The School of Physical Education and Sports, Central China Normal University, Wuhan, China.
The School of Physical Education, Dali University, Yunnan, China.
Front Public Health. 2024 Aug 29;12:1393909. doi: 10.3389/fpubh.2024.1393909. eCollection 2024.
This study systematically evaluates the impact of different physical exercise modalities on vision health interventions for Chinese children and adolescents.
A comprehensive search was conducted in databases, including Web of Science, PubMed, EBSCO, MEDLINE, Embase, and CNKI. The focus was on randomized controlled trial (RCT) studies related to physical activity interventions for vision health in this demographic. The search covered literature from the inception of each database until May 1, 2023. Two researchers independently conducted literature screening, data extraction, and risk of bias assessment, adhering to pre-established inclusion and exclusion criteria. A network meta-analysis was performed using the "Network" package in Stata 14.2.
The analysis encompassed 17 studies with 1,840 participants aged 7 to 18 years. Findings from the network meta-analysis revealed that badminton [MD = 0.23 (0.12, 0.33), < 0.001] and table tennis [MD = 0.16 (0.09, 0.22), < 0.001] exercises, along with health education [MD = 0.13 (0.03, 0.23), = 0.013], were statistically significant in enhancing vision health compared to no intervention. According to the Surface Under the Cumulative Ranking (SUCRA) probability ranking, badminton (SUCRA = 96.7) and table tennis (SUCRA = 84.1) emerged as the most effective modalities for myopia intervention in children and adolescents, with health education (SUCRA = 73.2) following closely.
Physical exercise significantly contributes to the healthy development of vision in children and adolescents. Among various activities, badminton and table tennis are the most effective in improving visual health, highlighting the need for augmented promotion of visual health education. However, the quantity and quality of the included studies necessitate further high-quality intervention research to confirm these findings.
本研究系统评估了不同体育锻炼方式对中国儿童和青少年视力健康干预的影响。
在数据库中进行了全面检索，包括 Web of Science、PubMed、EBSCO、MEDLINE、Embase 和中国知网。重点是针对该人群中与体育活动干预视力健康相关的随机对照试验（RCT）研究。检索涵盖了每个数据库建立以来至 2023 年 5 月 1 日的文献。两名研究人员独立进行文献筛选、数据提取和偏倚风险评估，遵循预先设定的纳入和排除标准。使用 Stata 14.2 中的“Network”软件包进行网络荟萃分析。
分析纳入了 17 项研究，共纳入 1840 名 7 至 18 岁的参与者。网络荟萃分析的结果表明，羽毛球[MD=0.23（0.12，0.33），<0.001]和乒乓球[MD=0.16（0.09，0.22），<0.001]运动以及健康教育[MD=0.13（0.03，0.23），=0.013]与无干预相比，在改善视力健康方面具有统计学意义。根据累积排序概率曲线下面积（SUCRA）概率排名，羽毛球（SUCRA=96.7）和乒乓球（SUCRA=84.1）是儿童和青少年近视干预最有效的方式，健康教育（SUCRA=73.2）紧随其后。
体育锻炼对儿童和青少年的视力健康发展有显著贡献。在各种活动中，羽毛球和乒乓球对改善视觉健康最有效，突出了需要加强视觉健康教育的推广。然而，纳入研究的数量和质量需要进一步的高质量干预研究来证实这些发现。
