{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:16:38Z","timestamp":1790637398156,"version":"4.1.0"},"reference-count":54,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We performed a systematic review and meta\u2010analysis to investigate the links between different sleep characteristics and risk of myopia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>PubMed, EMBASE, Web of Science, the Cochrane Library, PsycINFO, Wanfang, and CNKI were searched from inception to August 26, 2022, without any language restriction. Cross\u2010sectional, case\u2013control, or cohort studies that explored the association between sleep duration, sleep quality, bedtime, and myopia were included. NIH quality assessment tools were used to assess the methodological quality of included studies. Random\u2010effect or fixed\u2010effect models were used to pool the associations according to whether there is heterogeneity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 31 studies with 205\u2009907 participants were included in the final analysis (25 studies reporting sleep duration; four studies examining sleep quality and six studies evaluating bedtime). Compared to reference sleep duration, sufficient sleep duration (OR\u2009=\u20090.63, 95% CI\u2009=\u20090.51\u20130.78) was associated with a lower risk of myopia, and short sleep duration (OR\u2009=\u20091.66, 95% CI\u2009=\u20091.14\u20132.42) was associated with a higher risk of myopia. In addition, poor sleep quality (OR\u2009=\u20091.24, 95% CI\u2009=\u20091.05\u20131.47) was associated with a higher risk of myopia while late bedtime (OR\u2009=\u20091.30, 95% CI\u2009=\u20090.96\u20131.75) was not significantly associated with an increased risk of myopia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Alteration in sleep duration and sleep quality may influence the risk of myopia. Well\u2010designed cohort studies are needed in future investigations to identify a causal relationship between different sleep characteristics and myopia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.14277","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T23:24:35Z","timestamp":1689809075000},"page":"673-684","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Association between sleep duration, sleep quality, bedtime and myopia: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7757-3729","authenticated-orcid":false,"given":"Xing Xing","family":"Wang","sequence":"first","affiliation":[{"name":"School of Nursing Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1726-1007","authenticated-orcid":false,"given":"Xiaotong","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingxiu","family":"Lin","sequence":"additional","affiliation":[{"name":"School of Nursing Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Dong","sequence":"additional","affiliation":[{"name":"Psychiatry Department Peking University Sixth Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya Bin","family":"Wei","sequence":"additional","affiliation":[{"name":"Beijing Key Laboratory of Drug Dependence Research National Institute on Drug Dependence, Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5548-8777","authenticated-orcid":false,"given":"Jia Jia","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-020-00231-4"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2016.01.006"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-1313.2005.00298.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2018.10.029"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2021.06.005"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/ijph.2023.1605424"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-018-0829-8"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0217111"},{"issue":"1","key":"e_1_2_7_10_1","first-page":"81","article-title":"Progression and risk factors of myopia among students in Beijing from 2008\u20132009","volume":"37","author":"Wang C","year":"2016","journal-title":"Chin J School Health"},{"issue":"7","key":"e_1_2_7_11_1","first-page":"963","article-title":"Analysis on status quo and influencing factors of myopia among children and adolescents in Chongqing","volume":"36","author":"Zheng XL","year":"2020","journal-title":"Occup Health"},{"issue":"3","key":"e_1_2_7_12_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2020\/2670153","article-title":"Correlation of myopia with physical exercise and sleep habits among suburban adolescents","volume":"2020","author":"Qu Y","year":"2020","journal-title":"J Ophthalmol"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12776"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2009.06.016"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2014.12.010"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186"},{"issue":"10","key":"e_1_2_7_17_1","first-page":"1233","article-title":"Analysis of influencing factors of myopia among primary and middle school students in Changning District, Shanghai","volume":"26","author":"Zhu JF","year":"2010","journal-title":"Chin J Public Health"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.4236\/health.2014.61010"},{"issue":"5","key":"e_1_2_7_19_1","first-page":"88","article-title":"The prevalence and influencing factors of myopia among college students in a certain city","volume":"26","author":"Zeng YC","year":"2015","journal-title":"Jiangsu J Prev Med"},{"issue":"4","key":"e_1_2_7_20_1","first-page":"241","article-title":"Prevalence and associated factors of myopia in primary and secondary school students in Huaihua City, Hunan Province","volume":"25","author":"Liu L","year":"2016","journal-title":"Ophthalmol China"},{"issue":"1","key":"e_1_2_7_21_1","first-page":"29","article-title":"Prevalence of myopia and influencing factors among primary and middle school students in 6 provinces of China","volume":"37","author":"Zhou J","year":"2016","journal-title":"Chin J Epidemiol"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-017-0574-4"},{"issue":"3","key":"e_1_2_7_23_1","first-page":"154","article-title":"Epidemiological characteristics of myopia in high school students in Longquanyi District","volume":"33","author":"Yang Q","year":"2018","journal-title":"Eye Sci"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000014777"},{"issue":"7","key":"e_1_2_7_25_1","first-page":"1231","article-title":"Epidemiology of refractive and associated factors in school\u2010aged children in Xiangtan","volume":"20","author":"Cao J\u2010X","year":"2020","journal-title":"Int Eye Sci"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-74348-7"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.61.3.37"},{"issue":"5","key":"e_1_2_7_28_1","first-page":"522","article-title":"Prevalence of myopia among junior middle school students in Ningbo","volume":"33","author":"Gao H","year":"2021","journal-title":"J Prev Med"},{"issue":"23","key":"e_1_2_7_29_1","first-page":"3259","article-title":"Analysis on influencing factors of different myopia level among primary and secondary school students in Dongying District of Dongying City","volume":"37","author":"Huang Z","year":"2021","journal-title":"Occup Health"},{"issue":"14","key":"e_1_2_7_30_1","first-page":"2552","article-title":"Myopia and risk factors among Chinese adolescents","volume":"48","author":"Li HF","year":"2021","journal-title":"Mod Prev Med"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/3504538"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-88756-w"},{"issue":"3","key":"e_1_2_7_33_1","first-page":"434","article-title":"Study on factors of ametropia of middle school students in Xuhui district, Shanghai in 2019","volume":"41","author":"Zhang HM","year":"2021","journal-title":"J Nanjing Med Univ"},{"issue":"14","key":"e_1_2_7_34_1","first-page":"154","article-title":"Investigation on the current situation of myopia and influencing factors among middle school students in Guilin","volume":"29","author":"Jin H","year":"2022","journal-title":"Chin Mod Med"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.828298"},{"issue":"2","key":"e_1_2_7_36_1","first-page":"238","article-title":"Discussion on the related factors of myopia and the establishment of Nomogram prediction model for adolescents aged 12\u201318 in Shenyang","volume":"39","author":"Li T","year":"2022","journal-title":"Chin J Health Stat"},{"issue":"4","key":"e_1_2_7_37_1","first-page":"243","article-title":"Analysis of refractive status and influencing factors of preschool children in Xinghualing district of Taiyuan","volume":"31","author":"Li T","year":"2022","journal-title":"Proc Clin Med"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/7071801"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgene.2022.861164"},{"issue":"3","key":"e_1_2_7_40_1","first-page":"180","article-title":"Analysis of the influencing factors of myopia in elementary and middle school students in Bengbu City in 2020","volume":"28","author":"Zhu F","year":"2022","journal-title":"Anhui J Prev Med"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/09286586.2018.1554159"},{"issue":"3","key":"e_1_2_7_42_1","first-page":"328","article-title":"Correlation between children and adolescents' behavioral habits and the occurrence of myopia in Qamdo","volume":"43","author":"Xia J","year":"2022","journal-title":"Chin J School Health"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.4236\/ojepi.2012.24013"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-017-0446-y"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.exer.2012.12.013"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-019-1220-0"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13569"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.13-12361"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.86.2.704"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.0045-12.2012"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsaa208"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2007.12.019"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-023-02403-4"},{"key":"e_1_2_7_54_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep33902"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1093\/hmg\/ddx240"}],"container-title":["Clinical &amp; Experimental Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ceo.14277","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T05:50:20Z","timestamp":1696657820000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ceo.14277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,19]]},"references-count":54,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1111\/ceo.14277"],"URL":"https:\/\/doi.org\/10.1111\/ceo.14277","archive":["Portico"],"relation":{},"ISSN":["1442-6404","1442-9071"],"issn-type":[{"value":"1442-6404","type":"print"},{"value":"1442-9071","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,19]]},"assertion":[{"value":"2023-03-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}