Department of Occupational and Environmental Medicine, College of Medicine, Dong-A University, Busan, Republic of Korea.
Division of Nephrology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Sci Rep. 2023 Apr 12;13(1):5998. doi: 10.1038/s41598-023-33130-1.
Social jetlag refers to the discrepancy between social time and the body's internal rhythm, which can lead to unfavorable health outcomes. However, no study has directly explored the relation between social jetlag and chronic kidney disease (CKD). This study aims to investigate the relationship between social jetlag and CKD in a representative population of South Korea. This study included 8259 currently economically active Korean population in the Korea National Health and Nutrition Examination Survey. Social jetlag was calculated as the difference between the midpoint of sleep time on weekdays and free days. The estimated glomerular filtration rate (eGFR) was calculated the by using the serum creatinine value according to the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation. Participants with an eGFR less than 60 ml/min/1.73 m were defined as CKD cases. The estimated glomerular filtration rate decreased as social jetlag increased. Multiple logistic regression analysis showed that the adjusted odds ratio (95% confidence interval) of CKD for 1-2 h of social jetlag was 0.926 (0.660-1.299), while the odds ratio for more than 2 h was 2.042 (1.328-3.139) when less than 1 h was used as reference. This study found that social jetlag and risk of CKD were significantly related in the Korean working population.
社会时差是指社会时间与人体内部节奏之间的差异,可能导致不良的健康后果。然而,尚无研究直接探讨社会时差与慢性肾脏病(CKD)之间的关系。本研究旨在调查韩国代表性人群中社会时差与 CKD 之间的关系。本研究纳入了韩国国家健康和营养检查调查中 8259 名目前经济活跃的韩国人群。社会时差是通过工作日和休息日睡眠时间中点之间的差异来计算的。通过使用血清肌酐值根据慢性肾脏病流行病学合作组(CKD-EPI)方程计算估计肾小球滤过率(eGFR)。eGFR 小于 60ml/min/1.73m 的参与者被定义为 CKD 病例。随着社会时差的增加,估计肾小球滤过率下降。多因素逻辑回归分析显示,社会时差 1-2 小时的 CKD 调整比值比(95%置信区间)为 0.926(0.660-1.299),而当以小于 1 小时为参考时,大于 2 小时的比值比为 2.042(1.328-3.139)。本研究发现,社会时差与 CKD 风险在韩国工作人群中存在显著相关性。