Effects of school myopia management measures on myopia onset and progression among Chinese primary school students
Abstract Background Schools play an organizational role in managing myopia-related behavioral habits among students. We evaluated the effects of school myopia management measures on myopia onset and progression in a school-based prospective 1-year observational study. Methods In total, 8319 children...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-16719-z |
| _version_ | 1797451183035514880 |
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| author | Jiao- jiao Shi Yu-jie Wang Ping-ping Lyu Jing-wen Hu Xiao-sa Wen Hui-jing Shi |
| author_facet | Jiao- jiao Shi Yu-jie Wang Ping-ping Lyu Jing-wen Hu Xiao-sa Wen Hui-jing Shi |
| author_sort | Jiao- jiao Shi |
| collection | DOAJ |
| description | Abstract Background Schools play an organizational role in managing myopia-related behavioral habits among students. We evaluated the effects of school myopia management measures on myopia onset and progression in a school-based prospective 1-year observational study. Methods In total, 8319 children from 26 elementary schools were included. Online questionnaire completed by a parent, in which school myopia management experience including outdoor activities in recess or physical education class, teachers’ supervision, and teaching facilities. Variables were defined as implemented well or poorly, according to the Comprehensive Plan to Prevent Myopia among Children and Teenagers. Children underwent ophthalmic examinations, and the incidence and progression of myopia from 2019 to 2020 were estimated. Multilevel logistic regression models were constructed to analyze the association between school management measures and myopia development in 8,9 years and 10,11 years students. Results From 2019 to 2020, the incidence of myopia among primary school students was 36.49%; the mean difference of spherical equivalent in myopic children was − 0.29 ± 1.22 diopters. The risk of incident myopia was reduced by 20% in 8,9 years participants with well-implemented class recess compared with those with poorly implemented class recess (adjusted odds ratio [aOR]: 0.80, p = 0.032). PE outdoor time was significantly associated with myopia incidence in 10,11 years students (aOR: 0.76, p = 0.043). Compared with poorly implemented reading and writing posture, desk and chair height, 10,11 participants with well-implemented desk and chair height were less likely to have rapid myopic progression (p = 0.029, p = 0.022). Conclusion In Shanghai, children’s myopia is associated with better implementation of school myopia management measures. The present findings suggest that outdoor activities during class recess or PE class, providing suitable desks and chairs, and adequate instruction in reading and writing postures might protect against pathological eye growth. An age-specific myopia prevention and control programs in school is of primary importance. |
| first_indexed | 2024-03-09T14:51:07Z |
| format | Article |
| id | doaj.art-389735fdaea64efa844e8a58410ef82d |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-09T14:51:07Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-389735fdaea64efa844e8a58410ef82d2023-11-26T14:27:05ZengBMCBMC Public Health1471-24582023-09-012311910.1186/s12889-023-16719-zEffects of school myopia management measures on myopia onset and progression among Chinese primary school studentsJiao- jiao Shi0Yu-jie Wang1Ping-ping Lyu2Jing-wen Hu3Xiao-sa Wen4Hui-jing Shi5Department Maternal Child & Adolescent Health, School of Public Health, Fudan UniversityDepartment Maternal Child & Adolescent Health, School of Public Health, Fudan UniversityDepartment Maternal Child & Adolescent Health, School of Public Health, Fudan UniversityDepartment Maternal Child & Adolescent Health, School of Public Health, Fudan UniversityDepartment of Immunizations, Minhang Centers for Disease Control and PreventionDepartment Maternal Child & Adolescent Health, School of Public Health, Fudan UniversityAbstract Background Schools play an organizational role in managing myopia-related behavioral habits among students. We evaluated the effects of school myopia management measures on myopia onset and progression in a school-based prospective 1-year observational study. Methods In total, 8319 children from 26 elementary schools were included. Online questionnaire completed by a parent, in which school myopia management experience including outdoor activities in recess or physical education class, teachers’ supervision, and teaching facilities. Variables were defined as implemented well or poorly, according to the Comprehensive Plan to Prevent Myopia among Children and Teenagers. Children underwent ophthalmic examinations, and the incidence and progression of myopia from 2019 to 2020 were estimated. Multilevel logistic regression models were constructed to analyze the association between school management measures and myopia development in 8,9 years and 10,11 years students. Results From 2019 to 2020, the incidence of myopia among primary school students was 36.49%; the mean difference of spherical equivalent in myopic children was − 0.29 ± 1.22 diopters. The risk of incident myopia was reduced by 20% in 8,9 years participants with well-implemented class recess compared with those with poorly implemented class recess (adjusted odds ratio [aOR]: 0.80, p = 0.032). PE outdoor time was significantly associated with myopia incidence in 10,11 years students (aOR: 0.76, p = 0.043). Compared with poorly implemented reading and writing posture, desk and chair height, 10,11 participants with well-implemented desk and chair height were less likely to have rapid myopic progression (p = 0.029, p = 0.022). Conclusion In Shanghai, children’s myopia is associated with better implementation of school myopia management measures. The present findings suggest that outdoor activities during class recess or PE class, providing suitable desks and chairs, and adequate instruction in reading and writing postures might protect against pathological eye growth. An age-specific myopia prevention and control programs in school is of primary importance.https://doi.org/10.1186/s12889-023-16719-zMyopiaSchool management measuresChildrenMultilevel analysis |
| spellingShingle | Jiao- jiao Shi Yu-jie Wang Ping-ping Lyu Jing-wen Hu Xiao-sa Wen Hui-jing Shi Effects of school myopia management measures on myopia onset and progression among Chinese primary school students BMC Public Health Myopia School management measures Children Multilevel analysis |
| title | Effects of school myopia management measures on myopia onset and progression among Chinese primary school students |
| title_full | Effects of school myopia management measures on myopia onset and progression among Chinese primary school students |
| title_fullStr | Effects of school myopia management measures on myopia onset and progression among Chinese primary school students |
| title_full_unstemmed | Effects of school myopia management measures on myopia onset and progression among Chinese primary school students |
| title_short | Effects of school myopia management measures on myopia onset and progression among Chinese primary school students |
| title_sort | effects of school myopia management measures on myopia onset and progression among chinese primary school students |
| topic | Myopia School management measures Children Multilevel analysis |
| url | https://doi.org/10.1186/s12889-023-16719-z |
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