The impact of computer use on myopia development in childhood: The Generation R study

医学 屈光度 优势比 背景(考古学) 可能性 折射误差 R代 人口学 阅读(过程) 儿科 队列研究 眼科 内科学 眼病 视力 逻辑回归 法学 古生物学 社会学 生物 政治学
作者
Clair A. Enthoven,J. Willem L. Tideman,Jan Roelof Polling,Junwen Yang‐Huang,Hein Raat,Caroline C. W. Klaver
出处
期刊:Preventive Medicine [Elsevier]
卷期号:132: 105988-105988 被引量:130
标识
DOI:10.1016/j.ypmed.2020.105988
摘要

Environmental factors are important in the development of myopia. There is still limited evidence as to whether computer use is a risk factor. The aim of this study is to investigate the association between computer use and myopia in the context of other near work activities. Within the birth cohort study Generation R, we studied 5074 children born in Rotterdam between 2002 and 2006. Refractive error and axial length was measured at ages 6 and 9. Information on computer use and outdoor exposure was obtained at age 3, 6 and 9 years using a questionnaire, and reading time and reading distance were assessed at age 9 years. Myopia prevalence (spherical equivalent ≤-0.5 dioptre) was 11.5% at 9 years. Mean computer use was associated with myopia at age 9 (OR = 1.005, 95% CI = 1.001-1.009), as was reading time and reading distance (OR = 1.031; 95% CI = 1.007-1.055 (5-10 h/wk); OR = 1.113; 95% CI = 1.073-1.155 (>10 h/wk) and OR = 1.072; 95% CI = 1.048-1.097 respectively). The combined effect of near work (computer use, reading time and reading distance) showed an increased odds ratio for myopia at age 9 (OR = 1.072; 95% CI = 1.047-1.098), while outdoor exposure showed a decreased odds ratio (OR = 0.996; 95% CI = 0.994-0.999) and the interaction term was significant (P = 0.036). From our results, we can conclude that within our sample of children, increased computer use is associated with myopia development. The effect of combined near work was decreased by outdoor exposure. The risks of digital devices on myopia and the protection by outdoor exposure should become widely known. Public campaigns are warranted.
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