Effect of Chinese eye exercises on change in visual acuity and eyeglasses wear among school-aged children in rural China: a propensity-score-matched cohort study
| Autor: | Matthew Boswell, Xiaochen Ma, Yiwei Qian, Scott Rozelle, Huan Wang, Nathan Congdon |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty China Visual acuity genetic structures Massage/methods Oculomotor Muscles/physiopathology Visual Acuity Eyeglasses wear Logistic regression Cohort Studies 03 medical and health sciences 0302 clinical medicine Chinese children Bayesian multivariate linear regression Surveys and Questionnaires Acupuncture Medicine Humans 030212 general & internal medicine Child Eye exercises Dioptre Massage business.industry lcsh:Other systems of medicine lcsh:RZ201-999 Acupressure eye diseases Standard error Eyeglasses Complementary and alternative medicine Oculomotor Muscles Propensity score matching Physical therapy Female sense organs medicine.symptom business Acupuncture Points 030217 neurology & neurosurgery Cohort study Research Article |
| Zdroj: | BMC Complementary Medicine and Therapies BMC Complementary Medicine and Therapies, Vol 20, Iss 1, Pp 1-9 (2020) Wang, H, Qian, Y, Congdon, N, Boswell, M, Rozelle, S & Ma, X 2020, ' Effect of Chinese eye exercises on change in visual acuity and eyeglasses wear among school-aged children in rural China: a propensity-score-matched cohort study ', BMC complementary medicine and therapies, vol. 20, 82 . https://doi.org/10.1186/s12906-020-2878-9 |
| ISSN: | 2662-7671 |
| DOI: | 10.1186/s12906-020-2878-9 |
| Popis: | Background Daily “eye exercises,” massaging of periocular acupuncture pressure points, have been part of China’s national vision care policy in schools for some 50 years. However, the effect of eye exercises on myopia progression and eyeglasses wear has not been definitively investigated. This study evaluates the effectiveness of eye exercises on visual acuity and the propensity of rural children to wear eyeglasses. Methods Cohort study in 252 randomly-selected rural schools with baseline in September 2012 and follow up surveys 9 and 21 months later. Outcomes were assessed using propensity-score matching (PSM), multivariate linear regression and logistic regression to adjust for differences between children performing and not performing eye exercises. Results Among 19,934 children randomly selected for screening, 2374 myopic (spherical equivalent refractive error ≤ − 0.5 diopters in either eye) children (11.9%, mean age 10.5 [Standard Error 1.08] years, 48.5% boys) had VA in either eye ≤6/12 without eyeglasses correctable to > 6/12 with eyeglasses. Among these who completed the 21-month follow up, 1217 (58.2%) children reported practicing eye exercises on school days and 874 (41.8%) did not. After propensity-score matching, 1652 (79%) children were matched: 826 (50%) in the Eye Exercises group and 826 (50%) in the No Exercise group. Performing eye exercises was not associated with change in LogMAR uncorrected visual acuity and wear of eyeglasses, using either logistic regression or PSM at 9 or 21 months. Conclusions We found no evidence for an effect of eye exercises on change in vision or eyeglasses wear. Trial registration The original trial (Registration site: http://isrctn.org. Registration number: ISRCTN03252665) was retrospectively registered 25/09/2012. |
| Databáze: | OpenAIRE |
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