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近距离工作和户外活动对学龄期儿童近视进展的影响

易军晖 李蓉蓉

中国当代儿科杂志2011,Vol.13Issue(1):32-35,4.
中国当代儿科杂志2011,Vol.13Issue(1):32-35,4.

近距离工作和户外活动对学龄期儿童近视进展的影响

Influence of near-work and outdoor activities on myopia progression in school children

易军晖 1李蓉蓉1

作者信息

  • 1. 中南大学湘雅三医院眼科,湖南长沙,410013
  • 折叠

摘要

Abstract

Objective To study the influence of near-work and outdoor activities on myopia progression in school children.Methods Eighty 7-11-year-old school children with myopia were randomly assigned into an intervention group (n =41 ) and a control group (n =39).The children in the intervention group did near- and middle-vision activities less than 30 hrs per week and more outdoor activities than 14-15 hrs per week.Myopia progression was observed regularly over 2 years after which ophthalmologists administered questionnaires regarding near-vision work (reading, writing and using computer), middle-vision work (watching TV and extracurricular learning activities ), outdoor activities, using nature light, wearing glasses, etc.Results The annual mean myopia progression (0.38 ±0.15 D) in the intervention group was significantly lower than that in the control group (0.52 ±0.19 D; P <0.01 ).The children in the two groups spent similar amounts of time in near-vision activities, but the children in the intervention group spent less time in middle-vision activities ( P < 0.01 ) and more outdoor activities ( 13.7 ± 2.4 vs 6.2 ± 1.6 hrs/wk; P < 0.01 ).When considering all children in the study, there were 4 factors that significantly correlated with less myopia progression: more outdoor activities, more time spent wearing glasses, more time spent in natural light and less time using a computer.When analyzing the intervention group separately, more outdoor activity was inversely correlated with myopia progression (t = -2.510 ,P <0.05 ).Separate analysis of the control group indicated that more time wearing glasses was correlated with less myopia progression ( t = - 3.115, P < 0.05 ).Conclusions Myopia progression in school children may be slowed by more outdoor activities, more time spent in natural light and more time wearing corrective glasses.

关键词

近视/近距离工作/户外活动/学龄期儿童

分类

医药卫生

引用本文复制引用

易军晖,李蓉蓉..近距离工作和户外活动对学龄期儿童近视进展的影响[J].中国当代儿科杂志,2011,13(1):32-35,4.

中国当代儿科杂志

OA北大核心CSCDCSTPCDMEDLINE

1008-8830

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