Ontology highlight
ABSTRACT: Objectives
Previous studies have shown that symptoms of sleep-disordered breathing are associated with metabolic derangements and vascular disease development. However, the relationship between snoring and renal function is not well investigated. The association between snoring and the development of incident chronic kidney disease (CKD) in subjects with normal renal function was evaluated.Design
Prospective cohort study.Setting
Ansung (rural community) and Ansan (urban community) cities.Participants
Community-based cohort participants aged 40-69 years.Methods
A total of 9062 participants in the Ansung-Ansan cohort study were prospectively followed up from 2001 to 2014. The participants were classified into three groups: non-snorer, <1?day/week and ?1?day/week. The main outcome was incident CKD, which was defined as an estimated glomerular filtration rate of <60?mL/min/1.73?m2 during the follow-up period.Primary outcome
Incident CKD.Results
The mean subject age was 52.0±8.9 years, and 4372 (48.2%) subjects were male. The non-snorer,<1?day/week and ?1?day/week groups included 3493 (38.5%), 3749 (41.4%), and 1820 (20.1%) subjects, respectively. Metabolic syndrome was more prevalent in the snoring groups than in the non-snoring group. Snoring frequency showed a significant positive relationship with age, waist:hip ratio, fasting glucose, total cholesterol (Tchol) and low-density lipoprotein cholesterol. During a mean follow-up of 8.9 years, 764 (8.4%) subjects developed CKD. Cox proportional hazards model analysis revealed that the risk of CKD development was significantly higher in subjects who snored ?1?day/week than in non-snorers, even after adjustments for confounding factors (HR 1.23, 95% CI 1.09 to 1.38, p<0.01).Conclusion
Snoring may increase the risk of CKD development in subjects with normal renal function.
SUBMITTER: Lee C
PROVIDER: S-EPMC6687056 | biostudies-literature | 2019 Aug
REPOSITORIES: biostudies-literature
Lee Changhyun C Joo Young Su YS Lee Sangmi S Kang Shinchan S Kim Joohwan J Nam Ki Heon KH Yun Hae-Ryong HR Jhee Jong Hyun JH Kim Hyoungnae H Han Seung Hyeok SH Yoo Tae-Hyun TH Kang Shin-Wook SW Park Jung Tak JT
BMJ open 20190805 8
<h4>Objectives</h4>Previous studies have shown that symptoms of sleep-disordered breathing are associated with metabolic derangements and vascular disease development. However, the relationship between snoring and renal function is not well investigated. The association between snoring and the development of incident chronic kidney disease (CKD) in subjects with normal renal function was evaluated.<h4>Design</h4>Prospective cohort study.<h4>Setting</h4>Ansung (rural community) and Ansan (urban c ...[more]