Authors' Affiliations

Francis Okeke, Department of Medical Informatics, Oklahoma University Health Science Center, Tulsa, Oklahoma. Blessing Aguele, Sumy State University Ukraine. Kelechi Onyenemezu, Department of Biostatics and Epidemiology, East Tennessee State University, Johnson City TN. Stanley Obi, Department of Health Administration, East Tennessee State University, Johnson City, TN.

Location

D.P. Culp Center Ballroom

Start Date

4-5-2024 9:00 AM

End Date

4-5-2024 11:30 AM

Poster Number

118

Name of Project's Faculty Sponsor

David Shoham

Faculty Sponsor's Department

Biostatistics and Epidemiology

Classification of First Author

Graduate Student-Master’s

Competition Type

Competitive

Type

Poster Presentation

Presentation Category

Health

Abstract or Artist's Statement

Abstract Background: Chronic Kidney Disease (CKD) ranks among the leading causes of death in the United States (US). As of 2023, there are approximately 36 million people with CKD in the United States. About 1 in 6 veterans suffer from CKD, an increase of almost 35 percent over its prevalence in the general population. The treatment of veterans with chronic kidney disease (CKD) incurred nearly $20 billion in costs ten years ago for the Department of Veterans Affairs (VA) and this expenditure is expected to have significantly increased, considering the VA's projection of over 29,500 new CKD diagnoses among veterans annually. Adequate sleep is crucial for maintaining normal bodily functions. Prior studies on sleep dynamics among former United States service members reveal that a significant portion consistently report insufficient daily sleep below 7 hours. This study will aim to investigate whether length of sleep is related to the likelihood of having chronic kidney disease specifically among veterans in the United States. Methods: For this cross-sectional study, we utilized secondary data from the Behavioral Risk Factor Surveillance System (BRFSS) 2022 data set. This study included all veterans with a sample size of 53211. This population represents 12% of the general population that responded to the survey. Measures include the outcome variable which is veterans with/without chronic kidney disease and a major independent variable sleep duration. Sleep duration was recategorized into <5hours, 6-10hours, >10hours. Covariates include gender, age, race, residence, insurance, alcohol consumption, diabetes comorbidity, and stroke comorbidity. A descriptive bivariate and multivariate logistic regressions were conducted using the Statistical Analysis System (SAS). Results: The prevalence of chronic kidney disease among veterans in the United States is 6.29%. Veterans with sleep duration of 6-10 hours had 17.5% lower odds of chronic kidney disease than veterans who sleep for 1-5 hours (AOR= 0.825, CI= 0.821,0.830, P=<0.0001). Veterans who sleep for more than 10 hours had 68.2% higher odds of having CKD (AOR=1.682, CI= 1.662,1.702, P=<0.0001). Veterans who consume alcohol had 7.8% lower odds of having chronic kidney disease as compared to individuals who do not consume alcohol (AOR= 0.922 CI =0.918,0.927 p=<0.0001). Male veterans had 24.7% lower odds of having chronic kidney disease as compared to female veterans. Additionally, veterans diagnosed with diabetes, stroke, and coronary artery disease had 2.447, 2.103, and 2.838, respectively, higher odds of developing chronic kidney disease. (AOR=2.447, CI= 2.435,2.459 p=<0.0001). Conclusion: This research provides evidence of a greater incidence of CKD among veterans with short sleep duration(1-5 hours) and very long sleep duration (> 10 hours), forming a ‘U’ curve relationship. Sleep hygiene education and sleep optimization programs could improve sleep and boost overall kidney health among veterans.

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Apr 5th, 9:00 AM Apr 5th, 11:30 AM

Assessing the relationship between sleep duration and the prevalence of chronic kidney disease among Veterans in the United States. A 2022 BRFSS Cross-Sectional Study

D.P. Culp Center Ballroom

Abstract Background: Chronic Kidney Disease (CKD) ranks among the leading causes of death in the United States (US). As of 2023, there are approximately 36 million people with CKD in the United States. About 1 in 6 veterans suffer from CKD, an increase of almost 35 percent over its prevalence in the general population. The treatment of veterans with chronic kidney disease (CKD) incurred nearly $20 billion in costs ten years ago for the Department of Veterans Affairs (VA) and this expenditure is expected to have significantly increased, considering the VA's projection of over 29,500 new CKD diagnoses among veterans annually. Adequate sleep is crucial for maintaining normal bodily functions. Prior studies on sleep dynamics among former United States service members reveal that a significant portion consistently report insufficient daily sleep below 7 hours. This study will aim to investigate whether length of sleep is related to the likelihood of having chronic kidney disease specifically among veterans in the United States. Methods: For this cross-sectional study, we utilized secondary data from the Behavioral Risk Factor Surveillance System (BRFSS) 2022 data set. This study included all veterans with a sample size of 53211. This population represents 12% of the general population that responded to the survey. Measures include the outcome variable which is veterans with/without chronic kidney disease and a major independent variable sleep duration. Sleep duration was recategorized into <5hours, 6-10hours, >10hours. Covariates include gender, age, race, residence, insurance, alcohol consumption, diabetes comorbidity, and stroke comorbidity. A descriptive bivariate and multivariate logistic regressions were conducted using the Statistical Analysis System (SAS). Results: The prevalence of chronic kidney disease among veterans in the United States is 6.29%. Veterans with sleep duration of 6-10 hours had 17.5% lower odds of chronic kidney disease than veterans who sleep for 1-5 hours (AOR= 0.825, CI= 0.821,0.830, P=<0.0001). Veterans who sleep for more than 10 hours had 68.2% higher odds of having CKD (AOR=1.682, CI= 1.662,1.702, P=<0.0001). Veterans who consume alcohol had 7.8% lower odds of having chronic kidney disease as compared to individuals who do not consume alcohol (AOR= 0.922 CI =0.918,0.927 p=<0.0001). Male veterans had 24.7% lower odds of having chronic kidney disease as compared to female veterans. Additionally, veterans diagnosed with diabetes, stroke, and coronary artery disease had 2.447, 2.103, and 2.838, respectively, higher odds of developing chronic kidney disease. (AOR=2.447, CI= 2.435,2.459 p=<0.0001). Conclusion: This research provides evidence of a greater incidence of CKD among veterans with short sleep duration(1-5 hours) and very long sleep duration (> 10 hours), forming a ‘U’ curve relationship. Sleep hygiene education and sleep optimization programs could improve sleep and boost overall kidney health among veterans.