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The association between sleep duration and risk of myopia in Chinese school-aged children: a cross-sectional study

  • Epidemiology • Original Article
  • Published:
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Abstract

Background

Myopia is one of the most commonly diagnosed refractive disorders worldwide. Identifying risk factors for myopia at an early age may help to characterize children who would benefit most from individualized lifestyle advice and early interventions. The influence of sleep duration on myopia risk remains controversial and thus needs to be evaluated.

Methods

A population-based cross-sectional study of Chinese school-aged children was conducted. Information on sleep duration was derived. The association between sleep duration and myopia risk was investigated by logistic regression analysis.

Results

Myopia prevalence among 9530 Chinese school-aged children was 75.4% and decreased from 84.9%, 76.5%, 65.8%, to 61.3% along with the extension of sleep duration. Univariate logistic regression found longer sleep duration of 8–9 h (OR = 0.58, 95% CI: 0.51–0.66), 9–10 h (OR = 0.34, 95% CI: 0.30–0.39), and ≥ 10 h (OR = 0.28, 95% CI: 0.24–0.33) were protective factors for myopia in all participants (P for trend < 0.001). In the multivariate analyses, sleep duration was inversely associated with the risk of myopia, and a dose-effect relationship was observed when the analysis was split by age category.

Conclusions

Long sleep duration was associated with decreased risk of myopia in Chinese school-aged children.

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Ethical approval

All procedures performed in studies involving human participants were following the ethical standards of the ethics committee of Ningbo Municipal Centers for Disease Control and Prevention and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Funding

This study was funded by the Ningbo Medical Science and Technology Project (No.2021Y26), Ningbo Public Welfare Science and Technology Project (No. 2022S077), and Ningbo Health Branding Subject Fund (No. PPXK2018-10).

Author information

Authors and Affiliations

  1. School of Basic Medical Science, Putian University, Putian, China

    Shujuan Lin

  2. Key Laboratory of Translational Tumor Medicine in Fujian Province, Putian University, Putian, China

    Shujuan Lin

  3. Ningbo Municipal Center for Disease Control and Prevention, Yongfeng Road 237, Haishu District, Ningbo, 315010, China

    Qinghai Gong, Jinghui Wang, Hua Gao, Jia Hong, Yanbo Guo, Yan Zhang & Danjie Jiang

Authors
  1. Shujuan Lin
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  2. Qinghai Gong
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  3. Jinghui Wang
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  4. Hua Gao
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  5. Jia Hong
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  6. Yanbo Guo
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  7. Yan Zhang
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  8. Danjie Jiang
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Contributions

Study design: Danjie Jiang, Yan Zhang

Data acquisition: Qinghai Gong, Jinghui Wang, Hua Gao, Jia Hong, Yanbo Guo

Statistical analysis: Shujuan Lin, Danjie Jiang

Manuscript preparation and editing: Shujuan Lin

Manuscript revision/review: Yan Zhang, Danjie Jiang

Corresponding authors

Correspondence to Yan Zhang or Danjie Jiang.

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The authors declare no competing interests.

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Informed consent was obtained from all participants.

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Lin, S., Gong, Q., Wang, J. et al. The association between sleep duration and risk of myopia in Chinese school-aged children: a cross-sectional study. Sleep Breath 27, 2041–2047 (2023). https://doi.org/10.1007/s11325-023-02794-4

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  • DOI: https://doi.org/10.1007/s11325-023-02794-4

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