Effects of physical activity patterns on myopia among children and adolescents: A latent class analysis

IF 1.8 4区医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-06-19 DOI:10.1111/cch.13296

Yin Li, Chang Xu, Zhonghui Liu, Zhiyi Qu, Wei Xi, Xin Zhang, Lei Gao

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Abstract

Background

The daily physical activity (PA) patterns of children and adolescents are intricate and ambiguous, with varying effects on myopia resulting from different combinations of PA. This study aims to scrutinize the spectrum of PA patterns among children and adolescents and assess their impact on myopia.

Methods

Data sourced from the 2014 National Student Physical Fitness Survey (Tianjin segment) encompassed PA records and visual acuity measurements of participants. Latent Class Analysis and a generalized linear model were employed to investigate the relationship between PA categories and visual acuity across different educational stages.

Results

The study comprised 6465 primary and middle school students, among whom 50.13% were male. PA patterns were categorized into high (27.16%), medium (29.88%) and low visual acuity regulation groups (13.97%) and the nonmainstream group (28.99%). Following adjustments for sex, age, region and BMI, the medium visual acuity regulation group exhibited a lower risk of myopia (OR = 0.617, 95% CI = 0.424–0.897, p = 0.012; OR = 0.654, 95% CI = 0.438–0.976, p = 0.038) compared to the nonmainstream group among junior and senior middle school students.

Conclusion

The efficacy of diverse PA patterns in mitigating myopia risk varies across educational stages and is influenced by sex-specific factors. It is imperative to advance myopia management strategies by emphasizing tailored PA interventions, discerning between PA patterns and delivering timely guidance and interventions tailored to distinct educational stages and sexes.

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体育活动模式对儿童和青少年近视的影响：潜类分析

背景：儿童和青少年的日常体力活动（PA）模式错综复杂、模棱两可，不同的体力活动组合对近视的影响也不尽相同。本研究旨在仔细研究儿童和青少年的体力活动模式，并评估其对近视的影响：方法：数据来源于2014年全国学生体质健康调研（天津片段），包括参与者的PA记录和视力测量。采用潜类分析法和广义线性模型来研究不同教育阶段中PA类别与视力之间的关系：研究对象包括 6465 名中小学生，其中 50.13% 为男性。PA模式分为高视力调节组（27.16%）、中视力调节组（29.88%）、低视力调节组（13.97%）和非主流组（28.99%）。在对性别、年龄、地区和体重指数进行调整后，与非主流组相比，中等视力调节组的初中生和高中生患近视的风险较低（OR = 0.617，95% CI = 0.424-0.897，p = 0.012；OR = 0.654，95% CI = 0.438-0.976，p = 0.038）：结论：在不同的教育阶段，不同的体育锻炼方式在降低近视风险方面的效果各不相同，并且受到性别特异性因素的影响。当务之急是推进近视管理策略，强调有针对性的体育锻炼干预，区分不同的体育锻炼模式，并针对不同的教育阶段和性别提供及时的指导和干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.