Inverse relationship between sleep duration and myopia
Inverse relationship between sleep duration and myopia
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DOI：
10.1111/aos.12776
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发表时间：
2016-05-01
影响因子：
3.4
通讯作者：
Kim, Eun Chul
中科院分区：
文献类型：
--
作者：
Jee, Donghyun;Morgan, Ian G.;Kim, Eun Chul
PurposesTo investigate the association between sleep duration and myopia.MethodsThis population-based，cross-sectional study using a nationwide，systematic，分层，多阶段，整群抽样方法，共包括3625名年龄在12- 19岁的受试者参加了韩国国家健康和营养检查调查2008-2012。所有参与者都接受了眼科检查和标准化访谈，包括平均睡眠时间（小时/天），教育，体育活动和经济状况（家庭年收入）。屈光不正的测量采用无睫状肌麻痹的自动验光法。近视和高度近视分别定义为-0.50屈光度（D）和-6.0 D。结果近视和高度近视的患病率分别为77.8%和9.4%，总睡眠时间为7.1hr/d。在调整潜在混杂因素（包括性别、年龄、身高、教育水平、经济状况和体力活动）后，睡眠时间每增加1小时，屈光不正增加0.10 D。睡眠时间每增加1小时，屈光不正的校正比值比（OR）为0.90（95%置信区间[CI]，0.83-0.97）。睡眠时间> 9小时的受试者的近视校正OR值（OR，0.59; 95% CI，0.38-0.93;趋势p =0.006）低于睡眠时间> 9小时的受试者（OR，0.59; 95% CI，0.38-0.93;趋势p =0.006）。
PurposesTo investigate the association between sleep duration and myopia.MethodsThis population-based, cross-sectional study using a nationwide, systemic, stratified, multistage, clustered sampling method included a total of 3625 subjects aged 12-19years who participated in the Korean National Health and Nutrition Examination Survey 2008-2012. All participants underwent ophthalmic examination and a standardized interview including average sleep duration (hr/day), education, physical activity and economic status (annual household income). Refractive error was measured by autorefraction without cycloplegia. Myopia and high myopia were defined as -0.50 dioptres (D) and -6.0 D, respectively. Sleep durations were classified into 5 categories: 9hr.ResultsThe overall prevalence of myopia and high myopia were 77.8% and 9.4%, respectively, and the overall sleep duration was 7.1hr/day. The refractive error increased by 0.10 D per 1hr increase in sleep after adjusting for potential confounders including sex, age, height, education level, economic status and physical activity. The adjusted odds ratio (OR) for refractive error was 0.90 (95% confidence interval [CI], 0.83-0.97) per 1hr increase in sleep. The adjusted OR for myopia was decreased in those with >9hr of sleep (OR, 0.59; 95% CI, 0.38-0.93; p for trend=0.006) than in those with