Association between social jetlag and chronic kidney disease among the Korean working population

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Seong-Sik Cho
Byung Ha Chung
Hye-Eun Lee
Mo-Yeol Kang
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[1] Dong-A University,Department of Occupational and Environmental Medicine, College of Medicine
[2] The Catholic University of Korea,Division of Nephrology, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine
[3] Hallym University College of Medicine,Department of Social and Preventive Medicine
[4] The Catholic University of Korea,Department of Occupational and Environmental Medicine, Seoul St. Mary’s Hospital, College of Medicine
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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 m2 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.
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