Smartphone use as a possible risk factor for myopia
Smartphone use as a possible risk factor for myopia
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DOI：
10.1111/cxo.13092
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发表时间：
2020-05-25
影响因子：
1.9
通讯作者：
Flitcroft, Daniel Ian
中科院分区：
文献类型：
--
作者：
McCrann, Saoirse;Loughman, James;Flitcroft, Daniel Ian
临床相关性这项研究证明了近视和智能手机数据使用之间的关联。由于智能手机的使用，年轻人现在花更多的时间参与近距离任务。这对近视的发展/进展构成了额外的风险因素，并且是与潜在的近视管理策略相关的重要研究问题。背景儿童现在暴露于另一个可能的近视环境风险因素-智能手机。本研究调查学生花在他们的智能手机上的时间和他们的智能手机的使用模式从近视perspectives.Methods小学，中学和大专学生完成了一份问卷，探讨智能手机的使用模式，并评估他们对潜在的近视危险因素的态度。在较长时间内，设备记录的数据使用量被量化为电话使用的主要和客观指标。使用智能手机的平均每日时间也通过自我报告的估计进行量化。结果418名学生中智能手机拥有率超过99%，平均每天使用智能手机的数据和时间分别为800.37 +/-1，299.88 MB和265.16 +/- 168.02分钟。近视学生每天使用的智能手机数据量几乎是非近视学生的两倍，为1，130.71 +/-1，748.14 MB，为613.63 +/- 902.15 MB（p = 0.001）。使用智能手机的时间没有显著差异（p = 0.09，近视者高出12%）。多项逻辑回归显示，近视屈光不正与每日智能手机数据使用量增加（比值比1.08，95%CI 1.03-1.14）以及年龄增加（比值比1.09，95%CI 1.02-1.17）和近视父母人数增加（比值比1.55，95%CI 1.06-2.3）具有统计学显著相关性。百分之七十三的学生认为，数字技术可能会对他们的眼睛产生不利影响。结论这项研究表明，近视和智能手机数据使用之间的关联。鉴于与近视相关的眼部健康风险的严重性，我们的研究结果表明，这种关系值得更详细的调查。
Clinical relevance This study demonstrates an association between myopia and smartphone data usage. Youths now spend more time participating in near tasks as a result of smartphone usage. This poses an additional risk factor for myopia development/progression and is an important research question in relation to potential myopia management strategies.Background Children are now exposed to another possible environmental risk factor for myopia - smartphones. This study investigates the amount of time students spend on their smartphones and their patterns of smartphone usage from a myopia perspective.Methods Primary, secondary and tertiary level students completed a questionnaire exploring patterns of smartphone usage and assessing their attitudes toward potential myopia risk factors. Device-recorded data usage over an extended period was quantified as the primary and objective indicator of phone use. Average daily time spent using a smartphone was also quantified by self-reported estimates. Refractive status was verified by an optometrist.Results Smartphone ownership among the 418 students invited to participate was over 99 per cent. Average daily smartphone data and time usage was 800.37 +/- 1,299.88 MB and 265.16 +/- 168.02 minutes respectively. Myopic students used almost double the amount of smartphone data at 1,130.71 +/- 1,748.14 MB per day compared to non-myopes at 613.63 +/- 902.15 MB (p = 0.001). Smartphone time usage was not significantly different (p = 0.09, 12 per cent higher among myopes). Multinomial logistic regression revealed that myopic refractive error was statistically significantly associated with increasing daily smartphone data usage (odds ratio 1.08, 95% CI 1.03-1.14) as well as increasing age (odds ratio 1.09, 95% CI 1.02-1.17) and number of myopic parents (odds ratio 1.55, 95% CI 1.06-2.3). Seventy-three per cent of students believed that digital technology may adversely affect their eyes.Conclusion This study demonstrates an association between myopia and smartphone data usage. Given the serious nature of the ocular health risks associated with myopia, our findings indicate that this relationship merits more detailed investigation.