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Short sleep and risk of proteinuria in 3-year-olds in Japan: a population-based cohort study
Hongyan Chen1, Maki Shinzawa2, Hironobu Tokumasu1
1Department of Pharmacoepidemiology, Graduate School of Medicine and Public Health, Kyoto University, Kyoto, Japan.
Insights
Short sleep duration in toddlers (18 months) is linked to an increased risk of developing proteinuria by age 3. Early sleep interventions may support kidney health in children.
Area of Science:
- Pediatrics
- Nephrology
- Sleep Medicine
Background:
- Sleep patterns are established in early childhood.
- Kidney health is crucial for long-term well-being.
Purpose of the Study:
- To investigate the association between short sleep duration at 18 months of age and the risk of proteinuria at 3 years of age.
Main Methods:
- Population-based cohort study of 62,623 children in Japan.
- Sleep duration assessed via parent-reported questionnaires at 18 months.
- Proteinuria measured by urinalysis at 3 years; multivariable logistic regression used.
Main Results:
- Short nighttime sleep (≤8 hours) at 18 months was associated with a 1.50 adjusted odds ratio for proteinuria at 3 years (P=0.02).
- Later bedtimes and earlier wake times also showed a similar, though weaker, association with proteinuria risk.
Conclusions:
- Short sleep in early childhood is a potential risk factor for proteinuria.
- Further research into sleep interventions for promoting kidney health in children is recommended.
Objective:
To examine whether short sleep at 18 months of age is associated with risk of proteinuria at 3 years of age.
Methods:
A population-based cohort study using municipal health check-up data from 62,623 children born between March 1, 2004, and April 30, 2011, and followed to 3 years via questionnaire in Kobe City, Japan. Sleep duration was calculated from wake time and bedtime at the 18-month health check-up by standardized parent-reported questionnaires. Proteinuria, defined as dipstick urinary protein of ≥1+, was measured by dipstick urinalysis at 3 years. Multivariable logistic regression was used to generate adjusted olds ratios.
Results:
In total, 2253 (3.6%) children had short nighttime sleep (≤8 h) at 18 months. At 3 years, 765 (1.2%) children had proteinuria. The adjusted odds ratio for proteinuria among children with 8 h of sleep or less versus those with normal sleep of 10 h per night was 1.50 (95% confidence interval, 1.07-2.11; P = 0.02). Odds ratios of the same direction but weaker magnitude were observed for children with bedtime at 22:00 or later, and those with wake time at 6:00 or earlier.
Conclusions:
Short sleep at 18 months was associated with risk of proteinuria at 3 years. Future research is warranted to examine whether sleep programs targeting early childhood may have additional potential health benefits for kidney development.
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