Effects of Insufficient Sleep on Myopia in Children: A Systematic Review and Meta-Analysis

IF 3 2区医学 Q2 CLINICAL NEUROLOGY

Nature and Science of Sleep Pub Date : 2024-09-18 DOI:10.2147/nss.s472748

Xixuan Zhao, Yining He, Juzhao Zhang, Senlin Lin, Haidong Zou, Yingyan Ma

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Abstract

Abstract: Myopia is increasingly prevalent in children. Its association with insufficient sleep has been studied, yielding inconsistent findings. This review aims to assess the association of insufficient sleep with myopia and myopia-related refractive parameters in children. A total of 657 articles were identified, of which 40 were included in the systematic review and 33 were included in the meta-analysis. Results showed that insufficient sleep was significantly associated with an increased prevalence of myopia (odds ratio [OR] = 1.59; 95% confidence interval [CI] = 1.31, 1.95; I² = 99%), and an increased prevalence of high myopia (OR = 3.36; 95% CI = 1.26, 9.00; I² = 96%). Shorter sleep duration was significantly linked to faster changes in axial length (AL) (β = 0.05; 95% CI = 0.02, 0.08; I² = 0%). However, correlation between insufficient sleep and the incidence of myopia, spherical equivalent refraction, corneal curvature radius (CR) and AL/CR were insignificant. Moreover, the effect of insufficient sleep on premyopia and astigmatism was not well-studied. The results of this study suggest that insufficient sleep may be an important risk factor for the development of myopia in school-aged children. Therefore, in addition to ensuring sufficient outdoor activities and reducing near work, it is necessary to inform children and parents about the importance of adequate sleep to mitigate the risk of myopia.

Keywords: insufficient sleep, myopia, children, axial length, refractive parameters

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睡眠不足对儿童近视的影响：系统回顾与元分析

摘要：儿童近视越来越普遍。人们对其与睡眠不足的关系进行了研究，但结果并不一致。本综述旨在评估睡眠不足与儿童近视及近视相关屈光参数的关系。共找到 657 篇文章，其中 40 篇被纳入系统综述，33 篇被纳入荟萃分析。结果显示，睡眠不足与近视发生率的增加有显著关系（几率比 [OR] = 1.59；95% 置信区间 [CI] = 1.31，1.95；I2 = 99%），与高度近视发生率的增加也有显著关系（OR = 3.36；95% CI = 1.26，9.00；I2 = 96%）。睡眠时间较短与轴长（AL）变化较快有明显联系（β = 0.05; 95% CI = 0.02, 0.08; I2 = 0%）。然而，睡眠不足与近视发生率、球面等效屈光度、角膜曲率半径（CR）和AL/CR之间的相关性并不明显。此外，睡眠不足对近视和散光的影响也未得到充分研究。本研究结果表明，睡眠不足可能是学龄儿童患近视的一个重要风险因素。因此，除了保证充足的户外活动和减少近距离工作外，有必要让儿童和家长了解充足睡眠的重要性，以降低近视的风险。关键词：睡眠不足；近视；儿童；轴向长度；屈光参数

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nature and Science of Sleep Neuroscience-Behavioral Neuroscience

CiteScore

5.70

自引率

5.90%

发文量

245

审稿时长

16 weeks

期刊介绍： Nature and Science of Sleep is an international, peer-reviewed, open access journal covering all aspects of sleep science and sleep medicine, including the neurophysiology and functions of sleep, the genetics of sleep, sleep and society, biological rhythms, dreaming, sleep disorders and therapy, and strategies to optimize healthy sleep. Specific topics covered in the journal include: The functions of sleep in humans and other animals Physiological and neurophysiological changes with sleep The genetics of sleep and sleep differences The neurotransmitters, receptors and pathways involved in controlling both sleep and wakefulness Behavioral and pharmacological interventions aimed at improving sleep, and improving wakefulness Sleep changes with development and with age Sleep and reproduction (e.g., changes across the menstrual cycle, with pregnancy and menopause) The science and nature of dreams Sleep disorders Impact of sleep and sleep disorders on health, daytime function and quality of life Sleep problems secondary to clinical disorders Interaction of society with sleep (e.g., consequences of shift work, occupational health, public health) The microbiome and sleep Chronotherapy Impact of circadian rhythms on sleep, physiology, cognition and health Mechanisms controlling circadian rhythms, centrally and peripherally Impact of circadian rhythm disruptions (including night shift work, jet lag and social jet lag) on sleep, physiology, cognition and health Behavioral and pharmacological interventions aimed at reducing adverse effects of circadian-related sleep disruption Assessment of technologies and biomarkers for measuring sleep and/or circadian rhythms Epigenetic markers of sleep or circadian disruption.