中国儿童保健杂志 ›› 2013, Vol. 21 ›› Issue (2): 206-209.

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青少年近视的危险因素研究

林林,满丰韬,胡乃宝,刘海霞,贾改珍,王萍玉   

  1. 滨州医学院流行病学教研室,山东 烟台 264003
  • 收稿日期:2012-04-19 发布日期:2013-02-06 出版日期:2013-02-06
  • 作者简介:林林(1973-),女,黑龙江人,副教授,博士学位,主要研究方向为健康流行病学。

Study of relationship between sleep quality,obesity and juvenile myopia.

LIN Lin,MAN Feng-tao,HU Nai-bao,LIU Hai-xia,JIA Gai-zhen,WAGN Ping-yu.   

  1. Department of Epidemiology,School of Binzhou Medical College,Yantai,Shandong 264003,China
  • Received:2012-04-19 Online:2013-02-06 Published:2013-02-06

摘要: 目的 探讨睡眠质量、肥胖和环境因素与青少年近视的关联性,为预防青少年近视提供参考依据。 方法 以年龄和性别为匹配因素,177对研究对象进行1∶1匹配的病例对照研究。 结果 单因素分析结果显示病例组睡眠质量指数中位数4±2高于对照组3±3(Z=4.08,P<0.05);肥胖(χ2=0.621)、超重(χ2=1.137)与青少年近视无关(P>0.05);父母近视(χ2=49.150)、躺着看书习惯(χ2=13.561)、趴着书写习惯(χ2=34.301)、眼距书本看书距离(χ2=16.724)、连续看书90 min以上(χ2=13.701)、每日参加户外活动(χ2=13.263)与青少年近视有关并存在剂量效应关系(P<0.05);多因素条件Logistic回归分析结果显示睡眠质量指数分值(OR=1.21)、父母近视情况(OR=3.83)、趴着书写习惯(OR=1.58)、眼距书本看书距离(OR=1.59)是青少年近视的影响因素。 结论 睡眠质量差、父母近视、有趴着书写习惯、看书时双眼到书本的距离过近是青少年近视的危险因素。

关键词: 青少年近视, 睡眠质量, 肥胖, 病例对照研究

Abstract: Objective To investigate the relationship among sleep quality,obesity and juvenile myopia. Method 1∶1 pair matched case-control study was conducted.177 pairs were matched by age and gender. Results Single factor analysis showed that the median of sleep quality of case group was higher than control group(Z=4.08,P<0.05).There was no statistical relation between juvenile myopia and other varibles such as obesity and overweight (P>0.05),but had correlation with parents myopia(χ2=49.150),the practice of reading in bed(χ2=13.561),reading distance between eyes and book(χ2=16.724),reading for 90minutes(χ2=13.701),taking part in air activities(χ2=13.263),and had dose-effect (P<0.05).Multiple logistic regression analysis showed that sleep quality (OR=1.21),parents myopia (OR=3.83),writing face down (OR=1.58) and reading distance between eyes and book (OR=1.59) were the risk factors of juvenile myopia. Conclusion Sleep quality,parents myopia,writing face down and reading distance between eyes and book are the disk factors of juvenile myopia.

Key words: juvenile myopia, sleep quality, obesity, case-control study

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