超重/肥胖和移动电子设备使用时间与蒙古族儿童青少年近视的交互作用  

Interactions of overweight/obesity and mobile electronic device usage time with myopia among Mongolian children and adolescents

作　　者：屈珈羽 高昇[2] 张秀红[2] 杨田[2] 王飞 翟瑞峰 张显娟 QU Jiayu;GAO Sheng;ZHANG Xiuhong;YANG Tian;WANG Fei;ZHAI Ruifeng;ZHANG Xianjuan(Inner Mongolia Medical University,Huhhot,Inner Mongolia 010059,China;Inner Mongolia Autonomous Region Center for Disease Control and Prevention,Hohhot,Inner Mongolia 010070,China;Inner Mongolia Autonomous Region Center for Patriotic Health Service,Hohhot,Inner Mongolia 010020,China)

机构地区：[1]内蒙古医科大学,内蒙古呼和浩特010059 [2]内蒙古自治区疾病预防控制中心,内蒙古呼和浩特010070 [3]内蒙古自治区爱国卫生服务中心,内蒙古呼和浩特010020

出　　处：《实用预防医学》2025年第3期292-296,共5页Practical Preventive Medicine

基　　金：内蒙古自治区科技计划项目(2020GG0022)。

摘　　要：目的研究内蒙古自治区蒙古族儿童青少年超重/肥胖和移动电子设备使用时间与近视的单独及交互作用。方法对2022年“内蒙古地区学生常见病和健康危险因素监测”项目的34731名8~17岁蒙古族儿童青少年,通过进行体格检查与问卷调查收集一般情况、肥胖和近视等资料。采用广义线性模型中的logistic回归模型探讨超重/肥胖和移动电子设备使用时间与近视的关系,并使用分层分析检验年龄和性别差异。结果34731名蒙古族儿童青少年近视患病率为63.3%。女生近视率高于男生(68.7%/57.8%),13~17岁青少年近视率高于8~12岁儿童(71.4%/53.6%)。移动电子设备使用过度的儿童青少年比未使用过度的近视风险更高(OR=1.25,95%CI:1.19~1.31)。超重/肥胖的男生比未超重/肥胖的男生近视风险更高(OR=1.11,95%CI:1.03~1.19),超重/肥胖且移动电子设备使用过度的儿童青少年比未超重/肥胖且移动电子设备未使用过度的近视风险更高(OR=1.31,95%CI:1.20~1.43)。结论超重/肥胖和移动电子设备使用过度与儿童青少年近视有关。在防控近视过程中应当注意超重/肥胖和移动电子设备使用时间等这些可改变的行为。Objective To study the separate and interactive effects of overweight/obesity and mobile electronic device usage time on myopia among Mongolian children and adolescents in Inner Mongolia Autonomous Region.Methods A total of 34,731 Mongolian children and adolescents aged 8-17 years from a project regarding monitoring of common diseases and health risk factors among students in Inner Mongolia in 2022 underwent physical examination and questionnaire interviews,and then we collected their information about general condition,obesity,and myopia.A logistic regression model based on generalized linear model was used to explore the relationships of overweight/obesity and mobile electronic device usage time with myopia,and stratified analyses were performed to examine age and gender differences.Results The prevalence rate of myopia was 63.3%among the 34,731 Mongolian children and adolescents.The prevalence rate of myopia was higher in girls than in boys(68.7%vs.57.8%)as well as higher in adolescents aged 13-17 years than in children aged 8-12 years(71.4%vs.53.6%).Children and adolescents with excessive use of mobile electronic devices were at higher risk of myopia than those without excessive use(OR=1.25,95%CI:1.19-1.31).Boys who were overweight/obese had a higher risk of myopia than those who were not overweight/obese(OR=1.11,95%CI:1.03-1.19),and children and adolescents who were overweight/obese and had excessive mobile electronic device use had a higher risk of myopia than those who were not overweight/obese and had no excessive mobile electronic device use(OR=1.31,95%CI:1.20-1.43).Conclusion Overweight/obesity and excessive use of mobile electronic devices are associated with myopia in the children and adolescents.These modifiable behaviors such as overweight/obesity and mobile electronic device usage time should be noted in myopia prevention and control.

关 键 词：超重/肥胖 移动电子设备 蒙古族 儿童 青少年 近视 交互作用 

分 类 号：R179[医药卫生—妇幼卫生保健]