
Yuhong ChenDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Jieli LuDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Weiqing WangDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Guang NingDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Yu XuDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. yuerfantast@hotmail.com.
Yufang BiDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. byf10784@rjh.com.cn.
Mian LiDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. limian39@aliyun.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studies have found a U-shaped relationship between sleep duration and chronic kidney disease (CKD) risk, but limited research evaluated the association of reallocating excessive sleep to other behavior with CKD. We included 104 538 participants from the nationwide cohort of the Risk Evaluation of Cancers in Chinese Diabetic Individuals: A Longitudinal Study, with self-reported time of daily-life behavior. Using isotemporal substitution models, we found that substituting 1 h of sleeping with sitting, walking, or moderate-to-vigorous physical activity was associated with a lower CKD prevalence. Leisure-time physical activity displacement was associated with a greater prevalence reduction than occupational physical activity in working population. In stratified analysis, a lower CKD prevalence related to substitution toward physical activity was found in long sleepers. More pronounced correlations were observed in long sleepers with diabetes than in those with prediabetes, and they benefited from other behavior substitutions toward a more active way. The U-shaped association between sleep duration and CKD prevalence implied the potential effects of insufficient and excessive sleep on the kidneys, in which the pernicious link with oversleep could be reversed by time reallocation to physical activity. The divergence in the predicted effect on CKD following time reallocation to behavior of different domains and intensities and in subpopulations with diverse metabolic statuses underlined the importance of optimizing sleeping patterns and adjusting integral behavioral composition.

Indexed as

ExerciseRenal Insufficiency, ChronicSleepAdultAgedChinaEast Asian PeopleFemaleHumansLongitudinal StudiesMaleMiddle AgedPrevalenceRisk Factorsbehavioral patternchronic kidney diseaseisotemporal substitutionphysical activitysleep

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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.