上海预防医学2026，Vol.38Issue(4)：296-301,310,7.DOI:10.19428/j.cnki.sjpm.2026.250343
上海市长宁区低年级小学生睡眠特征与近视进展的关联
Association between sleep patterns and myopia progression in younger school-age children in Changning District,Shanghai
摘要
Abstract
[Objective]To investigate the correlation between sleep patterns and myopia progression among younger school-age children at a primary school in Changning District of Shanghai,based on the data from the Shanghai Students'Common Diseases and Health Influencing Factors Monitoring System and a sleep-specific survey,so as to provide data support for myopia prevention and control in this age group.[Methods]One primary school was selected from the common diseases and health influencing factors monitoring system for students in Changning District,Shanghai.A total of 230 first-grade students were included in the study.Myopia and refractive parameters were examined,and sleep patterns were investigated.General demographic characteristics and myopia-related behavior data of the students were also collected.Sleep patterns were evaluated in terms of sleep duration,sleep efficiency,and sleep quality,with the latter assessed using the Chinese version of the Children's Sleep Habits Questionnaire(CSHQ).Multiple linear regression and binary logistic regression models were used to analyze the association between sleep patterns and myopia progression among these students.[Results]The results of the regression analyses revealed that the total CSHQ score of the students at baseline survey was(48.85±7.15)points.Their sleep efficiency was(94.49±8.48)%,sleep duration was(9.58±0.93)hours,and the proportion of those with insufficient sleep(<10 hours)was 78.26%.At baseline survey,students'higher daytime sleepiness scores were associated with lower spherical equivalent(SE)(β=-0.18,95%CI:-0.31 to-0.04)and an increased risk of axial length(AL)/corneal radius(CR)ratio>3(OR=1.52,95%CI:1.00 to 2.29),whereas longer sleep duration and higher sleep efficiency were associated with higher SE(β=0.18,95%CI:0.05 to 0.32;β=0.17,95%CI:0.04 to 0.31,respectively),shorter(AL)(β=-0.15,95%CI:-0.27 to-0.03;β=-0.13,95%CI:-0.25 to 0,respectively)and a reduced risk of AL/CR>3(OR=0.70,95%CI:0.51 to 0.96;OR=0.73,95%CI:0.53 to 0.99,respectively).At baseline survey,children's higher propensity for sleep problems(OR=1.70,95%CI:1.04 to 2.78),sleep resistance(OR=2.26,95%CI:1.36 to 3.75),and sleep anxiety scores(OR=2.15,95%CI:1.33 to 3.48)were all associated with an increased risk of AL/CR>3 at follow-up(all P<0.05).Furthermore,higher sleep anxiety scores predicted prolonged AL at follow-up(β=0.03,95%CI:0 to 0.05).According to the mixed-effects model,higher daytime sleepiness scores and prolonged sleep duration were independently linked to reduced right-eye SE(β=-0.05,95%CI:-0.10 to 0,P<0.05)and shorter right-eye AL(β=-0.05,95%CI:-0.10 to 0,P<0.05).[Conclusion]In this school in Shanghai,there are problems of insufficient and poor-quality sleep among young children.Sleep problems such as sleep resistance,delayed sleep onset,sleep anxiety,and daytime sleepiness among children may accelerate the risk of myopia progression,while longer sleep duration and higher sleep efficiency may serve as protective factors against the occurrence and development of myopia.关键词
近视/近视进展/睡眠/低学龄儿童Key words
myopia/myopia progression/sleep/younger school-age children分类
医药卫生引用本文复制引用
蒋子晗,魏倩,次旦央宗,金泽妍,韦韦一,庞红,钱蕾,胡巧珍,庄建林,钮春瑾..上海市长宁区低年级小学生睡眠特征与近视进展的关联[J].上海预防医学,2026,38(4):296-301,310,7.基金项目
上海市公共卫生研究专项(2024GKQ20) （2024GKQ20）
2025年甘肃省疾病预防控制科研项目(GSJKKY2025-12) （GSJKKY2025-12）
长宁区卫生健康系统优秀青年人才培养"星云计划"第一轮(CNWJXY028) （CNWJXY028）
长宁区卫生健康委员会公共卫生特色专科(20232011) （20232011）
长宁区卫生健康委员会PI团队"公共卫生视觉健康管理" （）
