在学龄儿童中,注意力缺陷多动症与近视的关联
Xiu Nian Chen1, Xiu Juan Zhang1,2,3, Yuzhou Zhang1
1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Investigative ophthalmology & visual science
|July 14, 2025
概括
注意缺陷多动症 (ADHD) 与儿童近视率较低有关. ADHD与较少的近视,更高的球体等效折射和较短的轴长度有关,这些发现需要谨慎的临床解释.
科学领域:
- 眼科医生 眼科 眼科
- 儿科 儿科 儿科
- 神经发育障碍 神经发育障碍
背景情况:
- 注意缺陷多动障碍 (ADHD) 是一个常见的神经发育障碍在学龄儿童.
- 近视,或近视,是全球越来越多的公共卫生问题,特别是在儿童中.
- ADHD和近视等折射误差之间的关系需要进一步调查.
研究的目的:
- 调查注意力缺陷多动症 (ADHD) 和学龄儿童近视之间的联系.
- 确定ADHD诊断是否影响近视率,球体等效折射 (SER) 和轴长 (AL).
主要方法:
- 一项涉及474名ADHD儿童和9950名年龄在6-8岁之间的香港对照者的横截面研究.
- 通过分层,集群随机抽样采用在2016-2021年期间收集的数据进行招聘.
- 根据ICD-10标准进行了循环自折射,轴长度测量和ADHD诊断.
主要成果:
- 与对照组 (26%) 相比,ADHD儿童的近视率 (21%) 较低.
- ADHD与较少的近视 (OR=0.75),较高的SER (β=0.13) 和较短的AL (β=-0.07) 有关.
- 在ADHD儿童中,甲基胺 (MPH) 治疗与近视减少,SER增加和AL缩短相关;注意力缺陷得分增加与近视减少和AL缩短有关.
结论:
- 注意缺陷多动性障碍 (ADHD) 与近视的发病率降低,更高高的球体等效折射 (SER) 和更短的轴长 (AL) 相关.
- 观察到的效果大小小小,需要谨慎地解释临床意义.
- 进一步的研究可能会探索这种关联的潜在机制和长期影响.
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