Korean J Fam Pract 2019; 9(1): 17-22  https://doi.org/10.21215/kjfp.2019.9.1.17
Association between Sleep Duration and Albuminuria in Patients with Hypertension: Korean National Health and Nutrition Examination Survey 2011-2012
Jin Wook Kwon, Seon-Ki Park*, Hong Gyun Kim, Sae Mi Lee
Department of Family Medicine, Dong-Eui Medical Center, Busan, Korea
Seon-Ki Park, Tel: +82-51-780-0600, Fax: +82-51-867-5162, E-mail: psonki@hanmail.net, ORCID: http://orcid.org/0000-0002-1428-1283
Received: March 13, 2018; Revised: August 10, 2018; Accepted: October 31, 2018; Published online: February 20, 2019.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Albuminuria is an indicator of renal impairment in patients with diabetes or hypertension. Studies on the effect of sleep duration on albuminuria in hypertension patients are limited. Hence, the purpose of this study was to investigate the association between sleep duration and albuminuria in Korean hypertension patients.
Methods: In this cross-sectional study, data on hypertensive patients were obtained from the fifth Korean National Health and Nutrition Examination Survey (2011–2012). Participants were classified into five groups according to self-reported sleep duration. Multiple logistic regression analyses were performed to determine the association between sleep duration and albuminuria.
Results: When the sleep duration was shorter than 5 hours or longer than 9 hours, the odds ratio (OR) for albuminuria was significantly higher. After adjusting for age, sex, diabetes, hemoglobin A1c, systolic blood pressure, depressive symptom, stress status, smoking status, drinking habit, triglycerides, estimated glomerular filtration rate, and body mass index, ORs (95% confidence interval) for sleep durations of ≤5 hours and ≥9 hours were 1.69 (1.14–2.51) and 2.00 (1.22–3.26), respectively.
Conclusion: This study showed that a sleep duration of ≤5 hours or ≥9 hours was associated with the high prevalence of albuminuria in Korean hypertension patients.
Keywords: Sleep; Albuminuria; Hypertension
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