Sleep disorders and kidney disease connect to each other, study finds

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New research reveals a strong link between sleep disorders and chronic kidney disease (CKD), showing how these two health issues can influence each other.

The findings, published in the Chronic Kidney Journal, come from a systematic review and meta-analysis conducted by researchers from the National University of Singapore.

This study examined data from 63 studies involving over 26 million people, offering a comprehensive look at the connections between sleep problems and kidney health.

The Bidirectional Link

The research found that several sleep disorders, including obstructive sleep apnea (OSA), restless leg syndrome (RLS), and insomnia, are significantly associated with CKD. For example:

  • Obstructive Sleep Apnea (OSA): People with OSA were 68% more likely to develop CKD compared to those without it.
  • Albuminuria (a marker of kidney damage): Increased risk of CKD was observed in individuals with elevated albumin levels.
  • Restless Leg Syndrome (RLS): Patients with RLS had an 88% higher risk of CKD.
  • Insomnia: Those with insomnia faced a 24% increased risk of CKD.

The reverse was also true. Individuals with CKD were more likely to experience these sleep disorders:

  • Compared to healthy individuals, CKD patients had a 74% higher risk of OSA, a 73% higher risk of RLS, and a 14% higher risk of insomnia.

What Does This Mean?

This research highlights a bidirectional association, meaning that sleep problems can increase the risk of kidney disease, and kidney disease can worsen sleep issues.

For example, OSA—characterized by interrupted breathing during sleep—can lead to lower oxygen levels and increased strain on the kidneys.

Conversely, CKD can cause fluid imbalances and toxin buildup, which may disrupt sleep patterns and lead to conditions like restless leg syndrome.

Implications for Healthcare

The findings underscore the importance of treating both conditions together. Physicians managing patients with CKD should screen for sleep disorders, and those treating sleep issues should be aware of the potential risk of kidney disease.

Addressing both conditions simultaneously could improve outcomes and overall quality of life for patients.

Looking Ahead

This study adds to growing evidence about the interconnected nature of sleep health and kidney health. Future research may focus on interventions that target both conditions, such as managing sleep apnea in CKD patients or exploring how improving sleep quality can protect kidney function.

For now, the key takeaway is clear: good sleep and healthy kidneys go hand in hand, and managing one may help prevent or improve the other.

If you care about kidney health, please read studies about how to protect your kidneys from diabetes, and drinking coffee could help reduce risk of kidney injury.

For more information about kidney health, please see recent studies about foods that may prevent recurrence of kidney stones, and eating nuts linked to lower risk of chronic kidney disease and death.

The research findings can be found in Clinical Kidney Journal.

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