Relationship of outdoor activities and sedentary behaviors and sleep with poor vision among primary and secondary school students

XU Xing; ZHU Yi; ZHANG Rui; ZHANG Yaxin; TAO Fangbiao; XU Shaojun

doi:10.16835/j.cnki.1000-9817.2024347

Volume 45 Issue 11

Nov. 2024

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2024 > 45(11): 1648-1652

XU Xing, ZHU Yi, ZHANG Rui, ZHANG Yaxin, TAO Fangbiao, XU Shaojun. Relationship of outdoor activities and sedentary behaviors and sleep with poor vision among primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(11): 1648-1652. doi: 10.16835/j.cnki.1000-9817.2024347

Citation:

XU Xing, ZHU Yi, ZHANG Rui, ZHANG Yaxin, TAO Fangbiao, XU Shaojun. Relationship of outdoor activities and sedentary behaviors and sleep with poor vision among primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(11): 1648-1652. doi: 10.16835/j.cnki.1000-9817.2024347

Citation:

XU Xing, ZHU Yi, ZHANG Rui, ZHANG Yaxin, TAO Fangbiao, XU Shaojun. Relationship of outdoor activities and sedentary behaviors and sleep with poor vision among primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(11): 1648-1652. doi: 10.16835/j.cnki.1000-9817.2024347

PDF( 402 KB)

Relationship of outdoor activities and sedentary behaviors and sleep with poor vision among primary and secondary school students

doi: 10.16835/j.cnki.1000-9817.2024347

XU Xing¹,
ZHU Yi¹,
ZHANG Rui¹,
ZHANG Yaxin¹,
TAO Fangbiao^{1, 2},
XU Shaojun^{1, 2
,
,}

1.
Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei (230032), Anhui Province, China

Received Date: 2024-08-02
Rev Recd Date: 2024-09-26

Available Online: 2024-12-10

Publish Date: 2024-11-15

Abstract

Abstract

Objective To analyze the effects of outdoor activities, sedentary behaviors and sleep duration on the risk of poor vision among primary and secondary school students after replacing them with each other, so as to provide a reference for precise intervention in the prevention and control of myopia among children and adolescents. Methods From March to May 2023, a stratified cluster random sampling method was used to select 6 132 students in grades 4 to 12 in Hefei, Wuhu, Suzhou and Chizhou cities in Anhui Province. A questionnaire survey was conducted to collect the basic information, outdoor activities, sedentary behavior, and sleep duration, and a visual inspection was carried out by 5 m standard logarithmic visual acuity chart. The single activity model, segmentation model and isotemporal substitution model were used to analyze the relationship between outdoor activities, sedentary behaviors, sleep, and poor vision, and stratified analysis was performed by gender. Results The detection rate of poor vision among the 6 132 primary and secondary school students was 76.9%, and the detection rate of poor vision was higher for girls (81.1%) than for boys (72.6%), and the difference was statistically significant (χ²=61.37, P < 0.01). The results of the single activity model and segmentation model showed that outdoor activity and sleep duration were correlated with a reduced risk of poor vision in primary and secondary school students (OR=0.87, 0.88; 0.88, 0.91), while sedentary behavior was correlated with an increased risk of poor vision (OR=1.05, 1.03) (P < 0.05). The results of the isotemporal substitution model showed that replacing the same amount of sedentary behavior with 1 h/d of outdoor activity was associated with 15% reduction in the risk of poor vision (OR=0.85), and replacing the same amount of sedentary behavior with 1 h/d of sleep was associated with a 12% reduction in the risk of poor vision (OR=0.88) (P < 0.05). The results of the isotemporal substitution model stratified by gender showed that replacing the same amount of sedentary behavior with 1 h/d of outdoor activity and 1 h/d of sleep were associated with 22% and 8% reduction in the risk of poor vision in male students (OR=0.78, 0.92), and replacing the same amount of sedentary behavior with 1 h/d of sleep was associated with 18% reduction in the risk of poor vision in female students (OR=0.82) (P < 0.05). Conclusion Replacing sedentary behavior with 1 h/d of outdoor activity for boys and 1 h/d of sleep for girls and boys could reduce the risk of poor vision.
- Motor activity,
- Sedentary lifestyle,
- Sleep,
- Vision, low,
- Isotemporal substitution,
- Students

FullText(HTML)

References(19)

References

[1]	董彦会, 刘慧彬, 王政和, 等. 中国2005—2014年7~18岁汉族儿童青少年近视现状和增长速度趋势分析[J]. 中华流行病学杂志, 2017, 38(5): 583-587. DONG Y H, LIU H B, WANG Z H, et al. Prevalence of myopia and increase trend in children and adolescents aged 7-18 years in Han ethnic group in China, 2005-2014[J]. Chin J Epidemiol, 2017, 38(5): 583-587. (in Chinese)
[2]	陶芳标. 认识时代变迁的推手作用创新儿童青少年近视防控策略[J]. 中华预防医学杂志, 2021, 55(4): 435-439. TAO F B. Prevention and control of myopia needs to integrate the cultural and social-economic spatiotemporal factors among children and adolescents in China[J]. Chin J Prev Med, 2021, 55(4): 435-439. (in Chinese)
[3]	BISWAS S, KAREH A, QURESHI M, et al. The influence of the environmentand lifestyle on myopia[J]. J Phys Anthropol, 2024, 43(1): 7. doi: 10.1186/s40101-024-00354-7
[4]	曾彩琼, 周炼红, 张鹏, 等. 湖北省一至三年级小学生近视眼现况调查[J]. 中华眼科杂志, 2018, 54(10): 756-761. ZENG C Q, ZHOU L H, ZHANG P, et al. The epidemiology of myopia in primary school students of grade 1 to 3 in Hubei Province[J]. Chin J Ophthalmol, 2018, 54(10): 756-761. (in Chinese)
[5]	《中国人群身体活动指南》编写委员会. 中国人群身体活动指南(2021)[J]. 中华预防医学杂志, 2022, 56(1): 7-8. Composing and Editorial Board of Physical Activity Guidelines for Chinese. Physical activity guidelines for Chinese (2021)[J]. Chin J Prev Med, 2022, 56(1): 7-8. (in Chinese)
[6]	许韶君, 万宇辉, 徐增辉, 等. 体育锻炼、睡眠和家庭作业时间与中小学生疑似近视的关系[J]. 中华流行病学杂志, 2016, 37(2): 183-186. XU S J, WAN Y H, XU Z H, et al. Association between time spent on physical exercise, sleep, homework and suspected myopia among students[J]. Chin J Epidemiol, 2016, 37(2): 183-186. (in Chinese)
[7]	中国学生体质与健康研究组. 2019年中国学生体质与健康调研报告[M]. 北京: 高等教育出版社, 2022: 26-29. Chinese School Student Physique and Health Research Group. Report on the physical fitness and health surveillance of Chinese school students in 2019[M]. Beijing: Higher Education Press, 2022: 26-29. (in Chinese)
[8]	钟盼亮, 马宁, 刘云飞, 等. 2010—2019年中国7~18岁汉族儿童青少年近视的流行趋势[J]. 中华预防医学杂志, 2023, 57(4): 479-485. ZHONG P L, MA N, LIU Y F, et al. Trend of the detection rate of myopia among Chinese Han children and adolescents aged 7-18 years from 2010 to 2019[J]. Chin J Prev Med, 2023, 57(4): 479-485. (in Chinese)
[9]	徐荣彬, 高迪, 王政和, 等. 2016年中国学生户外活动时间现状分析[J]. 中国儿童保健杂志, 2018, 26(3): 254-257. XU R B, GAO D, WANG Z H, et al. Analysis of the current status of outdoor activity time of Chinese students in 2016[J]. Chin J Child Heal Care, 2018, 26(3): 254-257. (in Chinese)
[10]	CHEN S T, LIU Y, HONG J T, et al. Co-existence of physical activity and sedentary behavior among children and adolescents in Shanghai, China: do gender and age matter?[J]. BMC Public Health, 2018, 18(1): 1287. doi: 10.1186/s12889-018-6167-1
[11]	张长皓, 许巍, 申昆玲. 世界卫生组织关于儿童身体活动和久坐行为指南解读[J]. 中华实用儿科临床杂志, 2021, 36(17): 1281-1284. ZHANG C H, XU W, SHEN K L. Interpretation of World Health Organization guidelines on physical activity and sedentary behavior in children[J]. Chin J Appl Clin Pediatr, 2021, 36(17): 1281-1284. (in Chinese)
[12]	李琳, 廖津津. 应用ROC曲线评估久坐行为对儿童青少年视力不良的预测价值[EB/OL]. (2023-09-01). http://kns.cnki.net/kcms/detail/11.4691.R.20230901.2037.004.html. LI L, LIAO J J. Application of ROC curves to assess the predictive value of sedentary behaviour on poor vision in children and adolescents[EB/OL]. (2023-09-01). http://kns.cnki.net/kcms/detail/11.4691.R.20230901.2037.004.html. (in Chinese)
[13]	陶然, 温勃, 董彬, 等. 中国汉族7~18岁学生睡眠情况与视力不良的关系[J]. 中国学校卫生, 2019, 40(10): 1514-1516, 1520. doi: 10.16835/j.cnki.1000-9817.2019.10.021 TAO R, WEN B, DONG B, et al. Association between sleep and poor vision in Chinese Han students aged 7-18 years[J]. Chin J Sch Health, 2019, 40(10): 1514-1516, 1520. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.10.021
[14]	ZHAO M, ZHANG Y, HEROLD F, et al. Associations between meeting 24-hour movement guidelines and myopia among school-aged children: a cross-sectional study[J]. Compl Ther Clin Pract, 2023, 53: 101792. doi: 10.1016/j.ctcp.2023.101792
[15]	陶芳标. 《儿童青少年近视防控公共卫生综合干预技术指南》专题解读[J]. 中国学校卫生, 2023, 44(10): 1445-1449. doi: 10.16835/j.cnki.1000-9817.2023.10.002 TAO F B. Expert interpretation of Comprehensive Public Health Intervention Technical Guidelines for Prevention and Control of Myopia among Children and Adolescents[J]. Chin J Sch Health, 2023, 44(10): 1445-1449. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.10.002
[16]	WU P C, CHEN C T, CHANG L C, et al. Increased time outdoors is followed by reversal of the long-term trend to reduced visual acuity in Taiwan primary school students[J]. Ophthalmology, 2020, 127(11): 1462-1469.
[17]	HE X, SANKARIDURG P, WANG J, et al. Time outdoors in reducing myopia: a school-based cluster randomized trial with objective monitoring of outdoor time and light intensity[J]. Ophthalmology, 2022, 129(11): 1245-1254.
[18]	HSU C C, HUANG N, LIN P Y, et al. Prevalence and risk factors for myopia in second-grade primary school children in Taipei: a population-based study[J]. J Chin Med Assoc, 2016, 79(11): 625-632.
[19]	林瑶瑶, 金婉卿. 近距离工作与青少年近视发生和发展的关系[J]. 中华实验眼科杂志, 2021, 39(6): 563-567. LIN Y Y, JIN W Q. Relationship between near work and the developmentof myopia in adolescents[J]. Chin J Exp Ophthalmol, 2021, 39(6): 563-567. (in Chinese)