Sleeping late is a risk factor for myopia development amongst school-aged children in China

Myopia, a leading cause of distance vision impairment, is projected to affect half of the world’s population in 30 years. We analysed the relationship between certain demographic, environmental, and behavioural factors and myopia from a 2-year school-based, prospective trial conducted in Shanghai, C...

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Vydané v:Scientific reports Ročník 10; číslo 1; s. 17194
Hlavní autori: Liu, Xiao Nicole, Naduvilath, Thomas John, Wang, Jingjing, Xiong, Shuyu, He, Xiangui, Xu, Xun, Sankaridurg, Padmaja R.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London Nature Publishing Group UK 14.10.2020
Nature Publishing Group
Predmet:
692/308/174
692/308/3187
692/499
692/699/3161/3174
692/700/1719
Cellular telephones
Child
Children
Children & youth
China
Circadian rhythm
Circadian Rhythm - physiology
Circadian rhythms
Decision making
Disease Progression
Families & family life
Family medical history
Female
Gender
Humanities and Social Sciences
Humans
Incidence
Indoor environments
Male
multidisciplinary
Myopia
Myopia - etiology
Outdoor activities
Parents & parenting
Prevalence
Prospective Studies
Questionnaires
Risk Factors
Schools
Science
Science (multidisciplinary)
Sleep
Sleep - physiology
Visual impairment
China
ISSN:2045-2322, 2045-2322
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Shrnutí:Myopia, a leading cause of distance vision impairment, is projected to affect half of the world’s population in 30 years. We analysed the relationship between certain demographic, environmental, and behavioural factors and myopia from a 2-year school-based, prospective trial conducted in Shanghai, China. This trial enrolled 6295 school-aged children at baseline and followed them up for 24 months. The relationship between abovementioned factors and myopia was examined and the role of sleep in childhood myopia development was highlighted. Our results suggest that ‘sleeping late’ is a risk factor for myopia prevalence at baseline (odds ratio [OR] = 1.55, p  = 0.04), 2-year myopia incidence (odds ratio [OR] = 1.44, p  = 0.02) and progression over 24 months ( p  = 0.005), after adjusting for residency area, age, gender, sleep duration, and time spent outdoors. The identification and consistency of results with late sleepers being a susceptible group to both myopia onset and progression suggests a complex relationship between circadian rhythm, indoor environment, habitual indoor activities and myopia development and progression. These results can offer new insights to future myopia aetiology studies as well as aid in decision-making of myopia prevention strategies.
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ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-020-74348-7