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广州市小学生静态行为与视力关系的队列研究

陈宇靖 陈亚军 桂曌环 鲍文文 张婧姝 谭恺韫 章舒心 蔡莉

陈宇靖, 陈亚军, 桂曌环, 鲍文文, 张婧姝, 谭恺韫, 章舒心, 蔡莉. 广州市小学生静态行为与视力关系的队列研究[J]. 中国学校卫生, 2021, 42(8): 1144-1147. doi: 10.16835/j.cnki.1000-9817.2021.08.006
引用本文: 陈宇靖, 陈亚军, 桂曌环, 鲍文文, 张婧姝, 谭恺韫, 章舒心, 蔡莉. 广州市小学生静态行为与视力关系的队列研究[J]. 中国学校卫生, 2021, 42(8): 1144-1147. doi: 10.16835/j.cnki.1000-9817.2021.08.006
CHEN Yujing, CHEN Yajun, GUI Zhaohuan, BAO Wenwen, ZHANG Jingshu, TAN Kaiyun, ZHANG Shuxin, CAI Li. Association of sedentary behaviors with visual acuity among primary school students: a cohort study[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1144-1147. doi: 10.16835/j.cnki.1000-9817.2021.08.006
Citation: CHEN Yujing, CHEN Yajun, GUI Zhaohuan, BAO Wenwen, ZHANG Jingshu, TAN Kaiyun, ZHANG Shuxin, CAI Li. Association of sedentary behaviors with visual acuity among primary school students: a cohort study[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1144-1147. doi: 10.16835/j.cnki.1000-9817.2021.08.006

广州市小学生静态行为与视力关系的队列研究

doi: 10.16835/j.cnki.1000-9817.2021.08.006
基金项目: 

国家自然科学基金面上项目 81673193

广东省自然科学基金面上项目 2019A1515011462

详细信息
    作者简介:

    陈宇靖(1996-),女,福建宁德人,在读硕士,主要研究方向为儿童静态行为与体质健康

    通讯作者:

    蔡莉,E-mail:caili5@mail.sysu.edu.cn

  • 中图分类号: R179  G806  R778.1

Association of sedentary behaviors with visual acuity among primary school students: a cohort study

  • 摘要:   目的  探究小学生静态行为与视力变化的关联性,为学生视力不良防控工作提供参考依据。  方法  采用分层整群随机抽样的方法,于2017年抽取广州市5所小学,纳入一至四年级学生4 969名,并于2年后进行随访。采用经信、效度检验的《广州市小学生体质健康监测系统问卷》收集小学生基线放学后做作业、看电视、用电脑/玩游戏、往返交通等静态行为时间。使用5 m标准对数视力表分别测量基线和随访的视力。分别采用多重线性回归和Logistic回归分析小学生静态行为与视力变化值以及视力不良的关联性。  结果  2年期间,一至四年级学生视力不良的累积发病率为48.74%。放学后做作业时间与左眼视力变化值呈负相关(β=-0.012,95%CI=-0.023~-0.002)。放学后做作业时长与视力不良的发生正性相关(OR=1.16,95%CI=1.05~1.27)。静态行为总时长、视屏时间、往返交通时间与视力变化相关均无统计学意义(P值均>0.05)。  结论  静态行为中的放学后做作业时间增加与小学生视力降低相关,合理减轻课业负担有利于视力保护。
  • 表  1  广州市小学生静态行为对视力变化值影响的多重线性回归分析(n=4 969)

    Table  1.   Multiple linear regression of sedentary behaviors with changes of visiual acvcity among primary school students(n=4 969)

    静态行为/(h·d-1) 左眼视力变化值 右眼视力变化值
    β值(β值95%CI) P β值(β值95%CI) P
    放学后做作业
        模型1 -0.012(-0.021~-0.002) 0.017 -0.011(-0.020~-0.001) 0.034
        模型2 -0.012(-0.023~-0.002) 0.022 -0.007(-0.017~0.004) 0.210
    看电视
        模型1 -0.010(-0.026 ~ 0.006) 0.231 -0.003(-0.020~0.013) 0.686
        模型2 -0.004(-0.021 ~ 0.014) 0.661 0.000(-0.018~0.018) 0.981
    用电脑/玩游戏
        模型1 -0.026(-0.046~-0.005) 0.013 -0.021(-0.041~0.000) 0.055
        模型2 -0.021(-0.043~0.002) 0.075 -0.013(-0.036~0.010) 0.268
    往返交通
        模型1 0.019(-0.002~0.040) 0.071 0.004(-0.018~0.025) 0.736
        模型2 0.015(-0.007~0.037) 0.179 0.000(-0.023~0.022) 0.983
    静态行为总时长
        模型1 -0.008(-0.015~-0.001) 0.018 -0.007(-0.014~-0.001) 0.032
        模型2 -0.007(-0.015~0.000) 0.053 -0.005(-0.012~0.003) 0.206
    视屏时间
        模型1 -0.012(-0.023~-0.001) 0.033 -0.007(-0.018~0.004) 0.194
        模型2 -0.008(-0.020~0.004) 0.211 -0.004(-0.016~0.009) 0.544
    注: 模型1未进行调整; 模型2调整基线年龄、性别、父母文化程度、家庭人均月收入、父母是否近视、户外活动时间、睡眠时间。
    下载: 导出CSV

    表  2  小学生静态行为时间与新发视力不良关联的Logistic回归分析(n=2 390)

    Table  2.   Logistic regression of sedentary behaviors with poon vision among primary school students(n=2 390)

    静态行为/(h·d-1) OR值(OR值95%CI) P
    放学后做作业
        模型1 1.13(1.04~1.23) 0.00
        模型2 1.16(1.05~1.27) 0.00
    看电视
        模型1 0.94(0.82~1.07) 0.33
        模型2 0.93(0.80~1.08) 0.34
    用电脑/玩游戏
        模型1 1.03(0.84~1.20) 0.97
        模型2 1.09(0.90~1.32) 0.40
    往返交通
        模型1 0.89(0.75~1.07) 0.22
        模型2 0.97(0.80~1.18) 0.75
    静态行为总时长
        模型1 1.03(0.98~1.09) 0.25
        模型2 1.06(1.00~1.13) 0.06
    视屏时间
        模型1 0.97(0.88~1.06) 0.52
        模型2 0.98(0.89~1.09) 0.82
    注: 模型1未进行调整; 模型2调整基线年龄、性别、父母文化程度、家庭人均月收入、父母是否近视、户外活动时间、睡眠时间。
    下载: 导出CSV
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  • 收稿日期:  2020-11-16
  • 修回日期:  2021-01-12
  • 网络出版日期:  2021-08-20
  • 刊出日期:  2021-08-25

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