暑假就诊患儿激增 这个“病因”要当心！

Core Viewpoint - The increase in children's health issues such as myopia, scoliosis, obesity, and psychological problems during the summer vacation highlights a significant health gap related to insufficient physical activity [1][3][4]. Group 1: Health Issues - The number of children visiting the scoliosis clinic has surged, with over 20 out of 80 daily appointments being for scoliosis, indicating a concerning trend [3]. - A 14-year-old girl exhibited a scoliosis progression from mild (20 degrees) to severe (60 degrees) within a year, emphasizing the need for early intervention through exercise [3]. - Nearsightedness cases have also increased, with over 100 daily follow-ups in the ophthalmology department, accounting for 70% of the outpatient volume, primarily due to a lack of outdoor activities [4]. Group 2: Causes and Consequences - Insufficient exercise leads to metabolic chain reactions, resulting in obesity, which can trigger early puberty and slow growth due to reduced growth hormone secretion [4]. - Children with obesity often experience multiple metabolic abnormalities, significantly increasing their risk of developing type 2 diabetes [4]. - Psychological issues such as learning difficulties and emotional disorders are prevalent among children, with a noted correlation between insufficient exercise and conditions like ADHD and anxiety disorders [6]. Group 3: Interconnected Health Problems - There exists a vicious cycle where insufficient exercise exacerbates health issues like scoliosis, myopia, and obesity, creating a "spiral of deterioration" [8]. - Poor posture while reading or writing can worsen spinal deformities, while improper body alignment can further aggravate myopia and strabismus [8]. - Obese children face additional spinal burdens, and scoliosis can lead to avoidance of physical activity, worsening obesity and myopia [8]. Group 4: Recommendations for Intervention - Summer is identified as a critical period for health interventions through exercise, with experts advocating for targeted exercise programs alongside outdoor activities [10]. - Suggested exercises for scoliosis include stretching and strength-enhancing activities like wall stands, planks, and swimming [12]. - Vision protection strategies involve daily exposure to sunlight for two hours and engaging in sports that require eye tracking, such as table tennis and cycling [12]. Group 5: Personalized Exercise Plans - If children's health issues reach a disease level, personalized exercise prescriptions should be developed, focusing on obesity, myopia, poor posture, and learning difficulties [16]. - A comprehensive assessment of exercise functionality is necessary, with prescriptions provided by doctors and executed under the guidance of exercise therapists [16]. Group 6: Parental Misconceptions - Parents are encouraged to overcome two major misconceptions: prioritizing academic learning over physical activity and equating exercise goals solely with academic performance [18]. - The true value of exercise lies in promoting children's health rather than merely fulfilling educational requirements [19].