Two-year follow-up of myopia cohort in central Jiangsu Province

HUANG Limin; WANG Yan; PAN Chenwei; ZHANG Fengyun; YAO Qingbing; ZHU Yueqian; ZHU Weiwei; LI Zilin; XU Yingdi; CHEN Shaochun; MAO Zaiping; ZHANG Xiyan; YANG Jie

doi:10.16835/j.cnki.1000-9817.2022.09.005

Volume 43 Issue 9

Sep. 2022

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(9): 1298-1300

HUANG Limin, WANG Yan, PAN Chenwei, ZHANG Fengyun, YAO Qingbing, ZHU Yueqian, ZHU Weiwei, LI Zilin, XU Yingdi, CHEN Shaochun, MAO Zaiping, ZHANG Xiyan, YANG Jie. Two-year follow-up of myopia cohort in central Jiangsu Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1298-1300. doi: 10.16835/j.cnki.1000-9817.2022.09.005

Citation:

HUANG Limin, WANG Yan, PAN Chenwei, ZHANG Fengyun, YAO Qingbing, ZHU Yueqian, ZHU Weiwei, LI Zilin, XU Yingdi, CHEN Shaochun, MAO Zaiping, ZHANG Xiyan, YANG Jie. Two-year follow-up of myopia cohort in central Jiangsu Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1298-1300. doi: 10.16835/j.cnki.1000-9817.2022.09.005

Citation:

HUANG Limin, WANG Yan, PAN Chenwei, ZHANG Fengyun, YAO Qingbing, ZHU Yueqian, ZHU Weiwei, LI Zilin, XU Yingdi, CHEN Shaochun, MAO Zaiping, ZHANG Xiyan, YANG Jie. Two-year follow-up of myopia cohort in central Jiangsu Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1298-1300. doi: 10.16835/j.cnki.1000-9817.2022.09.005

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Two-year follow-up of myopia cohort in central Jiangsu Province

doi: 10.16835/j.cnki.1000-9817.2022.09.005

HUANG Limin¹,
WANG Yan^{2, 3},
PAN Chenwei⁴,
ZHANG Fengyun^{2, 3},
YAO Qingbing⁵,
ZHU Yueqian⁵,
ZHU Weiwei⁵,
LI Zilin¹,
XU Yingdi¹,
CHEN Shaochun¹,
MAO Zaiping¹,
ZHANG Xiyan^{2, 3
,
,},
YANG Jie^{2, 3
,
,}

1.
Department of School Health, Yizheng Center for Disease Control and Prevention, Yizheng(210009), Jiangsu Province, China

Received Date: 2022-02-12
Rev Recd Date: 2022-03-02

Available Online: 2022-09-23

Publish Date: 2022-09-25

Abstract

Abstract

Objective Based on observational, longitudinal and intervention study of common diseases among students in Jiangsu Province, this paper presents the current progress of two-year follow up of myopia cohort regarding the association between growth parameters with progression of myopia among children and adolescents in areas with rapid economic growth. Methods This survey adopted the stratified cluster sampling method for school selection. The full-automatic computer optometry (TOPCON RM800) was used to track myopia-related parameters for all participants from 2019 to 2020 under the condition of mydriasis (compound topicamide eye drops). Relationship between growth parameters of children and adolescents and the incidence and progression of myopia was analyzed by using Cox regression multiple statistical model. Results The myopia rates of students from grade 1 to grade 3 in 2019 were 5.4%, 21.5% and 37.3% respectively. After one year, the myopia rates of all school stages increased to 25.3%, 43.3% and 58.1% respectively(χ²=53.59, 49.63, 32.52, P < 0.01). The mean diopter of right eye and left eye after mydriasis were (0.30±1.24/0.39±1.26)D in 2019 and (-0.33±1.54/-0.19±1.55)D in 2020, respectively based on Cox multiple regression results, age (HR=1.21, 95%CI=1.09-1.34), naked eye vision (HR=0.08, 95%CI=0.07-0.11), height (HR=0.98, 95%CI=0.97-0.99) showed a strong correlation with the incidence and progression of myopia(P < 0.05). Conclusion Myopia is growing rapidly in the central region of Jiangsu Province. It is suggested that diopter, axial length, naked eye vision, age, height and other indicators should be included in the refractive archives of children and adolescents in the region.
- Myopia,
- Cohort studies,
- Prevalence,
- Models, statistical,
- Students

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References(18)

References

[1]	JAN C, LI L, KEAY L, et al. Prevention of myopia, China[J]. Bull World Health Organ, 2020, 98(6): 435-437. doi: 10.2471/BLT.19.240903
[2]	RUDNICKA A R, KAPETANAKIS V V, WATHERN A K, et al. Global variations and time trends in the prevalence of childhood myopia, a systematic review and quantitative Meta-analysis: implications for aetiology and early prevention[J]. Br J Ophthalmol, 2016, 100(7): 882-890. doi: 10.1136/bjophthalmol-2015-307724
[3]	DING Y, YUAN Y, DROBE B, et al. Prevalence of myopia, environmental factors and parental myopia in rural and urban schoolchildren in Wenzhou, China[J]. Inves Ophthalmol Vis Sci, 2016, 57(12): 2464.
[4]	LEE J H, JEE D, KWON J W, et al. Prevalence and risk factors for myopia in a rural Korean population[J]. Inves Ophthalmol Vis Sci, 2013, 54(8): 5466-5470. doi: 10.1167/iovs.13-12478
[5]	YIN G, LI J L, LIANG X, et al. Outdoor activity and myopia among primary students in rural and urban regions of Beijing[J]. Ophthalmology, 2013, 120(2): 277-283. doi: 10.1016/j.ophtha.2012.07.086
[6]	QIAN D J, ZHONG H, LI J, et al. Myopia among school students in rural China (Yunnan)[J]. Ophthalmic Physiol Opt, 36(4): 381-387.
[7]	李刚, 张诗雨, 孔靖婧. 江苏省经济发展潜力影响因素及预测研究[J]. 长春师范大学学报, 2020, 39(7): 8. https://www.cnki.com.cn/Article/CJFDTOTAL-CCSS202007020.htm LI G, ZHANG S Y, KONG J J. Study on influencing factors and prediction of economic development potential in Jiangsu Province[J]. J Changchun Normal Univ, 2020, 39(7): 8. https://www.cnki.com.cn/Article/CJFDTOTAL-CCSS202007020.htm
[8]	王家明, 杨帆, 黄以婷, 等. 江苏省经济高质量发展的水平测度及影响因素研究[J]. 河北工业科技, 2021, 38(3): 7. https://www.cnki.com.cn/Article/CJFDTOTAL-HBGY202103009.htm WANG J M, YANG F, HUANG Y T, et al Study on the level measurement and influencing factors of high-quality economic development in Jiangsu Province[J]. Hebei Ind Technol, 2021, 38(3): 7. https://www.cnki.com.cn/Article/CJFDTOTAL-HBGY202103009.htm
[9]	FLITCROFT D I, HE M, JONAS J B, et al. IMI -Defining and classifying myopia: a proposed set of standards for clinical and epidemiologic studies[J]. Invest Ophthalmol Vis Sci, 2019, 60(3): m20-m30. doi: 10.1167/iovs.18-25957
[10]	ZHANG X, ZHOU Y, YANG J, et al. The distribution of refraction by age and gender in a non-myopic Chinese children population aged 6-12 years[J]. BMC Ophthalmol, 2020, 20(1): 439. doi: 10.1186/s12886-020-01709-1
[11]	SAW S M, HONG C Y, CHIA K S, et al. Nearwork and myopia in young children[J]. Lancet, 2001, 357(9253): 390.
[12]	LIN Z, GAO T Y, VASUDEVAN B, et al. Near work, outdoor activity, and myopia in children in rural China: the Handan offspring myopia study[J]. BMC Ophthalmol, 2017, 17(1): 203. doi: 10.1186/s12886-017-0598-9
[13]	YOU X, WANG L, TAN H, et al. Near work related behaviors associated with myopic shifts among primary school students in the jiading district of shanghai: a school-based one-year cohort study[J]. PLoS One, 2016, 11(5): e0154671. doi: 10.1371/journal.pone.0154671
[14]	MUTTI D O, MITCHELL G L, MOESCHBERGER M L, et al. Parental myopia, near work, school achievement, and children's refractive error[J]. Invest Ophthalmol Vis Sci, 2002, 43(12): 3633-3640.
[15]	XU L, MA Y, YUAN J, et al. COVID-19 quarantine reveals that behavioral changes have an effect on myopia progression[J]. Ophthalmology, 2021, 128(11): 1652-1654.
[16]	教育部. 中共中央办公厅国务院办公厅印发《关于进一步减轻义务教育阶段学生作业负担和校外培训负担的意见》[EB/OL]. (2022-03-02)[2022-05-15]. http://www.moe.gov.cn/jyb_xxgk/moe_1777/moe_1778/202107/t20210724_546576.html. Ministry of Education of the PRC. The General Office of the CPC Central Committee and the General Office of the State Council issued the opinions on further reducing the burden of students' homework and after-school training at the stage of compulsory education[EB/OL]. (2022-03-02)[2022-05-15]. http://www.moe.gov.cn/jyb_xxgk/moe_1777/moe_1778/202107/t20210724_546576.html.
[17]	杨智宽. 临床视光学[M]. 北京: 科学出版社, 2008: 174-177. YANG Z K. Clinical optometry[M]. Beijing: Science Press, 2008: 174-177.
[18]	褚仁远, 瞿小妹. 建立儿童屈光发育档案是预防近视的基础步骤[J]. 中华眼科杂志, 2009, 45(7): 3. CHU R Y, QU X M. Establishing children's refractive development files is a basic step to prevent myopia[J]. Chin J Ophthalmol, 2009, 45(7): 3