Relationship between sleep and myopia among primary and secondary school students with different durations of outdoor activities in Beijing: a cross-sectional survey
ObjectiveTo analyze the relationship between sleep and myopia in primary and secondary school students with different durations of outdoor activities in Beijing, aiming to provide an evidence for myopia prevention and control in the students. MethodsFrom September to December 2021, 24 326 students r...
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Editorial Office of Chinese Journal of Public Health
2024-10-01
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Series: | Zhongguo gonggong weisheng |
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Online Access: | https://www.zgggws.com/article/doi/10.11847/zgggws1144056 |
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author | Jingshu ZHANG Ting LI Han YANG Ran QIN Hai ZHAO Lu WANG Bingjie SUN Xin GUO |
author_facet | Jingshu ZHANG Ting LI Han YANG Ran QIN Hai ZHAO Lu WANG Bingjie SUN Xin GUO |
author_sort | Jingshu ZHANG |
collection | DOAJ |
description | ObjectiveTo analyze the relationship between sleep and myopia in primary and secondary school students with different durations of outdoor activities in Beijing, aiming to provide an evidence for myopia prevention and control in the students. MethodsFrom September to December 2021, 24 326 students recruited using stratified random cluster sampling from 16 districts in Beijing municipality underwent visual acuity testing and an on-site anonymous online questionnaire survey. A multivariate logistic regression model was used to analyze the relationship between sleep duration and myopia in students with different durations of outdoor activities. ResultsOf the 22 957 valid participants, 71.6% were identified as having myopia, 61.0% reported insufficient time spent outdoors, and 70.0% reported insufficient sleep. The prevalence of myopia was higher in participants with insufficient sleep than in those with sufficient sleep (73.6% vs. 67.2%, χ2 = 96.970; P < 0.001). Multivariate logistic regression analysis showed that after adjustment for gender, urban/rural residence, education level, parental myopia, daily after-school study time, daily TV viewing time, daily screen viewing time, and whether they turn off the light when viewing screens after dark, among participants who reported insufficient time spent outdoors, those with insufficient sleep had an increased risk of myopia (odds ratio = 1.10, 95% confidence interval: 1.03 – 1.18; P < 0.05) compared to those with sufficient sleep; subsequent gender stratification analysis showed that the risk of myopia was increased in male and all participants, but not in female participants. ConclusionAmong students with inadequate outdoor activity, the prevalence of myopia was higher among those with inadequate sleep, suggesting that parents and teachers should encourage students to participate in more outdoor activity and ensure adequate sleep to reduce the risk of myopia. |
format | Article |
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institution | Kabale University |
issn | 1001-0580 |
language | zho |
publishDate | 2024-10-01 |
publisher | Editorial Office of Chinese Journal of Public Health |
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series | Zhongguo gonggong weisheng |
spelling | doaj-art-e2bf45750897418e809529fcc964a9722025-01-23T05:11:54ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802024-10-0140101201120510.11847/zgggws11440561144056Relationship between sleep and myopia among primary and secondary school students with different durations of outdoor activities in Beijing: a cross-sectional surveyJingshu ZHANG0Ting LI1Han YANG2Ran QIN3Hai ZHAO4Lu WANG5Bingjie SUN6Xin GUO7Beijing Center for Disease Prevention and Control, Beijing 100013, ChinaBeijing Center for Disease Prevention and Control, Beijing 100013, ChinaBeijing Center for Disease Prevention and Control, Beijing 100013, ChinaBeijing Center for Disease Prevention and Control, Beijing 100013, ChinaBeijing Center for Disease Prevention and Control, Beijing 100013, ChinaBeijing Center for Disease Prevention and Control, Beijing 100013, ChinaBeijing Center for Disease Prevention and Control, Beijing 100013, ChinaBeijing Center for Disease Prevention and Control, Beijing 100013, ChinaObjectiveTo analyze the relationship between sleep and myopia in primary and secondary school students with different durations of outdoor activities in Beijing, aiming to provide an evidence for myopia prevention and control in the students. MethodsFrom September to December 2021, 24 326 students recruited using stratified random cluster sampling from 16 districts in Beijing municipality underwent visual acuity testing and an on-site anonymous online questionnaire survey. A multivariate logistic regression model was used to analyze the relationship between sleep duration and myopia in students with different durations of outdoor activities. ResultsOf the 22 957 valid participants, 71.6% were identified as having myopia, 61.0% reported insufficient time spent outdoors, and 70.0% reported insufficient sleep. The prevalence of myopia was higher in participants with insufficient sleep than in those with sufficient sleep (73.6% vs. 67.2%, χ2 = 96.970; P < 0.001). Multivariate logistic regression analysis showed that after adjustment for gender, urban/rural residence, education level, parental myopia, daily after-school study time, daily TV viewing time, daily screen viewing time, and whether they turn off the light when viewing screens after dark, among participants who reported insufficient time spent outdoors, those with insufficient sleep had an increased risk of myopia (odds ratio = 1.10, 95% confidence interval: 1.03 – 1.18; P < 0.05) compared to those with sufficient sleep; subsequent gender stratification analysis showed that the risk of myopia was increased in male and all participants, but not in female participants. ConclusionAmong students with inadequate outdoor activity, the prevalence of myopia was higher among those with inadequate sleep, suggesting that parents and teachers should encourage students to participate in more outdoor activity and ensure adequate sleep to reduce the risk of myopia.https://www.zgggws.com/article/doi/10.11847/zgggws1144056sleepoutdoor activitymyopiastudentsbeijing city |
spellingShingle | Jingshu ZHANG Ting LI Han YANG Ran QIN Hai ZHAO Lu WANG Bingjie SUN Xin GUO Relationship between sleep and myopia among primary and secondary school students with different durations of outdoor activities in Beijing: a cross-sectional survey Zhongguo gonggong weisheng sleep outdoor activity myopia students beijing city |
title | Relationship between sleep and myopia among primary and secondary school students with different durations of outdoor activities in Beijing: a cross-sectional survey |
title_full | Relationship between sleep and myopia among primary and secondary school students with different durations of outdoor activities in Beijing: a cross-sectional survey |
title_fullStr | Relationship between sleep and myopia among primary and secondary school students with different durations of outdoor activities in Beijing: a cross-sectional survey |
title_full_unstemmed | Relationship between sleep and myopia among primary and secondary school students with different durations of outdoor activities in Beijing: a cross-sectional survey |
title_short | Relationship between sleep and myopia among primary and secondary school students with different durations of outdoor activities in Beijing: a cross-sectional survey |
title_sort | relationship between sleep and myopia among primary and secondary school students with different durations of outdoor activities in beijing a cross sectional survey |
topic | sleep outdoor activity myopia students beijing city |
url | https://www.zgggws.com/article/doi/10.11847/zgggws1144056 |
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