Association between sleep-wake schedules and myopia among Chinese school-aged children and adolescents: a cross-sectional study
Abstract Background This study aimed to investigate the relationship between sleep-wake schedules and self-reported myopia in the pediatric population. Methods In this cross-sectional study in 2019, school-aged children and adolescents in the Baoan District of Shenzhen City were sampled using a stra...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-023-02874-9 |
| _version_ | 1827970586485194752 |
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| author | Shaojun Xu Zhiqiang Zong Yi Zhu Xindong Zhang Yi Zhang Xi Wang Shuman Tao Xiaoyan Wu Fangbiao Tao |
| author_facet | Shaojun Xu Zhiqiang Zong Yi Zhu Xindong Zhang Yi Zhang Xi Wang Shuman Tao Xiaoyan Wu Fangbiao Tao |
| author_sort | Shaojun Xu |
| collection | DOAJ |
| description | Abstract Background This study aimed to investigate the relationship between sleep-wake schedules and self-reported myopia in the pediatric population. Methods In this cross-sectional study in 2019, school-aged children and adolescents in the Baoan District of Shenzhen City were sampled using a stratified cluster sampling approach. Sleep-wake schedules of children were determined by a self-administered questionnaire. The age that participants first reported using myopia correction glasses or contact lenses was used to identify those with myopia. Pearson χ2 test was used to examine differences in myopia prevalence among participants with different characteristics. Multivariate logistic regression, adjusted for potential confounding variables, was applied to examine the relationship between sleep-wake schedule and risk of self-reported myopia, and a stratification analysis by school grade was also performed. Results A total of 30,188 students were recruited. In this study, the overall prevalence of myopia was 49.8%, with prevalence rates of 25.6%, 62.4%, and 75.7% for primary, junior high, and senior high school students, respectively. Students with irregular sleep-wake times reported a higher prevalence of myopia than those with regular sleep-wake times. Nighttime sleep duration of < 7 hours/day (h/d) (OR = 1.27, 95%CI: 1.17–1.38), no daytime nap (OR = 1.10, 95%CI: 1.03–1.18), irregular weekday bedtime (OR = 1.11, 95%CI: 1.05–1.17), irregular weekday wake time (OR = 1.21, 95%CI: 1.12–1.30), weekend bedtime delayed > = 1 h/d (OR = 1.20, 95%CI: 1.11–1.29, P < 0.001), weekend wake time delayed > = 1 h/d (OR = 1.11, 95%CI: 1.03–1.19), irregular sleep-wake time on weekdays (OR = 1.13, 95%CI: 1.07–1.19), and social jetlag > = 1 h (OR = 1.08, 95%CI: 1.03–1.14) were likely to be associated with increased risks of self-reported myopia after adjusting age, sex, grade, parental education level, family income, parental myopia, academic record, and academic workload. When stratified by school grade, we observed that nighttime sleep duration < 7 h/d, no daytime naps, and irregular sleep-wake time on weekdays were significantly associated with self-reported myopia in primary school students. Conclusion Insufficient sleep and irregular sleep-wake schedules can increase the risk of self-reported myopia in children and adolescents. |
| first_indexed | 2024-04-09T18:56:06Z |
| format | Article |
| id | doaj.art-86babddb99fc42f09d05982acbadcb69 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-09T18:56:06Z |
| publishDate | 2023-04-01 |
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| series | BMC Ophthalmology |
| spelling | doaj.art-86babddb99fc42f09d05982acbadcb692023-04-09T11:11:05ZengBMCBMC Ophthalmology1471-24152023-04-012311810.1186/s12886-023-02874-9Association between sleep-wake schedules and myopia among Chinese school-aged children and adolescents: a cross-sectional studyShaojun Xu0Zhiqiang Zong1Yi Zhu2Xindong Zhang3Yi Zhang4Xi Wang5Shuman Tao6Xiaoyan Wu7Fangbiao Tao8Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical UniversityThe Second School of Clinical Medicine, Anhui Medical UniversityDepartment of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical UniversityBaoan District Center for Disease Control and PreventionDepartment of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical UniversityBaoan District Center for Disease Control and PreventionMOE Key Laboratory of Population Health Across Life Cycle (Anhui Medical University)Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical UniversityAbstract Background This study aimed to investigate the relationship between sleep-wake schedules and self-reported myopia in the pediatric population. Methods In this cross-sectional study in 2019, school-aged children and adolescents in the Baoan District of Shenzhen City were sampled using a stratified cluster sampling approach. Sleep-wake schedules of children were determined by a self-administered questionnaire. The age that participants first reported using myopia correction glasses or contact lenses was used to identify those with myopia. Pearson χ2 test was used to examine differences in myopia prevalence among participants with different characteristics. Multivariate logistic regression, adjusted for potential confounding variables, was applied to examine the relationship between sleep-wake schedule and risk of self-reported myopia, and a stratification analysis by school grade was also performed. Results A total of 30,188 students were recruited. In this study, the overall prevalence of myopia was 49.8%, with prevalence rates of 25.6%, 62.4%, and 75.7% for primary, junior high, and senior high school students, respectively. Students with irregular sleep-wake times reported a higher prevalence of myopia than those with regular sleep-wake times. Nighttime sleep duration of < 7 hours/day (h/d) (OR = 1.27, 95%CI: 1.17–1.38), no daytime nap (OR = 1.10, 95%CI: 1.03–1.18), irregular weekday bedtime (OR = 1.11, 95%CI: 1.05–1.17), irregular weekday wake time (OR = 1.21, 95%CI: 1.12–1.30), weekend bedtime delayed > = 1 h/d (OR = 1.20, 95%CI: 1.11–1.29, P < 0.001), weekend wake time delayed > = 1 h/d (OR = 1.11, 95%CI: 1.03–1.19), irregular sleep-wake time on weekdays (OR = 1.13, 95%CI: 1.07–1.19), and social jetlag > = 1 h (OR = 1.08, 95%CI: 1.03–1.14) were likely to be associated with increased risks of self-reported myopia after adjusting age, sex, grade, parental education level, family income, parental myopia, academic record, and academic workload. When stratified by school grade, we observed that nighttime sleep duration < 7 h/d, no daytime naps, and irregular sleep-wake time on weekdays were significantly associated with self-reported myopia in primary school students. Conclusion Insufficient sleep and irregular sleep-wake schedules can increase the risk of self-reported myopia in children and adolescents.https://doi.org/10.1186/s12886-023-02874-9Sleep hygieneCircadian rhythmMyopiaChildAdolescent |
| spellingShingle | Shaojun Xu Zhiqiang Zong Yi Zhu Xindong Zhang Yi Zhang Xi Wang Shuman Tao Xiaoyan Wu Fangbiao Tao Association between sleep-wake schedules and myopia among Chinese school-aged children and adolescents: a cross-sectional study BMC Ophthalmology Sleep hygiene Circadian rhythm Myopia Child Adolescent |
| title | Association between sleep-wake schedules and myopia among Chinese school-aged children and adolescents: a cross-sectional study |
| title_full | Association between sleep-wake schedules and myopia among Chinese school-aged children and adolescents: a cross-sectional study |
| title_fullStr | Association between sleep-wake schedules and myopia among Chinese school-aged children and adolescents: a cross-sectional study |
| title_full_unstemmed | Association between sleep-wake schedules and myopia among Chinese school-aged children and adolescents: a cross-sectional study |
| title_short | Association between sleep-wake schedules and myopia among Chinese school-aged children and adolescents: a cross-sectional study |
| title_sort | association between sleep wake schedules and myopia among chinese school aged children and adolescents a cross sectional study |
| topic | Sleep hygiene Circadian rhythm Myopia Child Adolescent |
| url | https://doi.org/10.1186/s12886-023-02874-9 |
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