PMID- 30395316
OWN - NLM
STAT- MEDLINE
DCOM- 20200330
LR  - 20200330
IS  - 1550-9109 (Electronic)
IS  - 0161-8105 (Linking)
VI  - 42
IP  - 2
DP  - 2019 Feb 1
TI  - Short sleep duration is associated with inadequate hydration: cross-cultural 
      evidence from US and Chinese adults.
LID - 10.1093/sleep/zsy210 [doi]
AB  - STUDY OBJECTIVES: Short and long sleep durations are linked to reduced kidney 
      function, but little research has examined how sleep is associated with hydration 
      status. Our aim was to assess the relationship between sleep duration and urinary 
      hydration biomarkers among adults in a cross-cultural context. METHODS: Three 
      samples of adults aged >/=20 years were analyzed: 2007-2008 National Health and 
      Nutrition Examination Survey (NHANES; n = 4680), 2009-2012 NHANES (n = 9559), and 
      2012 cross-sectional wave of the Chinese Kailuan Study (n = 11903), excluding 
      pregnant women and adults with failing kidneys. We estimated multiple linear 
      regression models between self-reported usual night-time sleep duration (<6, 6, 
      7, 8 (reference), and >/=9 hr/day) and urine specific gravity (Usg) and urine 
      osmolality (Uosm) as continuous variables and logistic regression models 
      dichotomized as inadequate hydration (>1.020 g/mL; >831 mOsm/kg). In primary 
      analyses, we estimated models excluding diabetes and diuretic medications for 
      healthier subpopulations (NHANES, n = 11353; Kailuan, n = 8766). RESULTS: In the 
      healthier NHANES subset, 6 hr was associated with significantly higher Usg and 
      odds of inadequate hydration (adjusted OR: 1.59, 95% CI: 1.25, 2.03) compared 
      with 8 hr. Regression results were mixed using Uosm, but in the same direction as 
      Usg. Among Chinese adults, short sleep duration (<6 and 6 hr) was associated with 
      Usg and higher likelihood of inadequate hydration (6 hr adjusted OR: 1.42, 95% 
      CI: 1.26, 1.60). No consistent association was found with sleeping >/=9 hr. 
      CONCLUSIONS: Short sleep duration was associated with higher odds of inadequate 
      hydration in US and Chinese adults relative to sleeping 8 hr.
FAU - Rosinger, Asher Y
AU  - Rosinger AY
AD  - Department of Biobehavioral Health, Pennsylvania State University, State College, 
      PA.
AD  - Department of Anthropology, Pennsylvania State University, State College, PA.
FAU - Chang, Anne-Marie
AU  - Chang AM
AD  - Department of Biobehavioral Health, Pennsylvania State University, State College, 
      PA.
FAU - Buxton, Orfeu M
AU  - Buxton OM
AD  - Department of Biobehavioral Health, Pennsylvania State University, State College, 
      PA.
AD  - Division of Sleep Medicine, Harvard Medical School, Harvard University, 
      Cambridge, MA.
FAU - Li, Junjuan
AU  - Li J
AD  - Department of Nephrology, Kailuan General Hospital, Tangshan, China.
FAU - Wu, Shouling
AU  - Wu S
AD  - Department of Cardiology, Kailuan Hospital, Tangshan, China.
FAU - Gao, Xiang
AU  - Gao X
AD  - Department of Nutrition, Pennsylvania State University, State College, PA.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Sleep
JT  - Sleep
JID - 7809084
RN  - 0 (Biomarkers)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Biomarkers/urine
MH  - China
MH  - Cross-Cultural Comparison
MH  - Cross-Sectional Studies
MH  - Dehydration/*physiopathology
MH  - Female
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Nutrition Surveys
MH  - Organism Hydration Status/*physiology
MH  - Pregnancy
MH  - Self Report
MH  - Sleep/*physiology
MH  - Sleep Deprivation/*pathology
MH  - Time Factors
MH  - United States
MH  - Urine/chemistry
EDAT- 2018/11/06 06:00
MHDA- 2020/03/31 06:00
CRDT- 2018/11/06 06:00
PHST- 2018/07/01 00:00 [received]
PHST- 2018/11/06 06:00 [pubmed]
PHST- 2020/03/31 06:00 [medline]
PHST- 2018/11/06 06:00 [entrez]
AID - 5155420 [pii]
AID - 10.1093/sleep/zsy210 [doi]
PST - ppublish
SO  - Sleep. 2019 Feb 1;42(2). doi: 10.1093/sleep/zsy210.