{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:27:23Z","timestamp":1753892843806,"version":"3.41.2"},"reference-count":47,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T00:00:00Z","timestamp":1670976000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81673200"],"award-info":[{"award-number":["81673200"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The model uncertainty may result in inconsistency about the environmental factors of myopia among students, and the Bayesian model average (BMA) is an effective way to eliminate it. We aimed to explore the influencing factors of myopia in primary and middle school students by BMA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The data came from the 2021 National Surveillance of Common Diseases and Health Influencing Factors of students. By stratified random cluster sampling, the physical and mental health status of students in Tianjin and the factors affecting their physical health, such as diet, exercise, mental stress, school bullying, sleep time, and internet use, were investigated. The sample consisted of 8,457 primary school students, 8,191 junior middle school students, and 5,901 senior middle school students. Besides the physical examination, we used computer optometry (non-ciliary paralysis) to screen myopia. And we used BMA to select the risk factors through the BMS package in R.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The exercise was the only factor that affected the eyesight of junior and senior middle schoolers by BMA, with the posterior probability of 0.9736 and 0.9762, but not for the primary students. And we failed to select variables that affected eyesight in grades 4\u20136 of primary school.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The exercise was a strong influencing factor for the eyesight of students in Tianjin's junior and senior middle schools.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2022.1014227","type":"journal-article","created":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T15:29:40Z","timestamp":1671031780000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Exercise is the dominant factor affecting the development of teenagers' eyesight\u2014Based on the Bayesian model averaging"],"prefix":"10.3389","volume":"10","author":[{"given":"Zhong-hui","family":"Liu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meng-fei","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuai","family":"Ma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yin","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi-ying","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,12,14]]},"reference":[{"key":"B1","unstructured":"2019"},{"key":"B2","doi-asserted-by":"publisher","first-page":"9044","DOI":"10.1038\/s41598-021-88756-w","article-title":"Longitudinal association between sleep features and refractive errors in preschoolers from the EDEN birth-cohort","volume":"11","author":"Rayapoull\u00e9","year":"2021","journal-title":"Sci Rep."},{"key":"B3","doi-asserted-by":"publisher","first-page":"S582","DOI":"10.1249\/01.mss.0000185292.71933.91","article-title":"Accelerometer use in physical activity: best practices and research recommendations","volume":"37","author":"Ward","year":"2005","journal-title":"Med Sci Sports Exerc."},{"key":"B4","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1111\/aos.13316","article-title":"Physical activity in relation to development and progression of myopia - a systematic review","volume":"95","author":"Suhr Thykjaer","year":"2017","journal-title":"Acta Ophthalmol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"882","DOI":"10.1136\/bjophthalmol-2015-307724","article-title":"Global variations and time trends in the prevalence of childhood myopia, a systematic review and quantitative meta-analysis: Implications for aetiology and early prevention","volume":"100","author":"Rudnicka","year":"2016","journal-title":"Br J Ophthalmol."},{"key":"B6","doi-asserted-by":"publisher","first-page":"e002621","DOI":"10.1136\/bmjopen-2013-002621","article-title":"et al. 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