ArticleFrontiers in medicine2026
Cross-sectional associations of nighttime sleep and daytime nap duration with myopia in preschool children: the mediating role of body mass index.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To investigate the associations of nighttime sleep and daytime nap duration with myopia in preschool children, and to examine the mediating role of body mass index (BMI). Methods: This cross-sectional study included 695 children aged 3-7 years. Sleep duration, demographics, family factors, and lifestyle were assessed via a self-administered questionnaire. Ophthalmic examinations followed national myopia screening guidelines. Multivariate logistic regression, restricted cubic splines, and mediation analysis were used to evaluate the associations and the mediating effect of BMI. Results: The prevalence of myopia was 21.29%. After adjusting for confounders, both daytime nap duration [OR = 0.87, ( Conclusion: Both nighttime sleep and daytime nap duration were inversely associated with myopia risk in preschool children, with BMI playing a partial mediating role. Ensuring adequate nighttime sleep and appropriate daytime napping may represent an effective strategy for early myopia prevention.
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