Living environmental factors for infants’ astigmatism
ZHOU Ming-yue1, ZHOU Yue2, XU Zhi-dong1, LIU Jun-shan1, CHE Yan-hong1, MO Bao-qing3
1. Maternal and Child Health Care and Family Planning Service Center of Chuzhou City, Chuzhou, Anhui 239000, China; 2. Medical College, Huzhou Normal University, Huzhou, Zhejiang 313000 China; 3. School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 211166, China
摘要目的 探讨幼儿散光与生活环境的关系。 方法 2017年7－8月,采取整群抽样的方法选取滁州市2所儿童保健机构门诊中462名1～3岁儿童(924眼)为筛查对象,采用美国伟伦视力筛查仪筛查散光状态,并对幼儿饮食、居住等生活环境相关因素进行问卷调查,比较不散光与散光幼儿生活环境相关因素的差异。 结果 本次共筛选出379名非散光与83名散光幼儿。与不散光幼儿相比,散光幼儿经常吃胡萝卜(89.2% vs. 95.3%)、硬质食物(85.5% vs. 95.5%)、家庭采光好(74.7% vs. 86.8%)、每日户外活动30 min以上(92.4% vs. 97.4%)、喜欢看色彩艳丽的画册(79.5% vs. 87.9%)的比例明显较低,而开灯睡觉(22.9% vs. 11.9%)、看电视时眼睛与电视不同水平(47.1% vs. 32.6%)的比例明显较高。多因素logistic回归分析结果显示,经常吃硬质食物(OR=0.419,95%CI:0.180～0.977)、家庭采光好(OR=0.502,95%CI:0.270～0.935)、每日户外活动30 min以上(OR=0.238,95%CI:0.088～0.644)是幼儿散光的保护因素。 结论 幼儿散光与其饮食、家庭采光、运动有关。
Abstract：Objective To explore the relationship between infants’ astigmatism and their living environment. Methods A cluster sampling method was used to select 462 infants aged 1-3 years from outpatient departments of two child health care institutes in Chuzhou city in July- August, 2017. Their refractive status was screened and diagnosed by the US Welch Allyn Sure Sight Vision Screening Instrument. A questionnaire survey was conducted to investigate their living environment factors, such as diets and living condition. The differences in living environment factors were compared between infants with and without astigmatism. Resultss A total of 379 infants without astigmatism and 83 infants with astigmatism were detected in this study. The proportions of frequent intake of carrots (89.2% vs. 95.3%) and hard foods (85.5% vs. 95.5%), enjoying better sunlight in the house (74.7% vs. 86.8%), conducting daily outdoor activities more than 30 minutes (92.4% vs. 97.4%) and having a liking for reading colorful albums (79.5% vs. 87.9%) were significantly lower in the infants with astigmatism than in the infants without astigmatism, while the proportions of sleeping with a light on (22.9% vs. 11.9%) and watching TV with eyes not level with the TV set (47.1% vs. 32.6%) were significantly higher the infants with astigmatism than in the infants without astigmatism. Multivariate logistic regression analysis showed that the protective factors for the infant’s astigmatism were frequent intake of hard foods (OR=0.419, 95%CI:0.180-0.977), enjoying better sunlight in the house (OR=0.502, 95%CI:0.270-0.935) and conducting daily outdoor activities more than 30 minutes (OR=0.238, 95%CI:0.088-0.644). Conclusions Infants’ astigmatism is associated with their diets, sunlight in the house and outdoor activity.
2019, Vol. 26 
