The Associations between Near Visual Activity and Incident Myopia in Children A Nationwide 4-Year Follow-up Study

被引：67

作者：

Ku, Po-Wen ^{[1
,2
]}

Steptoe, Andrew ^{[3
]}

Lai, Yun-Ju ^{[4
,5
,6
]}

Hu, Hsiao-Yun ^{[7
,8
]}

Chu, Dachen ^{[6
,9
,10
]}

Yen, Yung-Feng ^{[6
,10
,11
]}

Liao, Yung ^{[12
]}

Chen, Li-Jung ^{[2
,5
]}

机构：

[1] Natl Changhua Univ Educ, Grad Inst Sports & Hlth Natl, Changhua, Taiwan

[2] UCL, Dept Epidemiol & Publ Hlth, London, England

[3] UCL, Dept Behav Sci & Hlth, London, England

[4] Taichung Vet Gen Hosp, Dept Internal Med, Div Endocrinol & Metab, Puli Branch, Nantou, Taiwan

[5] Natl Taiwan Univ Sport, Dept Exercise Hlth Sci, 16,Sect 1,Shuang Shih Rd, Taichung 404, Taiwan

[6] Natl Yang Ming Univ, Sch Med, Taipei, Taiwan

[7] Taipei City Hosp, Dept Educ & Res, Taipei, Taiwan

[8] Natl Yang Ming Univ, Inst Publ Hlth, Taipei, Taiwan

[9] Taipei City Hosp, Dept Neurosurg, Taipei, Taiwan

[10] Natl Taipei Univ Nursing & Hlth Sci, Dept Hlth Care Management, Taipei, Taiwan

[11] Taipei City Govt, Sect Infect Dis, Taipei City Hosp, Taipei, Taiwan

[12] Natl Taiwan Normal Univ, Dept Hlth Promot & Hlth Educ, Taichung, Taiwan

来源：

OPHTHALMOLOGY | 2019年 / 126卷 / 02期

关键词：

OUTDOOR ACTIVITIES; TIME OUTDOORS; PREVALENCE; SCHOOLCHILDREN; METAANALYSIS; PREVENTION; CHILDHOOD; TAIWAN; TRENDS; ONSET;

D O I：

10.1016/j.ophtha.2018.05.010

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Objective: This nationwide population-based study aimed to examine the prospective association between near visual activities and incident myopia in Taiwanese children 7 to 12 years old over a 4-year follow-up period. Design: Prospective cohort design. Participants: There were 1958 children aged 7 to 12 years from the Taiwan 2009 National Health Interview Survey who were linked to the 2009 through 2013 claims data from the National Health Insurance system. Methods: Multivariable Cox proportional hazard models were used to estimate the associations between 3 types of near visual activities in sedentary posture, namely reading (<0.5, 0.5-0.9, >= 1.0 hours per day [h/d]), use of computer, Internet, and games (<0.5, 0.5-0.9, >= 1.0 h/d), and "cram school" attendance (<0.5, 0.5-1.9, >= 2.0 h/d), and incident myopia. Main Outcome Measures: Prevalent myopia was defined as those who had >= 2 ambulatory care claims (International Classification of Diseases code 367.1) in 2008-2009. Incident myopia was defined by those who had at least 2 ambulatory care claims (International Classification of Diseases code 367.1) during the 4-year follow-up period (2010-2013) after excluding prevalent cases. Results: Overall, 26.8% of children had myopia at baseline, and 27.7% of those without myopia at baseline developed incident myopia between 2010 and 2013. On average, they spent 0.68 +/- 0.86 h/d on computer/Internet use, 0.63 +/- 0.67 h/d on reading, and 2.78 +/- 3.53 h/d on cram school. The results showed that children attending cram schools >= 2 h/d (hazard ratio, 1.31; 95% confidence interval, 1.03-1.68) had a higher risk of incident myopia. The effects of these activities remained similar in sensitivity analyses. Conclusions: Cram school attendance for >= 2 h/d may increase the risk of children's incident myopia. This effect may be due to increased near visual activity or reduced time outdoors. (C) 2018 by the American Academy of Ophthalmology

引用

页码：214 / 220

页数：7

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