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Joint effect of sitting posture habits and screen viewing distance on screening myopia among primary school students
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Ruilan ZHAO1, Tao PENG1, Guoxin ZHEN1, Fangfang ZHAO1, Li LI*, 1, Qingqing SONG1, Fan ZHU2, Yinghua MA*, 2
Chinese Journal of School Health | 2025, 46(6) : 903 - 907
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Chinese Journal of School Health | 2025, 46(6): 903-907
• Disease Control •
Joint effect of sitting posture habits and screen viewing distance on screening myopia among primary school students
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Ruilan ZHAO1, Tao PENG1, Guoxin ZHEN1, Fangfang ZHAO1, Li LI*, 1, Qingqing SONG1, Fan ZHU2, Yinghua MA*, 2
Affiliations
  • 1School Health Department, Shunyi Centre for Disease Control and Prevention, Beijing (101300), China
Published: 2025-06-25 doi: 10.16835/j.cnki.1000-9817.2025161
Outline
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Objective

To explore the association of screening myopia and sitting posture habits as well as screen viewing distance among primary school students, providing a scientific basis for myopia prevention and intervention among primary school students.

Methods

From April to June 2024, a convenient sampling method was used to enroll 1 394 fourth-grade students from four primary schools in a district of Beijing for vision examinations and questionnaire surveys. Logistic regression models were employed to analyze the relationship of screening myopia detection and sitting posture habits as well as viewing distance.

Results

The screening myopia prevalence among primary school students was 63.8%. About 13.1% of students self-reported poor sitting posture, and 47.1% self-reported a viewing distance of ≤20 cm. After adjusting for covariates including age, gender, school, sleep quality, parental myopia status, physical fitness level, daily high-intensity physical activity, weekend outdoor activity time and types of after-school services, Logistic regression analysis showed that students with poor sitting posture were more likely to have screening myopia than those with normal sitting posture (OR=1.73, 95%CI=1.03-2.92); students with a viewing distance of ≤20 cm were more likely to have screening myopia than those with a viewing distance of >20 cm(OR=1.32, 95%CI=1.02-1.71)(P < 0.05). The association between sitting posture and screening myopia was more significant among boys(OR=2.00, 95%CI=1.03-3.88, P < 0.05). A multiplicative interaction was observed between sitting posture and viewing distance. Compared to primary school students with normal posture and a viewing distance of >20 cm, those with poor posture and a viewing distance of >20 cm were more likely to have screening myopia (OR=1.82, 95%CI=1.12-2.96, P < 0.05).

Conclusions

Both sitting posture habits and screen viewing distance are related to screening myopia in primary school students. Poor sitting posture poses a higher risk than screen distance, and the two factors exhibit an interactive effect on myopia risk.

Sitting position  /  Fixation, ocular  /  Myopia  /  Regression analysis  /  Students
赵瑞兰, 彭涛, 甄国新, 赵芳芳, 李莉, 宋青青, 朱璠, 马迎华. 小学生坐姿习惯与视屏距离对筛查性近视的联合作用. 中国学校卫生, 2025 , 46 (6) : 903 -907 . DOI: 10.16835/j.cnki.1000-9817.2025161
Ruilan ZHAO, Tao PENG, Guoxin ZHEN, Fangfang ZHAO, Li LI, Qingqing SONG, Fan ZHU, Yinghua MA. Joint effect of sitting posture habits and screen viewing distance on screening myopia among primary school students[J]. Chinese Journal of School Health, 2025 , 46 (6) : 903 -907 . DOI: 10.16835/j.cnki.1000-9817.2025161
Year 2025 volume 46 Issue 6
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doi: 10.16835/j.cnki.1000-9817.2025161
  • Receive Date:2025-01-17
  • Online Date:2026-11-06
  • Published:2025-06-25
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  • Received:2025-01-17
  • Revised:2025-05-06
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    1School Health Department, Shunyi Centre for Disease Control and Prevention, Beijing (101300), China
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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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