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Association between short video exposure and axial length in preschool children: a cross-sectional study
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Chenshu LI1, Senlin LIN2, Sha LUO3, Hao CHEN1, Yi SUN1, Hong JIANG1, Yingnan JIA1, 4
Chinese Journal of Public Health | 2025, 41(6) : 655 - 660
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Chinese Journal of Public Health | 2025, 41(6): 655-660
• Special Report – Focusing on Child Health and Development •
Association between short video exposure and axial length in preschool children: a cross-sectional study
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Chenshu LI1, Senlin LIN2, Sha LUO3, Hao CHEN1, Yi SUN1, Hong JIANG1, Yingnan JIA1, 4
Affiliations
  • 1School of Public Health, Fudan University Shanghai 200032, China
  • 2Shanghai Eye Disease Prevention and Control Center, Shanghai 200040, China
  • 3Shanghai Xuhui District Maternal and Child Health Hospital, Shanghai 200233, China
  • 4Health Communication Institute of Fudan University, Shanghai 200032, China
Published: 2025-06-10 doi: 10.11847/zgggws1147169
Outline
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Objective

To investigate the exposure time and content characteristics of short videos among preschool children and analyze their association with axial length, in order to provide a reference for myopia prevention and control in preschool children.

Methods

From April to June 2023, 326 preschool children from 36 classes in one kindergarten each in Pudong New district and Xuhui district, Shanghai city, were enrolled in this study. Online questionnaires were distributed to parents to collect information on children's sociodemographic characteristics, home electronic device environment, and daily behaviors. Axial length, height, and weight were measured on-site. A tablet computer equipped with a "Children′s Screen Exposure" application was used to accurately measure the duration and content of children′s electronic screen use within one week. Data were analyzed using t-tests, linear regression, and quantile regression.

Results

The axial length of boys [(22.69 ± 0.65) mm] was significantly longer than that of girls [(22.00 ± 0.72) mm]. Axial length increased significantly with age (β = 0.269, P < 0.001), height (β = 0.346, P < 0.001), weight (β = 0.342, P < 0.001), and daytime sleep duration (β = 1.2×10−3, P = 0.03). Sixty-three (19.33%) preschool children were exposed to short videos, with children's programs accounting for the highest proportion of viewing time (23.18%). 48.40% of the children's viewing time was PG-rated or above, requiring parental guidance or unsuitable for children. The vast majority of the content viewed by children was non-educational (96.09%) and rapidly changing (82.75%). Children also watched a large proportion of reality-based content (52.13%). Children who spent more time watching slow-switching videos had longer axial lengths (β = 0.0385, P = 0.04).

Conclusions

Preschool children are exposed to short videos, mostly children′s programs, non-educational content, and rapidly changing content. The viewing time is mainly spent on reality-based content and PG-rated or above content. Children who spend more time watching slow-switching short videos have longer axial lengths.

screen exposure  /  preschool children  /  short videos  /  axial length  /  screen switching rate  /  Shanghai city
礼晨姝, 林森林, 罗莎, 陈浩, 孙艺, 蒋泓, 贾英男. 学龄前儿童短视频暴露情况与眼轴长度关联. 中国公共卫生, 2025 , 41 (6) : 655 -660 . DOI: 10.11847/zgggws1147169
Chenshu LI, Senlin LIN, Sha LUO, Hao CHEN, Yi SUN, Hong JIANG, Yingnan JIA. Association between short video exposure and axial length in preschool children: a cross-sectional study[J]. Chinese Journal of Public Health, 2025 , 41 (6) : 655 -660 . DOI: 10.11847/zgggws1147169
Year 2025 volume 41 Issue 6
94
40
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Article Info
doi: 10.11847/zgggws1147169
  • Receive Date:2025-02-20
  • Online Date:2026-10-25
  • Published:2025-06-10
Article Data
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History
  • Received:2025-02-20
  • Revised:2025-03-23
  • Accepted:2025-05-08
Affiliations
    1School of Public Health, Fudan University Shanghai 200032, China
    2Shanghai Eye Disease Prevention and Control Center, Shanghai 200040, China
    3Shanghai Xuhui District Maternal and Child Health Hospital, Shanghai 200233, China
    4Health Communication Institute of Fudan University, Shanghai 200032, China

Corresponding:

JIANG Hong, E-mail:
JIA Yingnan, E-mail:
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表12种不同金属材料的力学参数
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Family
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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