Saw Seang-Mei, Cheng Angela, Fong Allan, Gazzard Gus, Tan Donald T H, Morgan Ian
Department of Community, Occupational and Family Medicine, National University of Singapore, 16 Medical Drive, Singapore 117597.
Ophthalmic Physiol Opt. 2007 Mar;27(2):126-9. doi: 10.1111/j.1475-1313.2006.00455.x.
To evaluate the association between school performance and myopia in Singapore children.
Children aged 10-12 years from two schools in the Singapore Cohort study Of the Risk factors for Myopia (SCORM) were included. Results of a Year 4 standard nation-wide examination were obtained. Cycloplegic autorefraction and A-scan ultrasound biometry measurements were performed in the schools.
The odds ratio for myopia (defined as right eye spherical equivalent at least -0.5 D) was 2.5 (95% confidence interval 1.4-4.5) for children with average school examination scores in the fourth quartile compared with the first, after adjusting for confounders including reading in books per week and IQ test scores. Similar significant associations were found for English language (p = 0.001) and native language school examination scores (p < 0.001), while the associations with mathematics school examination scores were of borderline significance (p = 0.055).
School grades, a possible indicator of either cumulative engagement in near work activity or intelligence, were positively associated with myopia in Singapore children.
评估新加坡儿童学业成绩与近视之间的关联。
纳入新加坡近视风险因素队列研究(SCORM)中两所学校10至12岁的儿童。获取全国四年级标准考试的结果。在学校进行睫状肌麻痹验光和A超生物测量。
在校考试成绩处于第四四分位数的儿童与第一四分位数的儿童相比,在调整了包括每周读书量和智商测试分数等混杂因素后,近视(定义为右眼等效球镜度至少为-0.5 D)的比值比为2.5(95%置信区间1.4 - 4.5)。在英语(p = 0.001)和母语学校考试成绩方面也发现了类似的显著关联,而与数学学校考试成绩的关联具有临界显著性(p = 0.055)。
学校成绩可能是近距离工作活动累积参与度或智力的一个指标,与新加坡儿童的近视呈正相关。