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Refractive error and vision problems in children: association with increased sedentary behavior and reduced exercise
Clare Quigley1, Lina Zgaga2, Georgios Vartsakis3
1Department of Ophthalmology, Galway University Hospital, Ireland.
Insights
Children with vision problems, including refractive error, tend to be more sedentary and less active. This study found a link between vision issues and decreased physical activity in children.
Area of Science:
- Ophthalmology
- Pediatrics
- Public Health
Background:
- Refractive error and vision problems are common in childhood.
- Sedentary behavior and low physical activity are global health concerns.
- Understanding the interplay between vision and lifestyle in children is crucial for early intervention.
Purpose of the Study:
- To investigate the association between refractive error and vision problems in children and their sedentary behavior and physical activity levels.
- To examine the relationship between vision problems and body mass index (BMI) in children.
Main Methods:
- Cross-sectional study utilizing data from the nationally representative Growing Up in Ireland (GUI) Study.
- Inclusion of 8,568 children aged approximately 9 years.
- Vision problems and sedentary behavior assessed via caregiver reports; BMI calculated during interviews.
Main Results:
- 11.68% of children had reported refractive error or vision problems.
- A significant positive association was found between vision problems and sedentary behavior (P=0.00089).
- An inverse association was observed between vision problems and exercise (P=0.01).
- No significant association was found between vision problems and children's BMI.
Conclusions:
- Refractive error and vision problems in children are associated with increased sedentary behavior.
- Children with vision problems demonstrated decreased participation in physical activity.
- While associations were found, this study did not establish a causal relationship between vision problems and lifestyle factors.
Purpose:
To investigate whether refractive error and vision problems in children are associated with increased sedentary behavior and reduced participation in physical activity and sport and, secondarily, to examine the relationship between vision problems and body mass index.
Methods:
This was a cross-sectional study of the first wave of the Growing Up in Ireland (GUI) Study, a nationally representative study of children in Ireland. Data was collected between August 2007 and May 2008. Body mass index (BMI) was calculated at the time of the interview. The presence of a vision problem requiring treatment, including refractive error, was detected by report of the primary care giver, usually the mother. Association between vision problems and sedentary behavior, physical activity, and level of participation in sports was investigated in adjusted regression analysis.
Results:
A total of 8,568 children (mean age, 9 ± 0.13 years; 4,024 [48.68%] males) were included. The presence of refractive error or a vision problem was reported for 1,000 (11.68%) children. The majority of children had normal weight, but 1,497 (17.5%) were overweight, and 446 (5.2%) were obese. A positive association between vision problems and sedentary behavior (P = 0.00089) and an inverse association with exercise (P = 0.01) were found. Overall, vision problems were not associated with BMI.
Conclusions:
In this study cohort, refractive error and vision problems were associated with increased sedentary behavior and decreased physical activity, although no causal relationship was established.
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