Screen time and myopia: A serial multiple mediator SEM analysis.

college students myopia physical activity screen time sedentary behavior

Journal

Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579

Informations de publication

Date de publication:
2022
Historique:
received: 22 01 2022
accepted: 29 07 2022
entrez: 27 10 2022
pubmed: 28 10 2022
medline: 29 10 2022
Statut: epublish

Résumé

COVID-19 has influenced education systems worldwide, and significantly increased screen time for college students, posing a potential risk of myopia. In China, ninety percent of college students suffer from myopia. Excessive screen time changes college students' lifestyles, imposes potential health risks, and affects opportunities for employment. It is important to identify the potential correlation between screen time use and myopia among college students. This paper conducted a nationwide experiment using Chinese college students and set a multiple-mediator SEM model to analyze the potential correlation between screen time and myopia. The two mediators were sedentary behavior and physical activity, respectively. We obtained three valuable conclusions as follows: First, there was no significant direct relationship between screen time and myopia among Chinese college students during the COVID-19 pandemic. Second, sedentary behavior and physical activity significantly predicted the increase/decrease of myopia among Chinese college students, respectively. Third, a serial multiple mediator that encompassed sedentary behavior and physical activity sequentially fully mediated the relationship between screen time and myopia. Although there was no directly significant relationship between screen time and myopia, screen time can indirectly influence the risk of suffering myopia by influencing sedentary behavior and physical activity. Our study demonstrates the need to prevent the potential influence of overuse of electronic devices on myopia in college students, especially during the COVID-19 pandemic.

Sections du résumé

Background
COVID-19 has influenced education systems worldwide, and significantly increased screen time for college students, posing a potential risk of myopia. In China, ninety percent of college students suffer from myopia. Excessive screen time changes college students' lifestyles, imposes potential health risks, and affects opportunities for employment. It is important to identify the potential correlation between screen time use and myopia among college students.
Methods
This paper conducted a nationwide experiment using Chinese college students and set a multiple-mediator SEM model to analyze the potential correlation between screen time and myopia. The two mediators were sedentary behavior and physical activity, respectively.
Results
We obtained three valuable conclusions as follows: First, there was no significant direct relationship between screen time and myopia among Chinese college students during the COVID-19 pandemic. Second, sedentary behavior and physical activity significantly predicted the increase/decrease of myopia among Chinese college students, respectively. Third, a serial multiple mediator that encompassed sedentary behavior and physical activity sequentially fully mediated the relationship between screen time and myopia.
Conclusions
Although there was no directly significant relationship between screen time and myopia, screen time can indirectly influence the risk of suffering myopia by influencing sedentary behavior and physical activity. Our study demonstrates the need to prevent the potential influence of overuse of electronic devices on myopia in college students, especially during the COVID-19 pandemic.

Identifiants

pubmed: 36299744
doi: 10.3389/fpubh.2022.860098
pmc: PMC9589147
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

860098

Informations de copyright

Copyright © 2022 Xie, Lu and Zhu.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Ups J Med Sci. 2020 Nov;125(4):311-315
pubmed: 32757792
Glia. 2012 Aug;60(8):1192-202
pubmed: 22328245
Medicine (Baltimore). 2020 Dec 11;99(50):e23462
pubmed: 33327278
Optom Vis Sci. 2016 Sep;93(9):1058-60
pubmed: 27525535
Lancet. 2012 May 5;379(9827):1739-48
pubmed: 22559900
Ophthalmology. 2018 Aug;125(8):1239-1250
pubmed: 29371008
Invest Ophthalmol Vis Sci. 2011 Mar 29;52(3):1841-50
pubmed: 20926821
PLoS One. 2019 Apr 26;14(4):e0215827
pubmed: 31026279
Child Care Health Dev. 2021 May;47(3):377-386
pubmed: 33463740
J Med Syst. 2018 Apr 16;42(6):100
pubmed: 29663087
JAMA Pediatr. 2019 Mar 1;173(3):244-250
pubmed: 30688984
Children (Basel). 2022 Mar 02;9(3):
pubmed: 35327714
J Phys Act Health. 2019 Jun 1;16(6):416-422
pubmed: 31056020
Pediatr Obes. 2021 Sep;16(9):e12779
pubmed: 33624443
Prev Med. 2020 Mar;132:105988
pubmed: 31954142
Br J Ophthalmol. 2020 Apr;104(4):535-540
pubmed: 31409647
Br J Ophthalmol. 2020 May;104(5):593-599
pubmed: 31722876
Ophthalmology. 2021 Nov;128(11):1652-1654
pubmed: 33857574
Invest Ophthalmol Vis Sci. 2022 Jun 1;63(6):27
pubmed: 35758907
Adv Clin Exp Med. 2021 Sep;30(9):893-904
pubmed: 34160912
Prog Retin Eye Res. 2005 Jan;24(1):1-38
pubmed: 15555525
Int Ophthalmol. 2018 Apr;38(2):869-874
pubmed: 28378148
Ophthalmic Physiol Opt. 2020 Mar;40(2):216-229
pubmed: 31943280
Acta Ophthalmol. 2020 May;98(3):315-321
pubmed: 31502414
Indian J Ophthalmol. 2020 Nov;68(11):2378-2383
pubmed: 33120622
Br J Sports Med. 2016 Oct;50(20):1252-1258
pubmed: 26552416
Br J Ophthalmol. 2020 Oct;104(10):1329-1330
pubmed: 32620685
Indian J Ophthalmol. 2020 Aug;68(8):1710-1712
pubmed: 32709834
Br J Ophthalmol. 2019 Jan;103(1):1-2
pubmed: 30401675
Am J Ophthalmol. 2021 Mar;223:333-337
pubmed: 32738229
Ophthalmic Physiol Opt. 2016 Jul;36(4):381-7
pubmed: 26896871
Retina. 2018 Jul;38(7):1301-1306
pubmed: 28574923
Ophthalmology. 2021 Feb;128(2):290-301
pubmed: 32679159
PLoS One. 2019 Jan 29;14(1):e0211196
pubmed: 30695049
Acta Ophthalmol. 2017 Nov;95(7):651-659
pubmed: 27966836
Int J Ophthalmol. 2018 Jun 18;11(6):1020-1027
pubmed: 29977818

Auteurs

Jinchen Xie (J)

Department of Sociology, Xi'an Jiaotong University, Xi'an, China.

Chuntian Lu (C)

Department of Sociology, Xi'an Jiaotong University, Xi'an, China.

Jie Zhu (J)

Department of Sociology, Xi'an Jiaotong University, Xi'an, China.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH