Sleep-Disordered Breathing and Prevalent Albuminuria in Hispanics/Latinos

Ana C. Ricardo, Jinsong Chen, Manpreet Singh, Gerardo Heiss, Leopoldo Raij, Alberto Ramos, Susan Redline, Sylvia E. Rosas, Neomi Shah, Daniela Sotres-Alvarez, Phyllis Zee, Martha Daviglus, James P. Lash

Research output: Contribution to journalArticle

Abstract

Introduction: Although sleep-disordered breathing has been found to be associated with higher urine albumin excretion, this association has not been evaluated in Hispanic/Latino populations, which experience a high burden of end-stage renal disease compared with non-Hispanics. We evaluated the association of sleep-disordered breathing with prevalent albuminuria among US Hispanics/Latinos. Methods: This was a cross-sectional study of baseline data from participants in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a population-based study that enrolled 16,415 adults in 4 US communities. Sleep-disordered breathing was assessed using a home sleep apnea monitor for overnight recording and was defined using 3 thresholds of the apnea−hypopnea index (AHI; 3% desaturation): ≥5, ≥15, and ≥30. Albuminuria was defined as a urine albumin-to-creatinine ratio of ≥30 mg/g. Results: There were 12,572 participants with complete data available for analysis. The age- and sex-adjusted prevalence of albuminuria was 9.1%. Mean age was 41 years, and 48% were men. Age- and sex-adjusted prevalence of sleep-disordered breathing was higher among individuals with albuminuria compared with those without albuminuria (36% vs. 25% had AHI ≥5, 18% vs. 9% had AHI ≥15, and 9% vs. 4% had AHI ≥30). In multivariable logistic regression analyses, AHIs ≥5, ≥15, and ≥30 were associated with greater odds of albuminuria compared with those with AHIs <5, <15, and <30 (odds ratio [OR] 1.42, 95% confidence interval [CI]: 1.14−1.76; OR: 1.71, 95% CI: 1.33−2.20; and OR 1.93, 95% CI 1.34−2.79), respectively. This association varied by Hispanic/Latino background group. Conclusion: In US Hispanic/Latinos, sleep-disordered breathing was independently associated with higher odds of prevalent albuminuria.

Original languageEnglish (US)
JournalKidney International Reports
DOIs
StateAccepted/In press - Jan 1 2018

Keywords

  • chronic kidney disease
  • Hispanics/Latinos
  • sleep apnea

ASJC Scopus subject areas

  • Nephrology

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    Ricardo, A. C., Chen, J., Singh, M., Heiss, G., Raij, L., Ramos, A., Redline, S., Rosas, S. E., Shah, N., Sotres-Alvarez, D., Zee, P., Daviglus, M., & Lash, J. P. (Accepted/In press). Sleep-Disordered Breathing and Prevalent Albuminuria in Hispanics/Latinos. Kidney International Reports. https://doi.org/10.1016/j.ekir.2018.06.005