中国眼保健操与儿童青少年近视发生相关性的Meta分析

Association between Chinese eye exercises and myopia onset in children and adolescents:a meta-analysis

目的系统评价中国眼保健操与儿童青少年近视发生的相关性,为儿童青少年预防近视提供参考。方法计算机检索PubMed、Web of Science、EMbase、The Cochrane Library、CNKI、VIP、WanFang Data和CBM数据库,搜集中国眼保健操与儿童青少年近视发生相关性的观察性研究,检索时限均从建库至2022年3月。由2位评价员独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析。结果共纳入28个研究,包括217112例研究对象。Meta分析结果显示:做眼保健操、做眼保健操≥2次/天、经常或坚持做眼保健操、认真做眼保健操、正确规范做眼保健操是儿童青少年近视发生的保护因素。结论当前证据显示,做眼保健操、做眼保健操≥2次/天、经常或坚持做眼保健操、认真做眼保健操、正确规范做眼保健操可预防儿童青少年近视发生。受纳入研究数量和质量限制,上述结论尚需开展更多高质量研究予以验证。

Objective To systematically review the association between Chinese eye exercises and myopia onset in children and adolescents to provide a theoretical basis for clinical prevention of myopia.Methods The PubMed,Web of Science,EMbase,The Cochrane Library,CNKI,VIP,WanFang Data and CBM databases were searched from inception to March 2022 to collect observational studies about the association between Chinese eye exercises and myopia onset in children and adolescents.Two reviewers independently screened the literature,extracted data,and assessed the risk of bias of the included studies.Meta-analysis was then performed using RevMan 5.3 software.Results A total of 28 studies were included,including 217112 subjects.The results of meta-analysis showed that doing eye exercises,doing eye exercises≥2 times per day,doing eye exercises regularly or consistently,doing eye exercises seriously and doing eye exercises correctly and normatively were the protective factors of myopia onset in children and adolescents.Conclusion Current evidence shows that doing eye exercises,doing eye exercises≥2 times per day,doing eye exercises regularly or consistently,doing eye exercises seriously,doing eye exercises correctly and normatively can prevent myopia onset in children and adolescents.Due to the limited quantity and quality of the included studies,more high-quality studies are needed to verify the above conclusion.