Abstract：
BACKGROUND: Vision health is crucial for many aspects of life especially in developing populations such as children and adolescents. However, there is a high proportion of children and adolescents who suffer from visual impairments. Notably, accumulating evidence indicates that meeting the 24-hour movement behaviors (24-HMB) guidelines is associated with positive physical and mental health outcomes in children and adolescents. However, the relationship between being prescribed eyeglasses/contact lenses and meeting the 24-HMB guidelines has yet to be investigated. Thus, this study aimed to address this gap in the existing literature by using the 2021 National Survey of Children\'s Health (NSCH) dataset.
METHODS: In this cross-sectional study, data was retrieved from the 2021 NSCH. A total of 14,193 U.S. children and adolescents aged between 6 and 17 years were included for data analyses. We used items of the NSCH concerning the 24-HMB guidelines (i.e., physical activity, screen time, and sleep duration) and prescription of eyeglasses/contact lenses that were answered by the legal guardian of the children. Binary logistic regression was performed to investigate whether meeting the 24-HMB guidelines is associated with prescription eyeglasses/contact lenses and whether wearing eyeglasses/contact lenses predicts adherence to the 24-HMB guidelines among children and adolescents.
RESULTS: More than half of the participants (59.53%) wore eyeglasses/contact lenses and only 8.40% of them met all three of the 24-HMB guidelines. Compared to meeting none of the 24-HMB guidelines, meeting one (OR = 0.76, 95% CI = 0.62-0.93, p = 0.008), two (OR = 0.54, 95% CI = 0.43-0.67, p < 0.001), and all three 24-HMB guidelines (OR = 0.47, 95% CI = 0.34-0.64, p < 0.001) were associated with a lower risk of being prescribed eyeglasses/contact lenses among children and adolescents.
CONCLUSIONS: The findings of the current study provided evidence that the prevalence of U.S. children and adolescents aged between 6 and 17 years who wore eyeglasses/contact lenses was relatively high. Furthermore, meeting the 24-HMB guidelines was associated with a lower risk of being prescribed eyeglasses/contact lenses. Future studies focusing on the effects of 24-HMB interventions on vision health among children and adolescents are needed to better inform public health actions.
METHODS: In this cross-sectional study, data was retrieved from the 2021 NSCH. A total of 14,193 U.S. children and adolescents aged between 6 and 17 years were included for data analyses. We used items of the NSCH concerning the 24-HMB guidelines (i.e., physical activity, screen time, and sleep duration) and prescription of eyeglasses/contact lenses that were answered by the legal guardian of the children. Binary logistic regression was performed to investigate whether meeting the 24-HMB guidelines is associated with prescription eyeglasses/contact lenses and whether wearing eyeglasses/contact lenses predicts adherence to the 24-HMB guidelines among children and adolescents.
RESULTS: More than half of the participants (59.53%) wore eyeglasses/contact lenses and only 8.40% of them met all three of the 24-HMB guidelines. Compared to meeting none of the 24-HMB guidelines, meeting one (OR = 0.76, 95% CI = 0.62-0.93, p = 0.008), two (OR = 0.54, 95% CI = 0.43-0.67, p < 0.001), and all three 24-HMB guidelines (OR = 0.47, 95% CI = 0.34-0.64, p < 0.001) were associated with a lower risk of being prescribed eyeglasses/contact lenses among children and adolescents.
CONCLUSIONS: The findings of the current study provided evidence that the prevalence of U.S. children and adolescents aged between 6 and 17 years who wore eyeglasses/contact lenses was relatively high. Furthermore, meeting the 24-HMB guidelines was associated with a lower risk of being prescribed eyeglasses/contact lenses. Future studies focusing on the effects of 24-HMB interventions on vision health among children and adolescents are needed to better inform public health actions.
摘要：
背景：视力健康对于生活的许多方面至关重要，尤其是在儿童和青少年等发展中人群中。然而,患有视觉障碍的儿童和青少年比例很高。值得注意的是,越来越多的证据表明,符合24小时运动行为(24-HMB)指南与儿童和青少年积极的身心健康结果相关.然而,处方眼镜/隐形眼镜与符合24-HMB指南之间的关系尚待研究。因此，这项研究旨在通过使用2021年全国儿童健康调查（NSCH）数据集来解决现有文献中的这一差距。
方法：在这项横断面研究中，数据是从2021年NSCH检索的。总共包括14,193名6至17岁的美国儿童和青少年进行数据分析。我们使用了关于24-HMB指南的NSCH项目(即，身体活动,屏幕时间,和睡眠时间）以及由儿童的法定监护人回答的眼镜/隐形眼镜的处方。进行二元逻辑回归以调查符合24-HMB指南是否与处方眼镜/隐形眼镜相关，以及佩戴眼镜/隐形眼镜是否可以预测儿童和青少年遵守24-HMB指南。
结果：超过一半的参与者（59.53％）佩戴眼镜/隐形眼镜，只有8.40％的参与者符合所有三项24-HMB指南。与不符合24-HMB指南相比，满足1（OR=0.76，95%CI=0.62-0.93，p=0.008），两个（OR=0.54，95%CI=0.43-0.67，p<0.001），所有3项24-HMB指南(OR=0.47,95%CI=0.34~0.64,p<0.001)均与儿童和青少年使用处方眼镜/隐形眼镜的风险较低相关.
结论：当前研究的结果提供了证据，表明6至17岁的美国儿童和青少年戴眼镜/隐形眼镜的患病率相对较高。此外，符合24-HMB指南与处方眼镜/隐形眼镜的风险较低相关.未来需要重点研究24-HMB干预措施对儿童和青少年视力健康的影响，以更好地为公共卫生行动提供信息。
方法：在这项横断面研究中，数据是从2021年NSCH检索的。总共包括14,193名6至17岁的美国儿童和青少年进行数据分析。我们使用了关于24-HMB指南的NSCH项目(即，身体活动,屏幕时间,和睡眠时间）以及由儿童的法定监护人回答的眼镜/隐形眼镜的处方。进行二元逻辑回归以调查符合24-HMB指南是否与处方眼镜/隐形眼镜相关，以及佩戴眼镜/隐形眼镜是否可以预测儿童和青少年遵守24-HMB指南。
结果：超过一半的参与者（59.53％）佩戴眼镜/隐形眼镜，只有8.40％的参与者符合所有三项24-HMB指南。与不符合24-HMB指南相比，满足1（OR=0.76，95%CI=0.62-0.93，p=0.008），两个（OR=0.54，95%CI=0.43-0.67，p<0.001），所有3项24-HMB指南(OR=0.47,95%CI=0.34~0.64,p<0.001)均与儿童和青少年使用处方眼镜/隐形眼镜的风险较低相关.
结论：当前研究的结果提供了证据，表明6至17岁的美国儿童和青少年戴眼镜/隐形眼镜的患病率相对较高。此外，符合24-HMB指南与处方眼镜/隐形眼镜的风险较低相关.未来需要重点研究24-HMB干预措施对儿童和青少年视力健康的影响，以更好地为公共卫生行动提供信息。
