School of Public Health, Kunming Medical University, Chenggong District, Kunming, China.
Department of Ultrasound, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
J Clin Endocrinol Metab. 2021 Apr 23;106(5):e2096-e2105. doi: 10.1210/clinem/dgab043.
Loss of sleep or disturbance of sleep-wake cycles has been related to metabolic impairments. However, few studies have investigated the association between daily sleep duration and hyperuricemia.
We investigated daily sleep duration (daytime napping and nocturnal sleep) with hyperuricemia risk.
We cross-sectionally analyzed data from the China Multi-Ethnic Cohort (CMEC), Yunnan region. A total of 22 038 participants aged 30 to 79 years were recruited in 2018. Hyperuricemia was defined as serum uric acid (SUA) above 7.0 mg/dL in men and above 6.0 mg/dL in women. Outcomes were associations between daily sleep duration and hyperuricemia.
We found that the longest daytime napping duration was associated with a higher risk of hyperuricemia in the crude model (odds ratio [OR] [95% CI], 2.22 [1.88-2.61], P < .001) and in a multivariable adjustment model (OR, 1.69; 95% CI, 1.41-2.01, P < .001) after adjusting for demographic, sleep habits, and metabolic risk factors. The association was moderately attenuated with additionally adjusted for serum creatinine (OR, 1.54; 95% CI, 1.28-1.86, P < .001). Longer daytime napping duration was also related to higher risk of hyperuricemia combined with metabolic syndrome (MetS). Respondents in the group with daytime napping duration greater than or equal to 90 minutes presented with a higher risk of hyperuricemia combined with MetS (OR, 1.39; 95% CI, 1.06-1.79; P < .001) in the fully adjusted model. We did not observe any relation between nocturnal sleep duration and risk of hyperuricemia in the study.
Longer daytime napping duration (but not nocturnal sleep duration) was independently associated with risk of hyperuricemia in a Chinese population.
睡眠缺失或睡眠-觉醒周期紊乱与代谢损伤有关。然而,很少有研究调查每日睡眠时间与高尿酸血症之间的关系。
我们研究了每日睡眠时间(日间小睡和夜间睡眠)与高尿酸血症风险的关系。
我们对中国多民族队列(CMEC)云南地区的数据进行了横断面分析。2018 年共招募了 22038 名 30 至 79 岁的参与者。高尿酸血症定义为男性血清尿酸(SUA)高于 7.0mg/dL,女性高于 6.0mg/dL。结局是每日睡眠时间与高尿酸血症之间的关系。
我们发现,在未调整模型中(比值比[OR] [95%可信区间],2.22 [1.88-2.61],P<0.001)和多变量调整模型中(OR,1.69;95%可信区间,1.41-2.01,P<0.001),最长的日间小睡时间与高尿酸血症风险增加相关,在调整了人口统计学、睡眠习惯和代谢危险因素后。当进一步调整血清肌酐时,这种关联适度减弱(OR,1.54;95%可信区间,1.28-1.86,P<0.001)。日间小睡时间较长也与高尿酸血症合并代谢综合征(MetS)的风险增加相关。在完全调整模型中,日间小睡时间大于或等于 90 分钟的组中,高尿酸血症合并 MetS 的风险更高(OR,1.39;95%可信区间,1.06-1.79;P<0.001)。我们在研究中没有观察到夜间睡眠时间与高尿酸血症风险之间的任何关系。
在中国人群中,较长的日间小睡时间(而非夜间睡眠时间)与高尿酸血症风险独立相关。