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

CHEN Yujing; CHEN Yajun; GUI Zhaohuan; BAO Wenwen; ZHANG Jingshu; TAN Kaiyun; ZHANG Shuxin; CAI Li

doi:10.16835/j.cnki.1000-9817.2021.08.006

Volume 42 Issue 8

Aug. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(8): 1144-1147

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

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

PDF( 375 KB)

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

doi: 10.16835/j.cnki.1000-9817.2021.08.006

Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou(510080), China

Received Date: 2020-11-16
Rev Recd Date: 2021-01-12

Available Online: 2021-08-20

Publish Date: 2021-08-25

Abstract

Abstract

Objective To examine the association of sedentary behaviors with visual acuity among primary school children, and to provide a reference basis for the prevention and control of poor vision. Methods Using stratified random cluster sampling method, a total of 4 969 students in grade 1-4 were selected from 5 primary schools in Guangzhou in 2017, and then were followed up in 2019. A validated questionnaire was used to collect data on children's sedentary behaviors, including doing homework, watching TV, playing computer/video games, and taking the bus/car between home and school. Visual acuity was measured in the baseline and the follow-up using a 5 m standard logarithmic visual acuity chart. Multiple linear regression and Logistic regression were conducted to analyze the relationship between sedentary behaviors and visual changes. Results The two-year cumulative incidence of poor vision was 48.74%. Homework time was inversely associated with visual acuity of left eye(β=-0.012, 95%CI=-0.023--0.002). Homework time was positively correlated with poor vision(OR=1.16, 95%CI=1.05-1.27). However, total sedentary time, screen time and bus/car time were not statistically associated with changes in visual acuity(P>0.05). Conclusion Increased homework time was associated with poorer vision in primary school students. Interventions to reduce the academic burden should be taken.
- Behavior,
- Vision, low,
- Cohort studies,
- Regression analysis,
- Students

FullText(HTML)

References(27)

References

[1]	宋逸, 胡佩瑾, 董彦会, 等. 2014年全国各省、自治区、直辖市汉族学生视力不良现况分析[J]. 北京大学学报(医学版), 2017, 49(3): 433-438. doi: 10.3969/j.issn.1671-167X.2017.03.010 SONG Y, HU P J, DONG Y H, et al. Prevalence of reduced visual acuity among Chinese Han students in 2014[J]. J Peking Univ(Health Sci), 2017, 49(3): 433-438. doi: 10.3969/j.issn.1671-167X.2017.03.010
[2]	HE M, HUANG W, ZHENG Y, et al. Refractive error and visual impairment in school children in rural southern China[J]. Ophthalmology, 2007, 114(2): 374-382. doi: 10.1016/j.ophtha.2006.08.020
[3]	JOSEPH L. Refractive errors and academic achievements of primary school children[J]. Nurs J India, 2014, 105(6): 269-271.
[4]	FRICKE T R, HOLDEN B A, WILSON D A, et al. Global cost of correcting vision impairment from uncorrected refractive error[J]. Bull World Health Organ, 2012, 90(10): 728-738. doi: 10.2471/BLT.12.104034
[5]	WONG T Y, FERREIRA A, HUGHES R, et al. Epidemiology and disease burden of pathologic myopia and myopic choroidal neovascularization: an evidence-based systematic review[J]. Am J Ophthalmol, 2014, 157(1): 9-25. doi: 10.1016/j.ajo.2013.08.010
[6]	SUN H, LI A, XU Y, et al. Secular trends of reduced visual acuity from 1985 to 2010 and disease burden projection for 2020 and 2030 among primary and secondary school students in China[J]. JAMA Ophthalmol, 2015, 133(3): 262. doi: 10.1001/jamaophthalmol.2014.4899
[7]	PAC C W, RAMAMURTHY D, SAW S M. Worldwide prevalence and risk factors for myopia[J]. Ophthal Physiol Opt, 2012, 32(1): 3-16. doi: 10.1111/j.1475-1313.2011.00884.x
[8]	周佳, 马迎华, 马军, 等. 中国6省市中小学生近视流行现状及其影响因素分析[J]. 中华流行病学杂志, 2016, 37(1): 29-34. doi: 10.3760/cma.j.issn.0254-6450.2016.01.006 ZHOU J, MA Y H, MA J, et al. Prevalence of myopia and influencing factors among primary and middle school students in 6 provinces of China[J]. Chin J Epidemiol, 2016, 37(1): 29-34. doi: 10.3760/cma.j.issn.0254-6450.2016.01.006
[9]	夏志伟, 王路, 赵海, 等. 北京市2017—2018学年中小学生视力不良及影响因素分析[J]. 中国学校卫生, 2018, 39(12): 1841-1844. doi: 10.16835/j.cnki.1000-9817.2018.12.022 XIA Z W, WANG L, ZHAO H, et al. Prevalence of visual acuity impairment and associated factors among primary and middle school students in Beijing during 2017-2018[J]. Chin J Sch Health, 2018, 39(12): 1841-1844. doi: 10.16835/j.cnki.1000-9817.2018.12.022
[10]	宋超, 郭海军, 宫伟彦, 等. 2010—2012年中国中小学生闲暇静态活动[J]. 卫生研究, 2017, 46(5): 705-708, 721. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201705006.htm SONG C, GUO H J, GONG W Y, et al. Status of sedentary activities in the leisure time in Chinese pupils in 2010-2012[J]. J Hyg Res, 2017, 46(5): 705-721. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201705006.htm
[11]	伍晓艳, 陶舒曼, 张诗晨, 等. 中国12省份中小学生视屏时间及其影响因素分析[J]. 中华预防医学杂志, 2016, 50(6): 508-513. doi: 10.3760/cma.j.issn.0253-9624.2016.06.007 WU X Y, TAO S M, ZHANG S C, et al. Analysis on risk factors of screen time among Chinese primary and middle school students in 12 provinces[J]. Chin J Prev Med, 2016, 50(6): 508-513. doi: 10.3760/cma.j.issn.0253-9624.2016.06.007
[12]	JAN C, XU R, LUO D, et al. Association of visual impairment with economic development among Chinese schoolchildren[J]. JAMA Pediatrics, 2019, 173(7): e190914. doi: 10.1001/jamapediatrics.2019.0914
[13]	薛茹, 钟华, 赵春华, 等. 云南芒市民族聚居区中小学生近视及裸眼视力损伤现状[J]. 中国学校卫生, 2020, 41(3): 409-412. doi: 10.16835/j.cnki.1000-9817.2020.03.024 XUE R, ZHONG H, ZHAO C H, et al. Epidemiology of myopia and unaided visual impairment of primary and secondary school students of Han and minorities in Mangshi City in Yunnan[J]. Chin J Sch Health, 2020, 41(3): 409-412. doi: 10.16835/j.cnki.1000-9817.2020.03.024
[14]	方云, 伍晓艳, 万宇辉, 等. 视近作业与儿童青少年近视的Meta分析[J]. 中国学校卫生, 2013, 34(11): 1302-1305. http://www.cjsh.org.cn/article/id/zgxxws201311007 FANG Y, TAO F B, WAN Y H, et al. Nearwork and myopia in children and adolescents: a systematic review and meta-analysis[J]. Chin J Sch Health, 2013, 34(11): 1302-1305. http://www.cjsh.org.cn/article/id/zgxxws201311007
[15]	吕雅杰, 赖丽娟, 李丹玲, 等. 广州市小学生体质健康监测系统问卷的信效度研究[J]. 中国妇幼保健, 2020, 35(8): 1511-1516. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202008049.htm LYU Y J, LAI L J, LI D L, et al. Study on the reliability and validity of physical health surveillance system questionnaire for primary school students in Guangzhou[J]. Matern Child Health Care China, 2020, 35(8): 1511-1516. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202008049.htm
[16]	中华人民共和国卫生部. 学生健康检查技术规范[S]. 北京: 中国国家标准化管理委员会, 2011. National Health Comission of the People's Republic of China. Technical standard for physical examination for students[S]. Beijing: Standardization Administration of the People's Republic of China, 2011.
[17]	RESNIKOFF S, PASCOLINI D, MARIOTTI S P, et al. Global magnitude of visual impairment caused by uncorrected refractive errors in 2004[J]. Bull World Health Organ, 2008, 86(1): 63-70. doi: 10.2471/BLT.07.041210
[18]	张振峰, 杨超, 高飞, 等. 哈尔滨市中小学生近视及相关因素调查[J]. 中国公共卫生管理, 2020, 36(1): 70-73. https://www.cnki.com.cn/Article/CJFDTOTAL-GGWS202001036.htm ZHANG Z F, YANG C, GAO F, et al. Investigation on myopia and related factors in primary and middle school students in Harbin[J]. Chin J Public Health Manag, 2020, 36(1): 70-73. https://www.cnki.com.cn/Article/CJFDTOTAL-GGWS202001036.htm
[19]	梁静. 2012-2016年宜兴市小学生生长发育及视力变化的动态研究[D]. 南京: 东南大学, 2017. LIANG J. A Dynamic study of physique growth and abnormal vision in primary school in Yixing City during 2012-2016 years[D]. Nanjing: Southeast University, 2017.
[20]	WANG S K, GUO Y, LIAO C, et al. Incidence of and factors associated with myopia and high myopia in Chinese children, based on refraction without cycloplegia[J]. JAMA Ophthalmol, 2018, 136(9): 1017-1024. doi: 10.1001/jamaophthalmol.2018.2658
[21]	TSAI D C, FANG S Y, HUANG N, et al. Myopia development among young schoolchildren: the myopia investigation study in Taipei[J]. Invest Ophthalmol Vis Sci, 2016, 57(15): 6852-6860. doi: 10.1167/iovs.16-20288
[22]	劳雅琴, 张雨茗, 马庆华. 增加户外活动时间对学龄儿童近视发生发展的影响[J]. 中国妇幼保健, 2019, 34(10): 2364-2366. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201910062.htm LAO Y Q, ZHANG Y M, MA Q H. The effect of increasing outdoor activities on the occurrence and development of myopia in school-age children[J]. Matern Child Health Care China, 2019, 34(10): 2364-2366. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201910062.htm
[23]	SAXENA R, VASHIST P, TANDON R, et al. Incidence and progression of myopia and associated factors in urban school children in Delhi: the North India Myopia Study(NIM Study)[J]. PLoS One, 2017, 12(12): e189774. http://europepmc.org/articles/PMC5734754/
[24]	PAN C, WU R, LIU H, et al. Types of lamp for homework and myopia among Chinese school-aged children[J]. Ophthal Epidemiol, 2018, 25(3): 250-256. doi: 10.1080/09286586.2017.1420204
[25]	COHEN Y, BELKIN M, YEHEZKEL O, et al. Dependency between light intensity and refractive development under light-dark cycles[J]. Exp Eye Res, 2011, 92(1): 40-46. doi: 10.1016/j.exer.2010.10.012
[26]	檀思蕾, 陈捷敏, 王萌, 等. 单眼视功能损害对双眼视影响的研究进展[J]. 法医学杂志, 2018, 34(1): 67-72. doi: 10.3969/j.issn.1004-5619.2018.01.013 TAN S L, CHEN J M, WANG M, et al. Research progress of the effects of monocular visual impairment on binocular vision[J]. J Forens Med, 2018, 34(1): 67-72. doi: 10.3969/j.issn.1004-5619.2018.01.013
[27]	吕雅杰, 蔡莉, 曾霞, 等. 中国6~13岁儿童24小时活动水平和相关因素分析[J]. 中国学校卫生, 2019, 40(12): 1791-1795. doi: 10.16835/j.cnki.1000-9817.2019.12.008 LV Y J, CAI L, ZENG X, et al. Levels and correlates of 24-hour movement behaviors in Chinese children aged 6-13 years[J]. Chin J Sch Health, 2019, 40(12): 1791-1795. doi: 10.16835/j.cnki.1000-9817.2019.12.008