|
|
重庆市沙坪坝区中小学生视力不良与睡眠时间的关系
|
Abstract:
目的：分析中小学生视力不良与睡眠情况的关系，为采取有效的措施保护中小学生视力提供依据。方法：采用分层整群抽样的方法，2018年在重庆沙坪坝区的城区和郊区各抽取2所小学和初中，选取小学4~6年级，初中的全体在校学生开展视力检查及问卷调查。采用二元logistic回归模型分析睡眠时间对视力不良的影响，用有序logistic回归模型分析睡眠时间与视力不良程度的关系。结果：视力不良检出率为62.8%，轻度视力不良占比17.1%，中度视力不良占比26.7%，重度视力不良占比35.3%；睡眠不足率为55.10%；二分类logistic回归分析显示，睡眠时间 < 8 h是患视力不良的危险因素(OR = 1.41, P < 0.05)。有序logistic回归分析显示，每天睡眠时间 < 8 h是患重度视力不良的危险因素(OR = 1.50, P < 0.05)，睡眠时间 < 8 h会增加视力不良发展为中度、重度的风险。结论：重庆市沙坪坝区中小学生睡眠时间与视力不良及视力不良程度呈负相关。
Objective: To analyze the relationship between poor vision and sleep in primary and secondary school students, so as to provide the basis for taking effective measures to protect the vision of primary and secondary school students. Methods: Stratified cluster sampling method was used to select two primary schools and two junior high schools in the urban and suburban areas of Shapingba District, Chongqing, In 2018, 2 primary schools and junior high schools were selected from the urban and suburban areas of Shapingba District, Chongqing, and all students in junior high schools were selected for visual examination and questionnaire survey. Binary logistic regression model was used to analyze the influence of sleep time on poor vision, and ordered logistic regression model was used to analyze the relationship between sleep time and poor vision. Results: The detection rate of poor visual acuity was 62.8%, mild poor visual acuity 17.1%, moderate poor visual acuity 26.7% and severe poor visual acuity 35.3%. The rate of sleep deprivation was 55.10%; Binary logistic regression analysis showed that sleep time < 8 h was a risk factor for poor vision (OR = 1.41, P < 0.05). Orderly logistic regression analysis showed that sleep duration < 8 h per day was a risk factor for severe vision impairment (OR = 1.50, P < 0.05), and sleep duration < 8 h would increase the risk of developing moderate or severe vision impairment. Conclusion: Sleeping duration is negatively correlated with poor visual acuity and the degree of poor visual acuity among primary and middle school students in Shapingba District of Chongqing.
| [1] | 宋逸, 胡佩瑾, 董彦会, 等. 2014年全国各省、自治区、直辖市汉族学生视力不良现况分析[J]. 北京大学学报(医学版), 2017, 49(3): 433-438. |
| [2] | 张雪梅. 2017-2018年济南市2720名城市中学生视力不良情况分析[J]. 中国校医, 2018, 32(11): 806-808. |
| [3] | Sun, H.P., Li, A., Xu, Y. and Pan, C.W. (2015) Secular Trends of Reduced Visual Acuity from 1985 to 2010 and Disease Burden Projection for 2020 and 2030 Among Primary and Secondary School Students in China. JAMA Ophthalmology, 133, 262-268. https://doi.org/10.1001/jamaophthalmol.2014.4899 |
| [4] | Wu, L.J., You, Q.S., Duan, J.L., et al. (2015) Prevalence and Associated Factors of Myopia in High-School Students in Beijing. PLOS ONE, 10, e0120764. https://doi.org/10.1371/journal.pone.0120764 |
| [5] | Holden, B.A., Fricke, T.R., Wilson, D.A., et al. (2016) Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology, 123, 1036-1042. https://doi.org/10.1016/j.ophtha.2016.01.006 |
| [6] | Iwase, A., Araie, M., Tomidokoro, A., et al. (2006) Prevalence and Causes of Low Vision and Blindness in a Japanese Adult Population: The Tajimi Study. American Journal of Ophthalmology, 113, 1354-1362.
https://doi.org/10.1016/j.ophtha.2006.04.022 |
| [7] | Xia, F., Wu, L., Weng, C. and Zhou, X. (2017) Causes and Three-Year Incidence of Irreversible Visual Impairment in Jing-An District, Shanghai, China from 2010-2015. BMC Ophthalmology, 17, Article No. 216.
https://doi.org/10.1186/s12886-017-0603-3 |
| [8] | Polderman, T.J.C., Benyamin, B., Leeuw, C.A.D., et al. (2015) Meta-Analysis of the Heritability of Human Traits Based on Fifty Years of Twin Studies. Nature Genetics, 47, 702-709. https://doi.org/10.1038/ng.3285 |
| [9] | Huang, H.-M., Chang, D.S.-T. and Wu, P.-C. (2015) The Association between Near Work Activities and Myopia in Children—Asystematic Review and Meta-Analysis. PLOS ONE, 10, e0140419.
https://doi.org/10.1371/journal.pone.0140419 |
| [10] | 陶然, 杨招庚, 温勃, 等. 教室灯光改造对四年级小学生的视力影响研究[J]. 中国儿童保健杂志, 2020, 28(6): 668-671. |
| [11] | Bernard, J., Padmapriya, N., Chen, B., et al. (2017) Predictors of Screen Viewing Time in Young Singaporean Children: The GUSTO Cohort. International Journal of Behavioral Nutrition and Physical Activity, 14, Article No. 112.
https://doi.org/10.1186/s12966-017-0562-3 |
| [12] | Tideman, J., Boh, J., Jaddoe, V., et al. (2019) Environmental Risk Factors Can Reduce Axial Length Elongation and Myopia Incidence in 6-to 9-Year-Old Children. Ophthalmology, 126, 127-136.
https://doi.org/10.1016/j.ophtha.2018.06.029 |
| [13] | 陶然, 温勃, 董彬, 等. 中国汉族7-18岁学生睡眠情况与视力不良的关系[J]. 中国学校卫生, 2019, 40(10): 1514-1516, 1520. |
| [14] | 高帆, 刘雅倩, 陈艳, 等. 中小学生睡眠时间与视力不良的关联研究[J]. 预防医学, 2021, 33(9): 869-872. |
| [15] | Liu, X.N., Naduvilath, T.J., Wang, J., et al. (2020) Sleeping Late Is A Risk Factor for Myopia Development amongst School-Aged Children in China. Scientific Reports, 10, Article No. 17194. https://doi.org/10.1038/s41598-020-74348-7 |
| [16] | Wei, S.F., Li, S.M., Liu, L., et al. (2020) Sleep Duration, Bedtime, and Myopia Progression in a 4-Year Follow-Up of Chinese Children: The Anyang Childhood Eye Study. Investigative Ophthalmology & Visual Science, 61, Article No. 37. https://doi.org/10.1167/iovs.61.3.37 |
| [17] | Chen, M., Wu, A., Zhang, L., et al. (2018) The Increasing Prevalence of Myopia and High Myopia among High School Students in Fenghua City, Eastern China: A 15-Year Population-Based Survey. BMC Ophthalmology, 18, Article No. 159. https://doi.org/10.1186/s12886-018-0829-8 |
| [18] | 龙培培, 窦义蓉, 袁保成, 等. 重庆市主城区中小学生视力不良现状及影响因素分析[J]. 中国学校卫生, 2015, 36(1): 109-112. |
| [19] | 李蕊, 李娟, 周美艳, 等. 中国中小学生视力不良检出率的meta分析[J]. 职业与健康, 2021, 37(20): 2844-2847. |
| [20] | 教育部, 国家卫生健康委, 国家体育总局, 等. 综合防控儿童青少年近视实施方案[J]. 中国学校卫生, 2018, 39(9): 1279-1280. |
| [21] | Wu, P.C., Chen, C.T., Lin, K.K., et al. (2018) Myopia Prevention and Outdoor Light Intensity in a School-Based Cluster Randomized Trial. Ophthalmology, 125, 1239-1250. https://doi.org/10.1016/j.ophtha.2017.12.011 |
| [22] | P？rssinen, O. and Kauppinen, M. (2019) Risk Factors for High Myopia: A 22-Year Follow-up Study from Childhood to Adulthood. Acta Ophthalmologica, 97, 510-518. https://doi.org/10.1111/aos.13964 |
| [23] | Mutti, D.O., Mitchell, G.L., Moeschberger, M.L., Jones, L. A. and Zadnik, K. (2002) Parental Myopia, Near Work, School Achievement, and Children’s Refractive Error. Investigative Ophthalmology & Visual Science, 43, 3633-3640. |
| [24] | 王婷婷, 王茜, 王燕, 等. 乌鲁木齐市维吾尔族和汉族中学生近视遗传度调查[J]. 中国公共卫生, 2015, 31(2): 205-207. |
| [25] | Cohen, Y., Belkin, M., Yehezkel, O., Solomon, S. and Polat, U. (2011) Dependency between Light Intensity and Refractive Development under Light-Dark Cycles. Experimental Eye Research, 92, 40-46.
https://doi.org/10.1016/j.exer.2010.10.012 |
| [26] | Jee, D., Morgan, I. and Kim, E. (2016) Inverse Relationship between Sleep Duration and Myopia. Acta Ophthalmologica, 94, e204-e210. https://doi.org/10.1111/aos.12776 |
| [27] | Stone, R.A, Pardue, M.T, Iuvone, P.M. and Khurana, T.S. (2013) Pharmacology of Myopia and Potential Role for Intrinsic Retinal Circadian Rhythms. Experimental Eye Research, 114, 35-47. https://doi.org/10.1016/j.exer.2013.01.001 |
| [28] | Nickl, A. and Debora, L. (2013) Ocular Diurnal Rhythms and Eye Growth Regulation: Where We Are 50 Years after Lauber. Experimental Eye Research, 114, 25-34. https://doi.org/10.1016/j.exer.2012.12.013 |
| [29] | Volkow, N.D., Tomasi, D., Wang, G.J., et al. (2012) Evidence That Sleep Deprivation down Regulates Dopamine D2R in Ventral Striatum in the Human Brain. Journal of Neurology, 32, 6711-6717.
https://doi.org/10.1523/JNEUROSCI.0045-12.2012 |
| [30] | Sensaki, S., Sabanayagam, C., Chua, Y.L., et al. (2018) Sleep Duration in Infants Was Not Associated with Myopia at 3 Years. Asia-Pacific Journal of Ophthalmology, 7, 102-108. |
