Volume 46 Issue 6
Jun.  2025
Turn off MathJax
Article Contents
ZHAO Ruilan, PENG Tao, ZHEN Guoxin, ZHAO Fangfang, LI Li, SONG Qingqing, ZHU Fan, MA Yinghua. Joint effect of sitting posture habits and screen viewing distance on screening myopia among primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(6): 903-907. doi: 10.16835/j.cnki.1000-9817.2025161
Citation: ZHAO Ruilan, PENG Tao, ZHEN Guoxin, ZHAO Fangfang, LI Li, SONG Qingqing, ZHU Fan, MA Yinghua. Joint effect of sitting posture habits and screen viewing distance on screening myopia among primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(6): 903-907. doi: 10.16835/j.cnki.1000-9817.2025161

Joint effect of sitting posture habits and screen viewing distance on screening myopia among primary school students

doi: 10.16835/j.cnki.1000-9817.2025161
  • Received Date: 2025-01-17
  • Rev Recd Date: 2025-05-06
  • Available Online: 2025-07-04
  • Publish Date: 2025-06-25
  •   Objective   To explore the association of screening myopia and sitting posture habits as well as screen viewing distance among primary school students, providing a scientific basis for myopia prevention and intervention among primary school students.   Methods   From April to June 2024, a convenient sampling method was used to enroll 1 394 fourth-grade students from four primary schools in a district of Beijing for vision examinations and questionnaire surveys. Logistic regression models were employed to analyze the relationship of screening myopia detection and sitting posture habits as well as viewing distance.   Results   The screening myopia prevalence among primary school students was 63.8%. About 13.1% of students self-reported poor sitting posture, and 47.1% self-reported a viewing distance of ≤20 cm. After adjusting for covariates including age, gender, school, sleep quality, parental myopia status, physical fitness level, daily high-intensity physical activity, weekend outdoor activity time and types of after-school services, Logistic regression analysis showed that students with poor sitting posture were more likely to have screening myopia than those with normal sitting posture (OR=1.73, 95%CI=1.03-2.92); students with a viewing distance of ≤20 cm were more likely to have screening myopia than those with a viewing distance of >20 cm(OR=1.32, 95%CI=1.02-1.71)(P < 0.05). The association between sitting posture and screening myopia was more significant among boys(OR=2.00, 95%CI=1.03-3.88, P < 0.05). A multiplicative interaction was observed between sitting posture and viewing distance. Compared to primary school students with normal posture and a viewing distance of >20 cm, those with poor posture and a viewing distance of >20 cm were more likely to have screening myopia (OR=1.82, 95%CI=1.12-2.96, P < 0.05).   Conclusions   Both sitting posture habits and screen viewing distance are related to screening myopia in primary school students. Poor sitting posture poses a higher risk than screen distance, and the two factors exhibit an interactive effect on myopia risk.
  • loading
  • [1]
    BAIRD P N, SAW S M, LANCA C, et al. Myopia[J]. Nature Rev Dis Primers, 2020, 6(1): 99. doi: 10.1038/s41572-020-00231-4
    [2]
    童浩杰, 祝丽玲. 中国儿童青少年近视防控政策和综合防控措施发展历程分析[J]. 中国公共卫生管理, 2023, 39(3): 396-399.

    TONG H J, ZHU L L. Development of myopia prevention and control policies for children and adolescents in China and the analysis of comprehensive prevention and control measures[J]. Chin J Public Health Manage, 2023, 39(3): 396-399. (in Chinese)
    [3]
    宋逸, 张秀红, 马军. 儿童青少年主要健康问题"共病-共因-共防"机制建立与探索[J]. 中国学校卫生, 2023, 44(9): 1281-1285. doi: 10.16835/j.cnki.1000-9817.2023.09.001

    SONG Y, ZHANG X H, MA J. Establishment and exploration of the mechanism of Co-morbidity, Shared Etiology, and Shared Prevention of major health problems of children and adolescents[J]. Chin J Sch Health, 2023, 44(9): 1281-1285. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.001
    [4]
    晏鑫, 亢泽峰, 李书娇, 等. 高度近视眼底形态学研究进展[J]. 国际眼科杂志, 2023, 23(2): 212-216.

    YAN X, KANG Z F, LI S J, et al. Research progress of fundus morphology in high myopia[J]. Int J Ophthalmol, 2023, 23(2): 212-216. (in Chinese)
    [5]
    王瑛, 罗蕖, 张明. 户外活动时长与预防儿童近视的Meta分析[J]. 中国循证医学杂志, 2019, 19(3): 287-292.

    WANG Y, LUO Q, ZHANG M. The relationship between outdoor activities time and children myopia prevention: a Meta-analysis[J]. Chin J Evid Based Med, 2019, 19(3): 287-292. (in Chinese)
    [6]
    BISWAS S, EL KAREH A, QURESHI M, et al. The influence of the environment and lifestyle on myopia[J]. J Physiol Anthropol, 2024, 43(1): 7. doi: 10.1186/s40101-024-00354-7
    [7]
    中华人民共和国教育部. 《儿童青少年近视防控适宜技术指南(更新版)》及解读[EB/OL]. (2021-10-11)[2024-10-24]. http://www.nhc.gov.cn/jkj/s5899tg/202110/65a3a99c42a84e3f8a11f392d9fea91e.shtml.
    [8]
    王蒙, 陶舒曼, 万宇辉, 等. 中学生用眼行为与自我报告近视的关联[J]. 中国学校卫生, 2023, 44(5): 696-700, 705. doi: 10.16835/j.cnki.1000-9817.2023.05.013

    WANG M, TAO S M, WAN Y H, et al. Association between eye-use behaviors and self-reported myopia in middle and high school students[J]. Chin J Sch Health, 2023, 44(5): 696-700, 705. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.05.013
    [9]
    蒋子晗, 庄建林, 蒋亭安, 等. 上海市长宁区低龄儿童视力不良现状及影响因素分析[J]. 上海预防医学, 2024, 36(2): 157-162.

    JIANG Z H, ZHUANG J L, JIANG T A, et al. Prevalence and influencing factors of reduced visual acuity among young children in Changning District, Shanghai[J]. Shanghai J Prev Med, 2024, 36(2): 157-162. (in Chinese)
    [10]
    何娟, 王燕惠, 陈燕燕. 儿童青少年近视与睡眠相关性的研究进展[J]. 中国妇幼保健, 2023, 38(8): 1546-1549.

    HE J, WANG Y H, CHEN Y Y. Research progress on the correlation between myopia and sleep in children and adolescents[J]. Matern Child Health Care China, 2023, 38(8): 1546-1549. (in Chinese)
    [11]
    CHAPUT J P, WILLUMSEN J, BULL F, et al. 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5-17 years: summary of the evidence[J]. Int J Behav Nutr Phys Act, 2020, 17(1): 141.
    [12]
    中华人民共和国教育部. 关于印发《国家学生体质健康标准(2014年修订)》的通知[EB/OL]. (2014-07-07)[2024-10-24]. http://www.moe.gov.cn/s78/A17/twys_left/moe_938/moe_792/s3273/201407/t20140708_171692.html.
    [13]
    何佳嘉, 袁勇, 尹小俭, 等. 中国儿童青少年体力活动与体能指数的相关性[J]. 中国学校卫生, 2021, 42(12): 1879-1882, 1887. doi: 10.16835/j.cnki.1000-9817.2021.12.029

    HE J J, YUAN Y, YIN X J, et al. Association between physical activity and physical fitness index of Chinese children and adolescents[J]. Chin J Sch Health, 2021, 42(12): 1879-1882, 1887. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.12.029
    [14]
    高若伊, 孙冰洁, 罗慧娟, 等. 北京市中小学生筛查性近视与脊柱侧弯共患情况及相关因素分析[J]. 中国学校卫生, 2024, 45(8): 1195-1198. doi: 10.16835/j.cnki.1000-9817.2024248

    GAO R Y, SUN B J, LUO H J, et al. Co-morbidity of screening myopia and scoliosis among primary and secondary school students in Beijing and associated factors[J]. Chin J Sch Health, 2024, 45(8): 1195-1198. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2024248
    [15]
    杨凤, 李婷婷, 高振珊, 等. 2023年中国6省儿童青少年视力不良与筛查性近视分布情况[J]. 中国健康教育, 2024, 40(6): 483-486, 498.

    YANG F, LI T T, GAO Z S, et al. Distribution of poor vision and screened myopia among children and adolescents in six provinces of China, 2023[J]. Chin J Health Educ, 2024, 40(6): 483-486, 498. (in Chinese)
    [16]
    刘志浩, 张京舒, 孙冰洁, 等. 中国六省市低年级小学生近视与父母近视和学龄前文化课学习的关联[J]. 中国学校卫生, 2024, 45(9): 1345-1348, 1353. doi: 10.16835/j.cnki.1000-9817.2024275

    LIU Z H, ZHANG J S, SUN B J, et al. Association between parental myopia and extracurricular activities before school age with myopia among lower grade students in 6 provinces and cities in China[J]. Chin J Sch Health, 2024, 45(9): 1345-1348, 1353. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2024275
    [17]
    孙凯丽. 中小学生近距离工作现况与视力不良关系及预防对策的研究[D]. 天津: 天津医科大学, 2017.

    SUN K L. A study on the relationship between near work and poor eyesight in primary and middle school and the preventive students countermeasures[D]. Tianjin: Tianjin Medical University, 2017. (in Chinese)
    [18]
    高若伊, 许惠玉, 罗慧娟, 等. 中国六省市中小学生电子屏幕使用与近视的关联[J]. 中国学校卫生, 2024, 45(6): 882-886. doi: 10.16835/j.cnki.1000-9817.2024172

    GAO R Y, XU H Y, LUO H J, et al. Correlation analysis of electronic screen use and myopia among primary and secondary school students in six provinces and cities of China[J]. Chin J Sch Health, 2024, 45(6): 882-886. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2024172
    [19]
    许惠玉, 秦冉, 张京舒, 等. 中小学生读写姿势与近视关联的多水平模型分析[J]. 中国学校卫生, 2023, 44(12): 1878-1882. doi: 10.16835/j.cnki.1000-9817.2023.12.025

    XU H Y, QIN R, ZHANG J S, et al. A multilevel model analysis of the association between reading and writing posture with myopia in primary and secondary school students[J]. Chin J Sch Health, 2023, 44(12): 1878-1882. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.12.025
    [20]
    GUO L, YANG J, MAI J, et al. Prevalence and associated factors of myopia among primary and middle school-aged students: a school-based study in Guangzhou[J]. Eye (Lond), 2016, 30(6): 796-804.
    [21]
    LYU Y Y, ZHANG H, GONG, Y Q, et al. Prevalence of and factors associated with myopia in primary school students in the Chaoyang District of Beijing, China[J]. Jpn J Ophthalmol, 2015, 59(6): 421-429.
    [22]
    何鲜桂, 朱剑锋, 邹海东, 等. 上海市小学生近视相关读写姿势现况及影响因素分析[J]. 临床眼科杂志, 2017, 25(3): 214-218.

    HE X G, ZHU J F, ZOU H D, et al. Reading and writing postures of primary school students in Shanghai and associated factors[J]. J Clin Ophthalmol, 2017, 25(3): 214-218. (in Chinese)
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(2)

    Article Metrics

    Article views (34) PDF downloads(11) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return