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[眼保健操对初中生眼轴长度的影响]

[Effects of eye exercises on axial eye elongation in junior students].

作者信息

Tian F F, Liu L J, Guo Y, Wang S, Tian X, Tian Q Y, Meng X N, Wang Y X, Guo X H, Wu L J

机构信息

Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing 100069, China.

Beijing Tongren Hospital, Capital Medical University, Beijing 100015, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Sep 10;42(9):1621-1627. doi: 10.3760/cma.j.cn112338-20201118-01338.

Abstract

To evaluate the association between the eye exercises and one-year axial eye elongation in grade 7 students in Beijing. Sampling was performed using a multistage random cluster approach, and 1 443 students of grade 7 were selected from 9 middle schools in 6 districts for the baseline survey. Data were collected by questionnaires and axial length measurement. Multiple linear regression analysis was used to evaluate the association between eye exercises and excessive axial eye elongation. Among 1 197 (82.95%) students with complete information, the median () age was 12.00 (1.00) years old, girls accounted for 44.28%, and the median () axial eye elongation was 0.22 (0.18) mm. In the multiple linear regression analysis, the frequency of eye exercises was significantly correlated with excessive axial eye elongation in boys (=-0.135, 95%:-0.253--0.018) but not in girls (=-0.075, 95%:-0.207- 0.058) after adjusting for sex, age, body height, the number of myopic parents, time spent outdoors and time spent on reading and writing outside class; while the seriousness of eye exercises was not significantly associated with axial eye elongation in boys (=-0.028, 95%: -0.114-0.058) and girls (=-0.035, 95%: -0.134-0.064). The increased frequency of eye exercises is beneficial to control the axial eye elongation in boys in Beijing.

摘要

为评估眼保健操与北京七年级学生眼轴一年伸长情况之间的关联。采用多阶段随机整群抽样方法进行抽样,从6个区的9所中学选取1443名七年级学生进行基线调查。通过问卷调查和眼轴长度测量收集数据。采用多重线性回归分析评估眼保健操与眼轴过度伸长之间的关联。在1197名(82.95%)信息完整的学生中,年龄中位数()为12.00(1.00)岁,女生占44.28%,眼轴伸长中位数()为0.22(0.18)mm。在多重线性回归分析中,在校正性别、年龄、身高、近视父母数量、户外活动时间以及课外读写时间后,眼保健操频率与男生眼轴过度伸长显著相关(=-0.135,95%置信区间:-0.253至-0.018),但与女生无关(=-0.075,95%置信区间:-0.207至0.058);而眼保健操的认真程度与男生(=-0.028,95%置信区间:-0.114至0.058)和女生(=-0.035,95%置信区间:-0.134至0.064)的眼轴伸长均无显著关联。在北京,增加眼保健操频率有利于控制男生的眼轴伸长。

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