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The association between sleep duration and myopia among Chinese school-age students

Mediation effect of physical activity

Bibliographic Data

ID22069360
AuthorsHaiqing Feng (Nantong University), Yuexia Gao (Nantong University), Na An (0000-0003-3099-2736), Yitong Lu (0000-0001-7503-6268), JIANPING HUANG (0000-0002-7091-8568), Weiping Yang (0000-0001-8839-2173, corresponding author), Qingyun Lu (0000-0001-6734-6530, Nantong University, corresponding author)
Year2025
Volume12
Pages1460410-1460410
Publication date2025-01-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1460410
PMID39830191
OpenAlexW4406044549
LanguageEN
Citations received1
References cited54

Background This study aimed to investigate the relationship between sleep duration and myopia in school-age students, as well as to observe the role of physical activity as a mediating variable in sleep duration and myopia. Methods Using multistage stratified sampling, 26,020 school-age students in Jiangsu Province, ages 7–18, were selected for this cross-sectional survey. Each participant completed a standardized interview in which their were asked about their vision, level of physical activity and average hours of sleep per day over the past month. Visual acuity examinations were conducted by the testing team’s ophthalmology professionals and they were categorized into two groups based on pre-set criteria: myopic and non-myopic. Sleep duration was classified into 3 categories: 10 h/d. The Pearson’s chi-square tests were used to examine differences in the incidence of myopia among participants. Binary multifactorial logistic regression adjusted for potential confounding variables was used to examine the relationship between myopia and a variety of factors. The mediating effects of physical activity on sleep duration and myopia were analyzed using the AMOS model. Results In this study, the incidence of myopia was higher in females than in males, it also increased with age. Those who slept for 10 h/d: OR = 0.48, p < 0.01) after controlling for potential confounders like gender, age, and BMI-z score (Body Mass Index Score). Physical activity at a high intensity not moderate intensity was found to be protective factor against myopia. High-intensity physical activity also acted as a mediator in the negative association between sleep duration and myopia (a, b, c’ all p < 0.05). Conclusion There is a negative correlation between sleep duration and myopia in school-age students, and that high-intensity physical activity mediates the relationship between sleep duration and myopia

Mediation · Psychotherapist · Clinical Psychology · Computer Science · Ergonomics and Musculoskeletal Disorders · Medicine · Ophthalmology and Visual Impairment Studies · Psychology · Spaceflight effects on biology · Gerontology

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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