Cross-sectional associations of nighttime sleep and daytime nap duration with myopia in preschool children: the mediating role of body mass index - Scorecard - MDSpire

Cross-sectional associations of nighttime sleep and daytime nap duration with myopia in preschool children: the mediating role of body mass index

  • By

  • Xiumei Chen

  • Dan Liu

  • Wei Du

  • Changhua Wu

  • July 7, 2026

  • 0 min

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Clinical Scorecard: Associations Between Nighttime Sleep and Daytime Napping Duration with Myopia in Preschoolers: The Mediating Effect of Body Mass Index

At a Glance

CategoryDetail
ConditionMyopia
Key MechanismsNighttime sleep and daytime nap duration are inversely associated with myopia risk, with BMI as a partial mediator.
Target PopulationPreschool children aged 3–7 years
Care SettingPediatric ophthalmology and public health

Key Highlights

  • Prevalence of myopia in the study population was 21.29%.
  • Daytime nap duration and nighttime sleep duration are negatively associated with myopia risk.
  • A protective inflection point for daytime napping was identified at 38 minutes.
  • BMI accounted for 24.79% and 28.16% of the total effects of daytime nap and nighttime sleep on myopia, respectively.
  • The study emphasizes the importance of adequate sleep for myopia prevention.

Guideline-Based Recommendations

Diagnosis

  • Ophthalmic examinations should follow national myopia screening guidelines.

Management

  • Encourage adequate nighttime sleep and appropriate daytime napping in preschool children.

Monitoring & Follow-up

  • Monitor sleep duration and BMI as part of myopia risk assessment.

Risks

  • High myopia is associated with irreversible blinding complications.

Patient & Prescribing Data

Preschool children aged 3–7 years attending kindergarten.

Ensuring adequate sleep duration may represent an effective strategy for early myopia prevention.

Clinical Best Practices

  • Assess sleep duration and BMI in preschool children during routine check-ups.
  • Implement educational programs for parents about the importance of sleep for eye health.

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