Progresija dječje miopije tijekom kućne karantine pandemije COVID-19 i faktori rizika: sistematski pregled i meta-analiza.
Frontiers in public health
Sažetak istraživanja
Pozadina Pandemija COVID-19 natjerala je mnoge zemlje da usvoje restriktivne mjere poput kućnog karantena. Djeca su bila obavezna da uče kod kuće, zbog čega su roditelji bili zabrinuti zbog brzog razvoja kratkovidnosti njihove djece. Kako bismo uporedili progresiju miopije tokom kućne karantine pandemije COVID-19 s vremenom prije i faktorima rizika za progresiju miopije, sproveli smo ovu studiju.
Metode Pretražili smo PubMed, Embase, Cochrane biblioteku i Web of Science kako bismo pronašli literaturu od decembra 2019. do marta 2022. koja se odnosi na kućnu karantenu pandemije COVID-19 i progresiju miopije kod djece. Ishodi progresije miopije uključivali su aksijalnu dužinu i sfernu ekvivalentnu refrakciju. Analizirani su faktori vremena na digitalnom ekranu uređaja i vremena aktivnosti na otvorenom.
Rezultati Deset studija je uključeno u ovu metaanalizu. U poređenju sa istim periodom prije pandemije COVID-19, sferna ekvivalentna refrakcija se smanjila (OR = -0,27; 95% CI = [-0,33, -0,21]; Z = 8,42; P P = 0,69). Ishod aksijalne dužine nije pokazao značajnu razliku (OR = 0,06; 95% CI = [-0,31, 0,44]; Z = 0,34; P = 0,74). Što se tiče faktora rizika, šumske parcele su pokazale da su vrijeme na digitalnom ekranu (OR = 4,56; 95% CI = [4,45, 4,66]; Z = 85,57; P P = 0,0008) faktori rizika za progresiju miopije.
Zaključak U poređenju sa vremenom prije pandemije COVID-19, progresija kratkovidosti kod djece tokom kućne karantine pandemije COVID-19 je ubrzana, posebno kod mlađe djece. Povećani digitalni ekrani i smanjeno vrijeme aktivnosti na otvorenom bili su faktori rizika. Kada kućna karantena popusti, djeci je potrebno više vremena za aktivnosti na otvorenom i manje vremena za uređaje s digitalnim ekranom. Registracija sistematskog pregleda https://www.crd.york.ac.uk/prospero/logout.php.
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Pediatric Myopia Progression During the COVID-19 Pandemic Home Quarantine and the Risk Factors: A Systematic Review and Meta-Analysis.
Background The COVID-19 pandemic has made many countries adopt restrictive measures like home quarantine. Children were required to study at home, which made parents worried about the rapid myopic progression of their children. To compare myopia progression during the COVID-19 pandemic home quarantine with the time before it and risk factors of myopia progression, we conducted this study.
Methods We searched PubMed, Embase, the Cochrane Library, and Web of Science to find literature from December 2019 to March 2022 related to COVID-19 pandemic home quarantine and children's myopia progression. Outcomes of myopia progression included axial length and spherical equivalent refraction. Factors of digital screen device time and outdoor activity time were analyzed.
Results Ten studies were included in this meta-analysis. Compared to the same period before the COVID-19 pandemic, spherical equivalent refraction decreased (OR = -0.27; 95% CI = [-0.33, -0.21]; Z = 8.42; P P = 0.69). The outcome of axial length showed no significant difference (OR = 0.06; 95% CI = [-0.31, 0.44]; Z = 0.34; P = 0.74). As for risk factors, the forest plots showed that digital screen device time (OR = 4.56; 95% CI = [4.45, 4.66]; Z = 85.57; P P = 0.0008) were risk factors of myopia progression.
Conclusion Compared with the time before the COVID-19 pandemic, myopia progression in children during COVID-19 pandemic home quarantine was accelerated, especially in younger children. Increased digital screen device and decreased outdoor activity times were risk factors. When home quarantine eases, more time on outdoor activities and less time on digital screen devices are needed for children. Systematic review registration https://www.crd.york.ac.uk/prospero/logout.php.
Izvorni podaci
- DOI
- 10.3389/fpubh.2022.835449
- PMID
- 35937221
- PMCID
- PMC9355634
- Provjereno
- 2026-07-26
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