Near work, screen time, outdoor time and myopia in schoolchildren in the Sunflower Myopia AEEC Consortium.

Autor: Lanca C; Singapore Eye Research Institute, Singapore, Singapore.; Comprehensive Health Research Centre, Universidade NOVA de Lisboa, Lisbon, Portugal., Yam JC; Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, Hong Kong., Jiang WJ; Eye Institute of Shandong University of Traditional Chinese Medicine, Jinan, China., Tham YC; Singapore Eye Research Institute, Singapore, Singapore.; Ophthalmology and Visual Science Academic Clinical Program, Duke-NUS Medical School, Singapore, Singapore., Hassan Emamian M; Ophthalmic Epidemiology Research Center, Shahroud University of Medical Sciences, Shahroud, Iran., Tan CS; Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore., Guo Y; Tongren Eye Care Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China., Liu H; Department of Ophthalmology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China., Zhong H; Department of Ophthalmology, the First Affiliated Hospital of Kunming Medical University, Kunming, China., Zhu D; The Affiliated Hospital of Inner Mongolia Medical University, Huhhot, China., Hu YY; Affiliated Eye Hospital of Shandong, University of Traditional Chinese Medicine, Jinan, China., Saxena R; Pediatric Ophthalmology, Strabismus and Neuro-Ophthalmology Section, Dr. R P Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India., Hashemi H; Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran., Chen LJ; Comprehensive Health Research Centre, Universidade NOVA de Lisboa, Lisbon, Portugal., Wong TY; Singapore Eye Research Institute, Singapore, Singapore.; Ophthalmology and Visual Science Academic Clinical Program, Duke-NUS Medical School, Singapore, Singapore.; Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Singapore National Eye Centre, Singapore, Singapore., Cheng CY; Singapore Eye Research Institute, Singapore, Singapore.; Ophthalmology and Visual Science Academic Clinical Program, Duke-NUS Medical School, Singapore, Singapore.; Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Pang CP; Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, Hong Kong., Zhu H; Department of Ophthalmology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China., Pan CW; School of Public Health, Medical College of Soochow University, Suzhou, China., Liang YB; Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China., Fotouhi A; Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran., Bi HS; Eye Institute of Shandong University of Traditional Chinese Medicine, Jinan, China., Jonas JB; Department of Ophthalmology, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany., Saw SM; Singapore Eye Research Institute, Singapore, Singapore.; Ophthalmology and Visual Science Academic Clinical Program, Duke-NUS Medical School, Singapore, Singapore.; Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
Jazyk: angličtina
Zdroj: Acta ophthalmologica [Acta Ophthalmol] 2022 May; Vol. 100 (3), pp. 302-311. Date of Electronic Publication: 2021 Jun 17.
DOI: 10.1111/aos.14942
Abstrakt: Purpose: To examine the association between near work, screen time including TV and outdoor time with myopia in children from the Sunflower Myopia Asian Eye Epidemiology Consortium (AEEC).
Methods: We analysed AEEC cross-sectional data (12 241 children) on risk factors (near work, screen time including TV and outdoor time) and myopia of six population-based studies (China, Hong Kong and Singapore). Cycloplegic refraction and axial length (AL) measurements were included. Risk factors were determined using questionnaires. Data were pooled from each study, and multivariable regression analysis was performed to evaluate the associations between risks factors and myopia, spherical equivalent (SE) and AL.
Results: Among the included children, 52.1% were boys, 98.1% were Chinese and 69.7% lived in urban areas. Mean±standard deviation (SD) for age was 8.8 ± 2.9 years, for SE was -0.14 ± 1.8 D and for AL was 23.3 ± 1.1 mm. Myopia prevalence was 30.6%. In multivariate analysis, more reading and writing (OR = 1.17; 95% CI, 1.11-1.24), more total near work (OR = 1.05; 95% CI, 1.02-1.09) and less outdoor time (OR = 0.82, 95% CI, 0.75-0.88) were associated with myopia (p's < 0.05). These factors were similarly associated with SE and AL (p's < 0.05), except for total near work and AL (p = 0.15). Screen time including TV was not significantly associated with myopia (p = 0.49), SE (p = 0.49) or AL (p = 0.83).
Conclusion: In this study, increased reading and writing and decreased outdoor time were associated with myopia. Screen time may be a surrogate factor of near work or outdoor time, but further research is needed to assess its role as an independent risk factor for myopia.
(© 2021 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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