久坐行为对12~17岁青少年眼健康的影响

doi:10.3969/j.issn.1006-9771.2022.08.001

Abstract

Abstract:

Objective To explore the relationship between adolescents' sedentary behavior and poor vision.

Methods Both subjective (352 adolescents) and objective (331 adolescents) methods were used to measure the sedentary behaviors of adolescents aged twelve to 17 years in two phases with an interval of 14 weeks, to investigate the influence of different sedentary behaviors on the incidence of poor vision acuity in adolescents.

Results The sedentary time of adolescents was generally long, among which educational sedentary time and screen sedentary time accounted for a higher proportion. The detection rate of poor visual acuity among adolescents was significantly lower in low sedentary group/low education sedentary group than in high sedentary group/high education sedentary group (|t| > 3.422, P < 0.01). The objective measurement showed that the average daily sedentary time was significantly negatively correlated with the eyesight level in the first phase (r= -0.176, P < 0.001). The subjective measurement showed that the educational sedentary time was significantly negatively correlated with the eyesight level both in the first phase (r= -0.188, P < 0.001) and the second phase (r= -0.141, P <0.001). After controlling for moderate to vigorous physical activity, the objectively measured average daily sedentary time had no significant predictive effect on the poor vision of adolescents, and the subjectively measured educational sedentary time could significantly negatively predict the eyesight level of adolescents (β= -0.124, P= 0.026), however, there was no cross-lag effect between the two variables. The critical value analysis showed that the maximum value of Youden index was 0.206, corresponding to the educational sedentary time of 3 445 minutes a week, the sensitivity was 0.738, and the specificity was 0.467.

Conclusion Adolescents with high sedentary group have higher detection rate of poor vision. Educational sedentary has a significantly negative predictive effect on the eyesight level of adolescents. The detection rate of poor vision would increase if the educational sedentary time of adolescents is longer than 3 445 minutes a week.

Key words: adolescents, sedentary behavior, eye health, critical value, poor vision

CLC Number:

R778

YANG Jian,WU Ming. Influence of sedentary behavior on eye health in adolescents aged twelve to 17[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(8): 869-878.

Figures/Tables 12

References 34

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项目		上学日			休息日
项目		男	女	合计	男	女	合计
客观	日均久坐	605.75±120.92	653.34±143.91	626.17±133.18	641.97±138.86	676.41±168.87	656.75±153.17
客观	日均MVPA	31.35±13.42	25.28±13.54	28.74±13.78	27.14±17.29	20.17±11.36	24.15±15.41
主观	教育类久坐	3101.89±676.26	3138.54±733.24	3117.51±700.32	858.13±405.42	833.71±380.57	847.72±394.65
	交通类久坐	38.03±65.90	37.43±64.43	37.78±65.18	25.79±39.90	30.69±43.98	27.88±41.69
	文化类久坐	162.60±190.66	144.81±143.57	155.02±172.18	85.15±95.24	95.93±93.902	89.74±94.69
	社交类久坐	326.39±244.05	325.32±188.12	325.93±221.66	142.03±124.93	139.73±127.76	141.05±125.96
	视频类久坐	102.09±181.19	100.59±202.90	101.45±190.47	251.79±281.21	259.67±290.42	255.14±284.79

变量		重度		中度		轻度		正常		F值	P值
变量		n	数值	n	数值	n	数值	n	数值	F值	P值
客观	日均久坐	109	640.81±91.96	76	678.32±132.02	35	634.82±131.11	111	597.87±123.97	7.255	< 0.001
主观	教育类久坐	71	4172.94±889.37	112	4044.59±943.03	77	4018.52±837.83	92	3663.73±925.10	5.021	0.002
主观	视频类久坐	71	372.89±381.38	112	361.40±317.14	77	286.04±315.36	92	397.23±449.30	1.366	0.253

变量		第一阶段		第二阶段		t值^a	P值^a	t值^b	P值^b
变量		n	数值	n	数值	t值^a	P值^a	t值^b	P值^b
客观	高久坐组	165	2.17±1.22	165	1.91±1.09	-4.096	< 0.001	-3.422	0.001
客观	低久坐组	166	2.72±1.24	166	2.33±1.51	-4.096	< 0.001	-3.422	0.001
主观	高教育类久坐组	151	2.27±1.08	151	2.11±1.03	-4.109	< 0.001	-3.810	< 0.001
主观	低教育类久坐组	201	2.74±1.05	201	2.54±1.04	-4.109	< 0.001	-3.810	< 0.001

模型		第一层			第二层			第三层
模型		Beta	t值	P值	Beta	t值	P值	Beta	t值	P值
I	性别	-0.007	-0.133	0.894	0.000	-0.006	0.995	0.013	0.241	0.809
I	学段	-0.383	-7.468	< 0.001	-0.378	-7.223	< 0.001	-0.357	-6.546	< 0.001
II	MVPA-T1				0.024	0.436	0.663	0.016	0.304	0.762
III	久坐行为-T1				-0.076	-1.398	0.163	-0.074	-1.360	0.175
模型摘要	R²			0.146			0.147			0.151
	F			28.077			18.735			14.550
	P			< 0.001			< 0.001			< 0.001
	△R²			0.146			< 0.001			0.005
	△F			28.077			0.190			1.851
	△P			< 0.001			0.663			0.175

模型		第一层			第二层			第三层
模型		Beta	t值	P值	Beta	t值	P值	Beta	t值	P值
I	性别	0.021	0.408	0.684	0.028	0.519	0.604	0.029	0.554	0.580
I	学段	-0.225	-4.299	< 0.001	-0.215	-3.970	< 0.001	-0.174	-3.042	0.003
II	MVPA-T1				0.038	0.694	0.488	0.032	0.581	0.562
III	教育类久坐-T1							-0.124	-2.240	0.026
模型摘要	R²			0.052			0.053			0.066
	F			9.431			6.439			6.139
	P			< 0.001			< 0.001			< 0.001
	△R²			0.052			0.001			0.014
	△F			9.431			0.482			5.017
	△P			< 0.001			0.448			0.026

Influence of sedentary behavior on eye health in adolescents aged twelve to 17

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方法	性别	年龄/岁	第一阶段/n					第二阶段/n					流失/n
方法	性别	年龄/岁	初一	初二	高一	高二	合计	初一	初二	高一	高二	合计	流失/n
客观	男	15.40±1.38	39	53	55	62	209	34	48	47	60	189	20
	女	14.99±1.42	56	33	36	36	161	47	29	30	36	142	19
	合计	-	95	86	91	98	370	81	77	77	96	331	39
主观	男	15.00±1.67	47	55	72	64	238	40	51	58	53	202	36
	女	14.75±1.38	57	34	46	41	178	48	28	41	33	150	28
	合计	-	104	89	118	105	416	88	79	99	86	352	64

检验变量	面积	SE	P值	95%CI
检验变量	面积	SE	P值	下限	上限
教育类久坐	0.631	0.034	< 0.001	0.564	0.699

教育类久坐时间/min	敏感性	1-特异性	约登指数
……	……	……	……
3405.00	0.758	0.598	0.160
3415.00	0.750	0.587	0.163
3430.00	0.746	0.565	0.181
3445.00	0.738	0.533	0.206
3455.00	0.735	0.533	0.202
3465.00	0.731	0.533	0.198
……	……	……	……

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