Sleep duration and the risk of major eye disorders: a systematic review and meta-analysis

Background To assess the relationship between sleep duration and the risk of major eye disorders including myopia, glaucoma, cataract, age-related macular degeneration (AMD), and diabetic retinopathy (DR). Methods Databases including PubMed, Embase, Web of Science, and Cochrane library were searched...

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Published in:Eye (London) 2023-09, Vol.37 (13), p.2707-2715
Main Authors: Zhou, Miao, Li, Dan-Lin, Kai, Jia-Yan, Zhang, Xiao-Feng, Pan, Chen-Wei
Format: Article
Language:English
Subjects:
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Age
Cataracts
Circadian rhythms
Diabetes mellitus
Eye Diseases
Eye disorders
Glaucoma
Humans
Laboratory Medicine
Macular degeneration
Medicine
Medicine & Public Health
Meta-analysis
Myopia
Ophthalmology
Pharmaceutical Sciences/Technology
Retinopathy
Sleep
Sleep Duration
Surgery
Surgical Oncology
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Summary:Background To assess the relationship between sleep duration and the risk of major eye disorders including myopia, glaucoma, cataract, age-related macular degeneration (AMD), and diabetic retinopathy (DR). Methods Databases including PubMed, Embase, Web of Science, and Cochrane library were searched for eligible publications before July 2021. Studies assessing the relationship between sleep duration and any one of the major eye disorders were identified. Pooled odds ratios (ORs) and their corresponding 95% confidence intervals (95% CIs) were estimated using random-effects models. Results We identified 21 relevant articles including 777348 participants, and 17 were cross-sectional, 3 were longitudinal, and 1 was case-control. Pooled results indicated that long sleep duration was significantly associated with the risk of DR (OR = 1.84, 95% CI 1.24, 2.73), and short sleep duration was significantly associated with the risk of cataract (OR = 1.20, 95% CI 1.05, 1.36). Besides, a significant relationship was observed between the risk of DR and long sleep duration per day (i.e., nighttime sleep plus daytime napping, OR = 1.74, 95% CI 1.23, 2.44) rather than per night (OR = 2.17, 95% CI 0.95, 4.99). The extreme of long sleep duration (i.e., >10 h per night) increased the risk of myopia (OR = 1.02, 95% CI 1.01, 1.04). Conclusions Inappropriate sleep duration might increase the risk of major eye disorders. The findings could contribute to the growing knowledge on the possible relationship between circadian rhythms and eye disorders.
ISSN:0950-222X
1476-5454
1476-5454
DOI:10.1038/s41433-023-02403-4