COVID-19 Home Quarantine Accelerated the Progression of Myopia in Children Aged 7 to 12 Years in China.
COVID-19 Home Quarantine Accelerated the Progression of Myopia in Children Aged 7 to 12 Years in China.
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DOI：
10.1167/iovs.62.10.37
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发表时间：
2021-08-02
影响因子：
4.4
通讯作者：
Li C
中科院分区：
文献类型：
--
作者：
Ma M;Xiong S;Zhao S;Zheng Z;Sun T;Li C
目的探讨新冠肺炎大流行期间居家隔离对儿童近视进展的影响及其相关因素。纳入2019年4月至2020年5月每半年定期随访一次的7 ~ 12岁近视儿童。在基线和两次随访时测量睫状体麻痹性屈光。第一次随访（访问1）是在COVID-19家庭隔离之前进行的，而第二次随访（访问2）是在家庭隔离后四个月进行的。比较第1次和第2次就诊时的近视进展情况。用多元回归分析检验与近视进展变化相关的因素。共纳入201名近视儿童。第2次就诊时的球形当量变化（- 0.98±0.52 D）明显大于第1次就诊时（- 0.39±0.58 D; P < 0.001）。据报道，与访问1相比，访问2的学生花在数字设备上进行在线学习的时间更多（P < 0.001），户外活动的时间更少（P < 0.001）。使用电视和投影仪的儿童近视偏移明显少于使用平板电脑和手机的儿童（P < 0.001）。在第2次就诊时，花在数字屏幕上的时间越长（β = 0.211, P < 0.001），而花在户外活动上的时间越少（β = - 0.106, P = 0.110），近视进展越严重。在COVID-19家庭隔离期间发现行为变化和近视进展。近视进展与在线学习时使用数字屏幕有关，但与户外活动时间无关。投影仪和电视可能是在线学习的更好选择。
To investigate the effect of home quarantine during the COVID-19 pandemic on myopia progression in children and its associated factors. Myopic children aged 7 to 12 years with regular follow-up visits every half a year from April 2019 to May 2020 were included. Cycloplegic refraction was measured at baseline and at two follow-up visits. The first follow-up visit (visit 1) was conducted before the COVID-19 home quarantine, whereas the second (visit 2) was four months after the home quarantine. Myopia progression at visits 1 and 2 were compared. Factors associated with changes in myopia progression were tested with a multiple regression analysis. In total, 201 myopic children were enrolled. There was a significantly greater change in spherical equivalent at visit 2 (−0.98 ± 0.52 D) than at visit 1 (−0.39 ± 0.58 D; P < 0.001). Students were reported to have spent more time on digital devices for online learning (P < 0.001) and less time on outdoor activities (P < 0.001) at visit 2 than at visit 1. Children using television and projectors had significantly less myopic shift than those using tablets and mobile phones (P < 0.001). More time spent on digital screens (β = 0.211, P < 0.001), but not less time on outdoor activities (β = −0.106, P = 0.110), was associated with greater myopia progression at visit 2. Changes in behavior and myopic progression were found during the COVID-19 home quarantine. Myopic progression was associated with digital screen use for online learning, but not time spent on outdoor activities. The projector and television could be better choices for online learning.
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