Myopia and sleep in children-a systematic review.

IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY
Sleep Pub Date : 2023-11-08 DOI:10.1093/sleep/zsad162
Xiao Nicole Liu, Thomas John Naduvilath, Padmaja R Sankaridurg
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Abstract

Worldwide, approximately one in three people are myopic or short-sighted. Myopia in children is of particular concern as younger onset age implies a higher risk of progression, and consequently greater risk of developing vision-threatening complications. The importance of sleep in children's health has long been acknowledged, but evidence for its role in childhood myopia is fairly new and mixed results were presented across studies. To facilitate better understanding of this relationship, a broad literature search, up to and including October 31, 2022, was performed using three databases (PubMed, Embase, and Scopus). Seventeen studies were included in the review, covering four main aspects of sleep, namely duration, quality, timing, and efficiency, and their associations with myopia in children. The present literature review discussed these studies, revealed potential limitations in their methodologies, and identified gaps that need to be addressed in the future. The review also acknowledges that current evidence is insufficient, and the role of sleep in childhood myopia is far from being fully understood. Future studies that primarily, objectively, and accurately assess sleep and myopia, taking other characteristics of sleep beyond duration into consideration, with a more diverse sample in terms of age, ethnicity, and cultural/environmental background, and control for confounders such as light exposure and education load are much needed. Although more research is required, myopia management should be a holistic approach and the inclusion of sleep hygiene in myopia education targeting children and parents ought to be encouraged.

儿童近视与睡眠——系统综述。
在世界范围内,大约三分之一的人是近视或近视。儿童近视尤其值得关注,因为发病年龄越小,进展的风险就越大,因此出现威胁视力的并发症的风险也越大。睡眠对儿童健康的重要性早已得到承认,但它在儿童近视中的作用的证据是相当新的,各种研究的结果不一。为了更好地理解这种关系,我们使用三个数据库(PubMed、Embase和Scopus)进行了广泛的文献检索,检索时间截止到2022年10月31日。这篇综述包括17项研究,涵盖了睡眠的四个主要方面,即持续时间、质量、时间和效率,以及它们与儿童近视的关系。目前的文献综述讨论了这些研究,揭示了其方法的潜在局限性,并确定了未来需要解决的差距。该综述还承认,目前的证据不足,睡眠在儿童近视中的作用还远未被完全了解。未来的研究需要主要、客观、准确地评估睡眠和近视,考虑睡眠持续时间以外的其他特征,在年龄、种族、文化/环境背景方面采用更多样化的样本,并控制光照和教育负荷等混杂因素。虽然还需要更多的研究,但近视管理应该是一个整体的方法,应该鼓励将睡眠卫生纳入针对儿童和家长的近视教育中。
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
Sleep
Sleep 医学-临床神经学
CiteScore
10.10
自引率
10.70%
发文量
1134
审稿时长
3 months
期刊介绍: SLEEP® publishes findings from studies conducted at any level of analysis, including: Genes Molecules Cells Physiology Neural systems and circuits Behavior and cognition Self-report SLEEP® publishes articles that use a wide variety of scientific approaches and address a broad range of topics. These may include, but are not limited to: Basic and neuroscience studies of sleep and circadian mechanisms In vitro and animal models of sleep, circadian rhythms, and human disorders Pre-clinical human investigations, including the measurement and manipulation of sleep and circadian rhythms Studies in clinical or population samples. These may address factors influencing sleep and circadian rhythms (e.g., development and aging, and social and environmental influences) and relationships between sleep, circadian rhythms, health, and disease Clinical trials, epidemiology studies, implementation, and dissemination research.
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