文章摘要
田飞飞,刘丽娟,郭寅,王硕,田鑫,田秋月,孟晓妮,王友信,郭秀花,吴立娟.眼保健操对初中学生眼轴增长的影响[J].中华流行病学杂志,2021,42(9):1621-1627
眼保健操对初中学生眼轴增长的影响
Effects of eye exercises on axial eye elongation in junior students
收稿日期:2020-11-18  出版日期:2021-09-27
DOI:10.3760/cma.j.cn112338-20201118-01338
中文关键词: 眼保健操  眼轴增长
英文关键词: Eye exercises  Axial eye elongation
基金项目:国家自然科学基金(81602909)
作者单位E-mail
田飞飞 首都医科大学公共卫生学院流行病与卫生统计学系, 北京 100069  
刘丽娟 首都医科大学附属北京同仁医院, 北京 100015  
郭寅 北京市海淀医院 100080  
王硕 首都医科大学公共卫生学院流行病与卫生统计学系, 北京 100069  
田鑫 首都医科大学公共卫生学院流行病与卫生统计学系, 北京 100069  
田秋月 首都医科大学公共卫生学院流行病与卫生统计学系, 北京 100069  
孟晓妮 首都医科大学公共卫生学院流行病与卫生统计学系, 北京 100069  
王友信 首都医科大学公共卫生学院流行病与卫生统计学系, 北京 100069  
郭秀花 首都医科大学公共卫生学院流行病与卫生统计学系, 北京 100069  
吴立娟 首都医科大学公共卫生学院流行病与卫生统计学系, 北京 100069 xiaowu@ccmu.edu.cn 
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中文摘要:
      目的 评价北京市初一学生做眼保健操的情况与1年后眼轴增长的关联性。方法 采用多阶段随机整群抽样,2017年从北京市抽取6个区(县)的9所中学,共1 443名初一学生参与基线调查。研究内容包括眼轴测量、屈光测量和问卷调查。采用多重线性回归分析眼保健操与眼轴增长过度的关系。结果 在1 197名(82.95%)参与两次调查的学生中,年龄MQR)为12.00(1.00)岁,女生占44.28%,眼轴增长MQR)为0.22(0.18)mm。在多重线性回归模型中,调整性别、年龄、身高、父母近视人数、户外活动时间、课外读书写字时间后,男生做眼保健操的频率与眼轴增长过度显著相关(β=-0.135,95% CI:-0.253~-0.018),女生做眼保健操的频率与眼轴增长过度无统计学关联(β=-0.075,95% CI:-0.207~0.058),男生(β=-0.028,95% CI:-0.114~0.058)、女生(β=-0.035,95% CI:-0.134~0.064)做眼保健操认真程度与眼轴增长过度无统计学关联。结论 北京市男生做眼保健操频率增高有利于减缓其眼轴增长。
英文摘要:
      Objective To evaluate the association between the eye exercises and one-year axial eye elongation in grade 7 students in Beijing. Methods 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. Results Among 1 197 (82.95%) students with complete information, the median (QR) age was 12.00 (1.00) years old, girls accounted for 44.28%, and the median (QR) 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 (β=-0.135, 95%CI:-0.253--0.018) but not in girls (β=-0.075, 95%CI:-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 (β=-0.028, 95%CI:-0.114-0.058) and girls (β=-0.035, 95%CI:-0.134-0.064). Conclusion The increased frequency of eye exercises is beneficial to control the axial eye elongation in boys in Beijing.
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