Association between short video exposure and axial length in preschool children: a cross-sectional study

ObjectiveTo 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. MethodsFrom April to June 2023, 326 preschool child...

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Main Authors: Chenshu LI, Senlin LIN, Sha LUO, Hao CHEN, Yi SUN, Hong JIANG, Yingnan JIA
Format: Article
Language:zho
Published: Editorial Office of Chinese Journal of Public Health 2025-06-01
Series:Zhongguo gonggong weisheng
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Online Access:https://www.zgggws.com/article/doi/10.11847/zgggws1147169
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author Chenshu LI
Senlin LIN
Sha LUO
Hao CHEN
Yi SUN
Hong JIANG
Yingnan JIA
author_facet Chenshu LI
Senlin LIN
Sha LUO
Hao CHEN
Yi SUN
Hong JIANG
Yingnan JIA
author_sort Chenshu LI
collection DOAJ
description ObjectiveTo 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. MethodsFrom 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. ResultsThe 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). ConclusionsPreschool 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.
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publisher Editorial Office of Chinese Journal of Public Health
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spelling doaj-art-6460e4bdb9d24c5b89d2d8e0250be15e2025-08-20T03:08:24ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802025-06-0141665566010.11847/zgggws11471691147169Association between short video exposure and axial length in preschool children: a cross-sectional studyChenshu LI0Senlin LIN1Sha LUO2Hao CHEN3Yi SUN4Hong JIANG5Yingnan JIA6School of Public Health, Fudan University Shanghai 200032, ChinaShanghai Eye Disease Prevention and Control Center, Shanghai 200040, ChinaShanghai Xuhui District Maternal and Child Health Hospital, Shanghai 200233, ChinaSchool of Public Health, Fudan University Shanghai 200032, ChinaSchool of Public Health, Fudan University Shanghai 200032, ChinaSchool of Public Health, Fudan University Shanghai 200032, ChinaSchool of Public Health, Fudan University Shanghai 200032, ChinaObjectiveTo 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. MethodsFrom 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. ResultsThe 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). ConclusionsPreschool 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.https://www.zgggws.com/article/doi/10.11847/zgggws1147169screen exposurepreschool childrenshort videosaxial lengthscreen switching rateshanghai city
spellingShingle 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
Zhongguo gonggong weisheng
screen exposure
preschool children
short videos
axial length
screen switching rate
shanghai city
title Association between short video exposure and axial length in preschool children: a cross-sectional study
title_full Association between short video exposure and axial length in preschool children: a cross-sectional study
title_fullStr Association between short video exposure and axial length in preschool children: a cross-sectional study
title_full_unstemmed Association between short video exposure and axial length in preschool children: a cross-sectional study
title_short Association between short video exposure and axial length in preschool children: a cross-sectional study
title_sort association between short video exposure and axial length in preschool children a cross sectional study
topic screen exposure
preschool children
short videos
axial length
screen switching rate
shanghai city
url https://www.zgggws.com/article/doi/10.11847/zgggws1147169
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AT haochen associationbetweenshortvideoexposureandaxiallengthinpreschoolchildrenacrosssectionalstudy
AT yisun associationbetweenshortvideoexposureandaxiallengthinpreschoolchildrenacrosssectionalstudy
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