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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Published in:	Scientific reports Vol. 10; no. 1; p. 17194
Main Authors:	Liu, Xiao Nicole, Naduvilath, Thomas John, Wang, Jingjing, Xiong, Shuyu, He, Xiangui, Xu, Xun, Sankaridurg, Padmaja R.
Format:	Journal Article
Language:	English
Published:	London Nature Publishing Group UK 14.10.2020 Nature Publishing Group
Subjects:	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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Abstract	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.
AbstractList	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. 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.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. 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. 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.
ArticleNumber	17194
Author	Wang, Jingjing Sankaridurg, Padmaja R. Xiong, Shuyu Xu, Xun Naduvilath, Thomas John He, Xiangui Liu, Xiao Nicole
Author_xml	– sequence: 1 givenname: Xiao Nicole surname: Liu fullname: Liu, Xiao Nicole email: n.liu@bhvi.org organization: Brien Holden Vision Institute Limited, School of Optometry and Vision Science, University of New South Wales – sequence: 2 givenname: Thomas John surname: Naduvilath fullname: Naduvilath, Thomas John organization: Brien Holden Vision Institute Limited, School of Optometry and Vision Science, University of New South Wales – sequence: 3 givenname: Jingjing surname: Wang fullname: Wang, Jingjing organization: Department of Preventative Ophthalmology, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital – sequence: 4 givenname: Shuyu surname: Xiong fullname: Xiong, Shuyu organization: Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai Key Laboratory of Ocular Fundus Diseases, National Clinical Research Center for Eye Diseases – sequence: 5 givenname: Xiangui surname: He fullname: He, Xiangui organization: Department of Preventative Ophthalmology, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai Key Laboratory of Ocular Fundus Diseases, National Clinical Research Center for Eye Diseases – sequence: 6 givenname: Xun surname: Xu fullname: Xu, Xun email: Drxuxun@sjtu.edu.cn organization: Department of Preventative Ophthalmology, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai Key Laboratory of Ocular Fundus Diseases, National Clinical Research Center for Eye Diseases – sequence: 7 givenname: Padmaja R. surname: Sankaridurg fullname: Sankaridurg, Padmaja R. email: p.sankaridurg@bhvi.org organization: Brien Holden Vision Institute Limited, School of Optometry and Vision Science, University of New South Wales
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/33057123$$D View this record in MEDLINE/PubMed
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Snippet	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... 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... 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... 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...
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SubjectTerms	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
Title	Sleeping late is a risk factor for myopia development amongst school-aged children in China
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