Guo Fang, Zhang Qiang, Fan Meng-Nan, Ma Le, Chen Chu, Liu Xiao-Hong, Jiang Hong, Liu Yan
The First Affiliated Hospital, Xi'an Jiaotong University Health Science Center, Xi'an 710061, Shaanxi Province, China.
Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, Shaanxi Province, China.
Int J Ophthalmol. 2018 Jun 18;11(6):1020-1027. doi: 10.18240/ijo.2018.06.21. eCollection 2018.
To investigate the associations between fruit and vegetable consumption and risk of asthenopia among Chinese college students.
A total of 1022 students were selected from five universities by a multi-stage stratified cluster sampling method. They were surveyed a self-administered questionnaire including socio-demographic features, dietary and lifestyle habits, eye-related symptoms, eye care habits and history of diseases. Ascertainment of asthenopia was based on participants' subjectively reported symptoms. The associations between fruit and vegetable intake with asthenopia risk were assessed using multivariate logistic regression analysis.
There were no significant associations between total fruit and vegetable, total vegetable, or fruit and the risk of asthenopia. Higher intake of dark-green leafy vegetable was likely to be inversely associated with asthenopia risk [odd ratio (OR): 0.60; 95%CI: 0.37-0.97; =0.21] after controlling for nondietary and dietary risk factors. Stratified analysis showed that the inverse association between dark-green leafy vegetable intake and asthenopia risk was limited to participants with suboptimal eyesight (OR: 0.45; 95%CI: 0.25-0.82; =0.05), wearing glasses (OR: 0.35; 95%CI: 0.17-0.72; =0.03) or using computer ≥3h/d (OR: 0.48; 95%CI: 0.25-0.93; =0.08).
A higher consumption of dark-green leafy vegetable is associated with a lower asthenopia risk among college students with suboptimal eyesight and poor eye care habits.
探讨中国大学生水果和蔬菜摄入量与视疲劳风险之间的关联。
采用多阶段分层整群抽样方法,从五所大学选取了1022名学生。通过一份自填式问卷对他们进行调查,问卷内容包括社会人口学特征、饮食和生活方式习惯、眼部相关症状、眼部护理习惯以及疾病史。视疲劳的判定基于参与者主观报告的症状。使用多因素逻辑回归分析评估水果和蔬菜摄入量与视疲劳风险之间的关联。
水果和蔬菜总摄入量、蔬菜总摄入量或水果摄入量与视疲劳风险之间均无显著关联。在控制非饮食和饮食风险因素后,较高的深绿叶蔬菜摄入量可能与视疲劳风险呈负相关[比值比(OR):0.60;95%置信区间(CI):0.37 - 0.97;P = 0.21]。分层分析表明,深绿叶蔬菜摄入量与视疲劳风险之间的负相关仅限于视力欠佳的参与者(OR:0.45;95%CI:0.25 - 0.82;P = 0.05)、戴眼镜的参与者(OR:0.35;95%CI:0.17 - 0.72;P = 0.03)或每天使用电脑≥3小时的参与者(OR:0.48;95%CI:0.25 - 0.93;P = 0.08)。
较高的深绿叶蔬菜摄入量与视力欠佳且眼部护理习惯不良的大学生视疲劳风险较低有关。