首页|天津市小学生生活方式与近视风险的列线图预测模型构建

天津市小学生生活方式与近视风险的列线图预测模型构建

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目的 探讨天津市小学生生活方式与近视的关联,构建列线图模型预测近视风险,为小学生近视精准防控提供科学依据。方法 于2022年4-7月,采用普查的方式对天津市15个区的373 180名小学生进行裸眼远视力检查、屈光检测和生活方式相关问卷调查。采用多因素Logistic回归模型分析小学生生活方式与近视的关联,并构建近视风险的列线图预测模型。结果 天津市小学生近视检出率为37。6%。多因素Logistic回归模型分析结果显示,每日户外活动时长1~2h(OR=0。94)和>2 h(OR=0。84)、每日近距离电子产品使用时长>2 h(OR=1。03)、每日近距离纸质材料读写时长1~2 h(OR=1。02)和>2 h(OR=1。09)、每周新鲜蔬菜摄入2~6次(OR=0。93)和≥7次(OR=0。88)均与近视关联有统计学意义(P值均<0。01)。近视风险列线图预测模型表明,影响天津市小学生近视患病风险的因素依次是年级、近视家族史、性别、每日户外活动时长、每周新鲜蔬菜摄入频率、每日近距离纸质材料读写时长和每日近距离电子产品使用时长。结论 天津市小学生生活方式与近视存在关联,所构建的列线图模型可以为识别近视重点干预人群及采取有针对性的防控措施提供科学依据。
Construction of Nomogram prediction model of myopia risk and lifestyle among primary school students in Tianjin City
Objective To explore the relationship between lifestyle and myopia and construct Nomogram model to predict myopi-a risk among primary school students in Tianjin,so as to provide a scientific basis for precision myopia prevention and control.Methods From April to July of 2022,a census method was used to conduct vision testing and lifestyle-related questionnaires a-mong 373 180 primary school students in 15 districts of Tianjin.The relationship between lifestyle and myopia was analyzed by the multivariate Logistic regression,and a nomogram prediction model was constructed to predict myopia risk.Results The detection rate of myopia among primary school students in Tianjin was 37.6%.The results of the multivariate Logistic regression showed that daily outdoor activity time of 1-2 h(OR=0.94)and>2 h(OR=0.84),time of using daily electronic devices of>2 h(OR=1.03),daily paper materials reading and writing time of 1-2 h(OR=1.02)and>2 h(OR=1.09),weekly fresh vegetable intake of 2-6 times(OR=0.93)and ≥7 times(OR=0.88)were statistically correlated with myopia(P<0.0l).The Nomogram prediction model showed that the factors associated with myopia were grade,family history of myopia,gender,daily outdoor activity time,weekly fre-quency of fresh vegetable intake,daily paper materials reading and writing time,and time of using daily electronic devices time.Conclusions The lifestyle of primary school students in Tianjin is associated with myopia.The constructed nomogram model could provide a scientific basis for identifying key intervention populations for myopia prevention and taking targeted prevention and control measures.

Life styleMyopiaNomogramsRegression analysisStudents

刘盛鑫、杜蓓、金楠、唐春玉、宋德胜、张欣、魏瑞华

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天津中医药大学管理学院,天津 301617

天津医科大学眼科医院/眼视光学院/眼科研究所/国家眼耳鼻喉疾病临床医学研究中心天津市分中心/天津市视网膜功能与疾病重点实验室

天津医科大学公共卫生学院

生活方式 近视 列线图 回归分析 学生

天津市教委科研计划项目

2021SK134

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(1)
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