Gender Difference of the Association Between Sleep Duration and Myopia Among Children and Adolescents.

IF 3 2区医学 Q2 CLINICAL NEUROLOGY Nature and Science of Sleep Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI:10.2147/NSS.S476051

Zhaorong Gao, Zhen Guo, Yongbo Song, Xiujing Shi, Yingzuo Zhao, Conghui Liu

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Abstract

Purpose: With girls typically exhibiting higher rates of myopia than boys, however, the mechanisms behind this gender difference remain unclear. This study aims to investigate the gender disparities in the relationship between myopia, sleep duration, physical activity, and BMI.

Patients and methods: A total of 3138 primary and secondary school students were included. Mplus 8.3 was used to perform the multiple mediation analysis.

Results: Sleep duration was indicated to directly affect myopia (β=0.273, 95% CI=0.184-0.356) and through physical activity, BMI, physical activity and BMI three significantly mediation pathways, respectively. In terms of gender, the mediating direct effect of sleep duration on myopia of boys was 66.96%, which is much higher than that of girls' 50.91%. And the mediating indirect effect of sleep duration on myopia through physical activity and BMI are 32.65% and 12.10% respectively among girls, both of which are significantly higher than that of boys.

Conclusion: The study found that there are significant differences in the impact of sleep duration on myopia in children and adolescents of different genders. In this regard, while paying attention to the sleep duration of children and adolescents, special attention should also be paid to the indirect impact of girls' physical activity and BMI on myopia, and targeted measures should be formulated according to children of different genders to effectively protect the eye health of children and adolescents.

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儿童和青少年睡眠时间与近视之间的性别差异。

目的：女孩的近视率通常高于男孩，但这种性别差异背后的机制仍不清楚。本研究旨在调查近视、睡眠时间、体力活动和体重指数之间的性别差异：研究共纳入了 3138 名中小学生。采用 Mplus 8.3 进行多重中介分析：结果表明：睡眠时间直接影响近视（β=0.273，95% CI=0.184-0.356），并分别通过体力活动、体重指数、体力活动和体重指数三条显著的中介途径。在性别方面，睡眠时间对男生近视的直接中介效应为 66.96%，远高于女生的 50.91%。而睡眠时间通过体育锻炼和体重指数对近视的间接中介效应在女生中分别为 32.65% 和 12.10%，均显著高于男生：研究发现，睡眠时间对不同性别儿童和青少年近视的影响存在显著差异。因此，在关注儿童青少年睡眠时间的同时，还应特别关注女童体力活动和体重指数对近视的间接影响，并根据不同性别的儿童制定有针对性的措施，以有效保护儿童青少年的眼睛健康。

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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.