大学生睡眠时间短与高估近视有关

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Nature and Science of Sleep Pub Date : 2025-09-13 eCollection Date: 2025-01-01 DOI:10.2147/NSS.S544959

Zequn Lin, Pengcheng Hu, Xinyao Xiong, Xu Lian, Xiaohu Ding, Luoming Huang

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引用次数: 0

摘要

目的：探讨客观监测的大学生睡眠模式与近视眼高估的关系。方法：采用横断面研究方法，选取了144名17 ~ 23岁的大学生。使用智能可穿戴设备连续7天客观监测睡眠参数（总持续时间、浅睡眠、深睡眠、就寝/醒来时间）。使用光学生物计测量眼部生物特征参数。在睫状体麻痹前后通过自动折射获得了球等效折射（SE）。根据单眼截瘫前后SE的差异（DIFF = se_后- se_前），将DIFF≥+0.50 D的受试者定义为高估近视组。使用线性混合效应模型（LMM）分析睡眠参数与高估近视之间的关系，调整混杂因素包括年龄、性别、父母近视史和日常近工作活动。结果：共126名参与者完成数据分析。高估近视发生率为26.19%。与未高估近视组相比，高估近视组表现出以下显著特征：总睡眠时间缩短约0.6 h(6.82±0.84 h vs 7.43±0.74 h, P < 0.001)；浅睡眠时间缩短0.46 h(4.73±0.93 h vs 5.19±1.05 h, P = 0.006)；延迟就寝时间0.80 h（1:42±1:04 vs 00:53±00:52,P < 0.001）。两组之间的深度睡眠时间和清醒时间没有统计学上的显著差异。结论：在大学生中，睡眠时间较短和就寝时间较晚的睡眠模式与近视的高估显著相关。这一发现提示睡眠行为可能是影响非睫状体麻痹性屈光测量误差的一个潜在因素。在临床实践中应注意被检查者的睡眠状态，以提高屈光测量的准确性。

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Short Sleep Duration Is Associated with Overestimated Myopia in University Students.

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Short Sleep Duration Is Associated with Overestimated Myopia in University Students.

Purpose: To investigate the association between objectively monitored sleep patterns and overestimation of myopia among university students.

Methods: A cross-sectional study enrolled 144 university students aged 17-23 years. Sleep parameters (total duration, light sleep, deep sleep, bedtime/woke time) were objectively monitored for 7 consecutive days using smart wearable devices. Ocular biometric parameters were measured using an optical biometer. Spherical equivalent refraction (SE) was obtained via auto-refraction both before and after cycloplegia. Based on the difference in SE before and after cycloplegia (DIFF = SE_post-cycloplegia - SE_pre-cycloplegia), participants with DIFF ≥ +0.50 D were defined as the overestimated myopia group. Linear mixed-effects models (LMM) were used to analyze the association between sleep parameters and overestimated myopia, adjusting for confounders including age, sex, parental myopia history, and daily near work activities.

Results: A total of 126 participants completed data analysis. The prevalence of overestimated myopia was 26.19%. Compared to the non-overestimated myopia group, the overestimated myopia group exhibited the following significant characteristics: shorter total sleep duration by approximately 0.6 h (6.82 ± 0.84 h vs 7.43 ± 0.74 h, P < 0.001); shorter light sleep duration by 0.46 h (4.73±0.93 h vs 5.19±1.05 h, P = 0.006); and delayed bedtime by 0.80 h (1:42±1:04 vs 00:53 ± 00:52, P < 0.001). No statistically significant differences were observed between the groups in deep sleep duration or woke time.

Conclusion: Among university students, a sleep pattern characterized by shorter sleep duration and delayed bedtime is significantly associated with overestimation of myopia. This finding suggests that sleep behavior may be a potential factor influencing measurement error in non-cycloplegic refraction. Attention should be paid to the sleep status of examinees in clinical practice to enhance the accuracy of refractive measurements.

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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.