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临床试验/NCT02346006
NCT02346006已完成不适用

CHAMPS Eye Study - Myopia and Retinal Vascular Geometry in Relation to Physical Activity.

Odense University Hospital0 个研究点目标入组 307 人开始时间: 2015年2月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
307
主要终点
Myopic status in relation to physical activity (longitudinal data on physical activity)

研究概览

简要总结

An increasingly physical inactive lifestyle in the Western World has led to a higher number of lifestyle -related diseases. The consequences are now already present in childhood with an increased prevalence of overweight, obesity, and diabetes. Inactivity is also accompanied by cardiovascular iseases and is also thought to be associated with an increased incidence of nearsightedness (myopia).

Myopia is the most frequent eye disease globally, and causes severe personal and societal expenses and may additionally lead to secondary eye disorders such as retinal detachment, glaucoma, and cataract.

The retina is the only place in the human body where it is possible to directly inspect the blood vessels (microvasculature). Photography of the eye background allows a noninvasive examination of the retinal structure in which it is possible to make measurements on the retinal blood vessels.

It is well known that early vascular chances can be detected with this method and that there are correlation between these changes and systemic diseases, such as hypertension, stroke and other cardiovascular diseases.

This study is a new subproject in The Childhood Health, Activity, and Motor Performance School (CHAMPS) Study Denmark, also known as the Svendborg Project. The project has a well-defined cohort with originally 1515 school students who since 2007 have been divided into two groups: schools with extra exercise during school hours and matched traditional schools. CHAMPS-DK aims to investigate the effect of increased physical activity on current and future health of children and adolescents.

Thanks to this unique child cohort it is possible to investigate the correlation between physical activity, myopia and retinal vascular diameters in a large group of Danish schoolchildren. We want to study the degree and reversibility of physical activity and its effect on the development of myopia and retinal blood vessel changes. However, there is still a lack of knowledge about the correlation between physical activity and retinal vascular diameters in children. Furthermore, it is still unclear whether physical activity can prevent the development of myopia; such a realization could have far-reaching consequences in form of a modified approach to the necessity for exercise and, furthermore, potentially a significant socio-economic benefit.

详细描述

Introduction Increasingly physical inactive lifestyle in the western world has led to an increase in life style related diseases. The consequences are now already present in childhood with an increased prevalence of overweight, obesity and diabetes. Inactivity is also accompanied by cardiovascular diseases and is also thought to be associated with an increased incidence of near sightedness (myopia).

Myopia is the world's most occurring eye disease, and is usually caused by increasing length growth of the eye. Myopia in itself leads to great personal and societal costs and in addition it also lead to secondary eye disorders such as retinal detachment, glaucoma and cataract. The growth of the eye length is principally developed until mid-childhood, witch is why it is these years witch is most valuable to investigate the underlying factors of the development of myopia.

The prevalence of myopia has increased significantly the recent decades, without a known cause. Particularly in Asia, there has been a very high and dramatically increasing prevalence of myopia - in some urbanized areas up to 80-90% among children in the final year of primary school people.

Myopia is caused by a combination of genetic and environmental factors. Lifestyle changes such as reduced physical activity and more close-up work is thought to of great importance.4 Conversely, there is also evidence of a possible protective effect of outdoor presence in the development of myopia. We do not kwow if the protective effect is due to the total time spent outdoors per se or the increased physical activity, although a small study describe a slower development and lower degrees of myopia in children who used more time on outdoor activities and sports than children in a control group. In addition a Danish study of college students (physical education students -vs. medical students) found an association between physical activity, student activity and myopia suggesting a preventive effect of physical activity and less intense study activity on the development and progression of myopia.

It is still unclear whether physical activity can prevent the development of myopia - a such realization could have far-reaching consequences in form of a modified approach to the necessity for exercise and a consequent significant socio-economic benefit.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Prevention
盲法
None

入排标准

性别
All
接受健康志愿者

入选标准

  • Children from the The Childhood Health, Activity, and Motor Performance School Study Denmark (The CHAMPS-study DK) cohord.

排除标准

  • 未提供

结局指标

主要结局

Myopic status in relation to physical activity (longitudinal data on physical activity)

时间窗: 7 years

Myopic status in relation to longitudinal data on physical activity

次要结局

  • Myopic status (data from tests in spring 2015)(None (analyzes on data from tests in march to july 2015, 4 months))
  • Retinal vessel geometry (caliber)(None (analyzes on data from tests in march to july 2015, 4 months))
  • Choroidal thickness(None (analyzes on data from tests in march to july 2015, 4 months))
  • Myopia development(10 years. Changes from baseline.)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Kristian Lundberg

MD

Odense University Hospital

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