儿童和青少年的睡眠与近视之间的关联:系统性审查和元分析
Eric Jin1, Chae Eun Lee1, Hengtong Li2,3
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
概括
睡眠时间不会影响儿童近视的患病率. 然而,其他睡眠因素,如睡眠质量和时间可能会提供保护,尽管需要更多的研究来证实这些发现.
科学领域:
- 眼科医生 眼科 眼科
- 儿科 儿科 儿科
- 睡眠医学 睡眠医学
背景情况:
- 近视在全球范围内在儿童中正在上升.
- 对近视的早期预防策略至关重要.
- 关于睡眠对儿童近视的作用的研究有限.
研究的目的:
- 系统地审查和分析0-19岁个体的睡眠和近视之间的关联.
- 评估睡眠时间,睡眠质量,睡觉时间和起床时间与近视相关.
- 为了解决关于这个话题的文学稀缺性.
主要方法:
- 来自PubMed,EMBASE和Cochrane图书馆的研究的系统审查和元分析.
- 包括18项研究 (49,277名参与者) 进行审查和6项研究 (14,116名参与者) 进行元分析.
- 定义近视为球形等效折射率<-0.5二光度;主要结局是睡眠时间和近视患病率.
主要成果:
- 没有发现睡眠时间和近视患病率 (OR = 0.905) 之间有显著的相关性.
- 一些研究表明,更好的睡眠质量,更早的睡觉时间和更晚的清醒时间有潜在的保护作用.
- 对于次要结果 (质量,时间) 的结果是可信的,但不是决定性的.
结论:
- 睡眠时间不是儿童近视患病率的一个重要因素.
- 其他睡眠方面可能会影响近视的发展,但证据不确定.
- 需要对不同种群和标准化方法进行进一步的研究.
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