• Cathleen Burns DCN, RDN, LDN

Sleep and Chronic Kidney Disease

Affecting 700 million people globally chronic kidney disease has become a significant public

health hazard. Therefore, it is critical to concentrate efforts on strategies to promote the

identification of altered renal function to implement interventions to prevent the progression of renal disease (1). Poor sleep may contribute to chronic kidney disease (CKD) as several pathways are affected by sleep quality contributing to inflammation, oxidative stress, and endothelial dysfunction (2).


A third of US adults report not meeting the recommended 7 or more hours of sleep required for adults aged 18-60 years of age. With chronic diseases and conditions such as type 2 diabetes, heart disease, obesity, and depression on the rise, health promotion strategies should focus on modifiable risk factors such as impaired sleep. Therefore, focusing on maintaining and restoring sleep health should be considered as substantial as treating clinical sleep disturbances to optimize prognostic advantages at both the individual and the population levels.


Collaborating with an interdisciplinary team will help identify and establish interventions for

risk factors while they are modifiable. The importance of sleep is becoming an evident way to inhibit disease burden, choosing optimal sleep over disrupted sleep as a comparable protective effect on renal function (2). Insomnia can result in an inability to fall asleep or may be hard to stay asleep or awakening unrested in the morning. Kidney patients appear to experience all types of insomnia, so developing a plan that works best for the individual is essential. Contact Collaborative Kidney Care to help you identify your unique needs.


  1. https://www.mayoclinicproceedings.org/action/showPdf?pii=S00256196%2821%2900863-6 Accessed 10-21-2022

  2. Jackson CL, Umesi C, Gaston SA, et al Multiple, objectively measured sleep dimensions including hypoxic burden and chronic kidney disease: findings from the Multi-Ethnic Study of Atherosclerosis Thorax 2021;76:704-713.

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