Disordered sleep and myopia among adolescents: a propensity score matching analysis

Pan, Chen-Wei; Liu, Jinghong; Wu, Rong-Kun; Zhong, Hua; Li, Jun

doi:10.1080/09286586.2018.1554159

Cited by 23 publications

(16 citation statements)

References 23 publications

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“…However, AL and SE were adjusted for in the multivariable analysis (see Table 2 ). Besides, we failed to find an association between sleep disorders and SE or AL (see sTables 3 , 4 ), which was consistent to the findings in recent studies [ 51 , 52 ]. More research may be warranted to clarify the potentially triangular relationship between sleep disorders, myopia, and choroidal thickness.…”

Section: Discussionsupporting

confidence: 92%

Association of sleep disorders with subfoveal choroidal thickness in preschool children

Shen

et al. 2021

Eye

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Objective To explore the association between sleep disorders and subfoveal choroidal thickness (SFCT) in preschool children. Methods In this population-based cross-sectional study, children aged 60–72 months were measured for SFCT using spectral-domain optical coherence tomography (SD-OCT) and for sleep disorders using the Chinese version of Children’s Sleep Habits Questionnaire (CSHQ). Multiple linear regression analyses were performed to assess the association between sleep disorders and SFCT. Results A total of 1337 children (mean (SD) age: 66.88 (3.41) months) were included in the analyses. In multivariable linear analysis, a higher total CSHQ score (indicating higher likelihood of sleep disorders) was associated with a thinner subfoveal choroid (beta, −0.070; 95% CI, −0.141 to −0.001; P = 0.046). When each of eight CSHQ subscale scores was analysed by the multivariable model, only the Daytime Sleepiness subscale score was negatively associated with the SFCT (beta, −0.115; 95% CI, −0.183 to −0.046; P = 0.001). The children with clinically significant daytime sleepiness (n = 364, 27.2%) had significantly thinner subfoveal choroid than other children (295.47 vs. 308.52 μm, P = 0.007). Conclusions Only daytime sleepiness was significantly associated with SFCT in preschool children in this study. The potential relationship between sleep disorders during childhood and children’s ocular development needs further research.

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Section: Discussionsupporting

confidence: 92%

Association of sleep disorders with subfoveal choroidal thickness in preschool children

Shen

et al. 2021

Eye

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“…Associations between sleep and myopia have also been reported, but the evidence is quite inconsistent. [208][209][210][211][212][213] A large longitudinal study from Shanghai reported consistent significant associations of going to sleep late with greater myopia prevalence at baseline, incident myopia, and myopic shift in refraction, after adjustment for several variables including age, but did not find that sleep duration was an important factor. 214 The authors noted that going to sleep late was more prevalent in children who lived in urban areas, were older, had more parents with myopia, had better educated parents, tended to wake up late, spent more time reading and on screens, and spent less time outdoors -all characteristics that were also identified as risk factors for myopia.…”

Section: Sleepmentioning

confidence: 99%

IMI Risk Factors for Myopia

Morgan

Ostrin

et al. 2021

Invest. Ophthalmol. Vis. Sci.

201

160

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Risk factor analysis provides an important basis for developing interventions for any condition. In the case of myopia, evidence for a large number of risk factors has been presented, but they have not been systematically tested for confounding. To be useful for designing preventive interventions, risk factor analysis ideally needs to be carried through to demonstration of a causal connection, with a defined mechanism. Statistical analysis is often complicated by covariation of variables, and demonstration of a causal relationship between a factor and myopia using Mendelian randomization or in a randomized clinical trial should be aimed for. When strict analysis of this kind is applied, associations between various measures of educational pressure and myopia are consistently observed. However, associations between more nearwork and more myopia are generally weak and inconsistent, but have been supported by meta-analysis. Associations between time outdoors and less myopia are stronger and more consistently observed, including by meta-analysis. Measurement of nearwork and time outdoors has traditionally been performed with questionnaires, but is increasingly being pursued with wearable objective devices. A causal link between increased years of education and more myopia has been confirmed by Mendelian randomization, whereas the protective effect of increased time outdoors from the development of myopia has been confirmed in randomized clinical trials. Other proposed risk factors need to be tested to see if they modulate these variables. The evidence linking increased screen time to myopia is weak and inconsistent, although limitations on screen time are increasingly under consideration as interventions to control the epidemic of myopia.

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“…PSM is an advanced statistical tool designed to reduce the potential selection bias commonly seen in retrospective studies. 8 To the best of our knowledge, this is the first assessment of the diagnostic accuracy and complications incidence of CT-guided CNB of GGNs and solid nodules lesions based on PSM method. We found that there was no significant difference of CT-guided CNB between ground-glass and solid pulmonary nodules on diagnostic accuracy and complication rates.…”

Section: Discussionmentioning

confidence: 91%

Comparison of CT-Guided Core Needle Biopsy in Pulmonary Ground-Glass and Solid Nodules Based on Propensity Score Matching Analysis

Zhang

Wang

et al. 2022

Technol Cancer Res Treat

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Purpose: To compare the diagnostic accuracy and safety of computed tomography (CT)-guided core needle biopsy (CNB) between pulmonary ground-glass and solid nodules using propensity score matching (PSM) method and determine the relevant risk factors. Methods: This was a single-center retrospective cohort study using data from 665 patients who underwent CT-guided CNB of pulmonary nodules in our hospital between May 2019 and May 2021, including 39 ground-glass nodules (GGNs) and 626 solid nodules. We used a 1:4 PSM analysis to compared the diagnostic yields and complications rates of CT-guided CNB between 2 groups. Results: After PSM, 170 cases involved in the comparison (34 GGNs vs 136 solid nodules) were randomly matched (1:4) by patient demographics, clinical history, lesion characteristics, and procedure-related factors. There was no statistically significant difference in the diagnostic yields and complications rates between 2 groups. Significant pneumothorax incidence increase was noted at small lesion size, deep lesion location, and traversing interlobar fissure ( P < .05). Post-biopsy hemorrhage was a protective factor for pneumothorax ( P < .05). The size/proportion of consolidation of GGN did not influence the diagnostic accuracy and complication incidence ( P > .05). Conclusions: The accuracy and safety of CT-guided CNB were comparable for ground-glass and solid nodules and the size/proportion of consolidation of GGN may be not a relevant risk factor. The biopsy should avoid traversing interlobar fissure as far as possible. Smaller lesion size and deeper lesion location may lead to higher pneumothorax rate and post-biopsy hemorrhage may be a protective factor for pneumothorax.

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Disordered sleep and myopia among adolescents: a propensity score matching analysis

Cited by 23 publications

References 23 publications

Association of sleep disorders with subfoveal choroidal thickness in preschool children

Association of sleep disorders with subfoveal choroidal thickness in preschool children

IMI Risk Factors for Myopia

Comparison of CT-Guided Core Needle Biopsy in Pulmonary Ground-Glass and Solid Nodules Based on Propensity Score Matching Analysis

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