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Published on: March 29, 2022
Modifiable behavioral factors associated with myopia among school-aged children
Min Lin1, Xiaodi Tang1, Peng Lei2
1Department of Ophthalmology, The Affiliated Guangdong Second Provincial General Hospital of Jinan University, No. 466 Xingang Middle Road, Haizhu District, Guangzhou 510317, Guangdong, China.
Maintaining proper near-work distance and increasing outdoor time can help prevent myopia in children. Limiting homework duration and ensuring adequate eye-to-screen/book distances are key behavioral factors for myopia prevention.
Area of Science:
- Ophthalmology
- Pediatrics
- Public Health
Background:
- Myopia prevalence is increasing globally among school-aged children.
- Behavioral factors are suspected contributors to myopia development.
- Specific visual habits and their association with myopia require further investigation.
Purpose of the Study:
- To investigate the association between specific behavioral factors and myopia in school-aged children.
- To identify modifiable risk factors for myopia prevention strategies.
Main Methods:
- Cross-sectional study involving 4957 school children in Guangzhou.
- Data collected via physical examination records and parent questionnaires.
- Statistical analyses included LASSO regression, univariate, and multivariate logistic regression.
Main Results:
- Homework time of 2-4 hours daily was linked to increased myopia odds (OR=1.24).
- Adequate eye-to-screen distance (≥30 cm) and eye-to-book distance (≥30 cm) were associated with lower myopia odds.
- Daily outdoor activity exceeding 30 minutes was also linked to reduced myopia risk (OR=0.87).
Conclusions:
- Modifiable behaviors like maintaining near-work distance, limiting homework, and increasing outdoor activity are associated with lower myopia risk.
- These findings support school- and family-based interventions for myopia prevention.
- Further longitudinal and interventional studies are recommended to inform guidelines.
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