Volume 43 Issue 9
Sep.  2022
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QI Ziyi, HE Xiangui, PAN Chenwei, CHEN Jun, XIE Hui, YANG Jinliuxing, DU Linlin, ZHANG Bo, XU Xun, WANG Jingjing. Epidemiology of premyopia among children aged 6-8 in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1314-1318. doi: 10.16835/j.cnki.1000-9817.2022.09.009
Citation: QI Ziyi, HE Xiangui, PAN Chenwei, CHEN Jun, XIE Hui, YANG Jinliuxing, DU Linlin, ZHANG Bo, XU Xun, WANG Jingjing. Epidemiology of premyopia among children aged 6-8 in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1314-1318. doi: 10.16835/j.cnki.1000-9817.2022.09.009

Epidemiology of premyopia among children aged 6-8 in Shanghai

doi: 10.16835/j.cnki.1000-9817.2022.09.009
  • Received Date: 2022-03-08
  • Rev Recd Date: 2022-04-16
  • Publish Date: 2022-09-25
  •   Objective  To understand the distribution and progress of premyopia among children aged 6-8 years in Shanghai, and to analyze the related influencing factors in order to provide a theoretical basis for the prevention and control of myopia among children and adolescents in China.  Methods  Using a random cluster sampling method, a 2-year follow-up study was conducted among 2 037 students in grades 1 and 2 from eight primary schools in eight districts of Shanghai. At baseline and annual follow-up, ophthalmological examinations such as visual acuity, cycloplegic autorefraction and axial length were performed, and questionnaires on related factors were collected. The epidemiological characteristics of premyopia were analyzed, and the influencing factors of incident myopia in premyopic and hyperopic children were examined by multivariate Logistic regression.  Results  The prevalence of overall premyopia at baseline, first-year follow-up, and second-year follow-up were 26.2%, 37.3%, and 41.3%, respectively. Among them, the prevalence of premyopia in children aged 6, 7, and 8 at baseline were 20.7%, 37.0%, and 42.6%, and in children aged 8, 9, and 10 at the second-year follow-up were 31.5%, 38.3%, and 41.4%, respectively. There was no statistical difference between boys and girls (χ2=0.01-2.66, P>0.05). The incidence of myopia in children with premyopia at baseline was 31.5% after 1 year of follow-up, and the cumulative incidence of myopia after 2 years of follow-up was 62.0%, which was much higher than that in children with hyperopia (0.6% and 9.0%). Multivariate analysis showed that premyopia at baseline, female, having two parents with myopia, and AL at baseline were negatively associated with incidence of myopia at 2 years of follow-up (P < 0.05).  Conclusion  Premyopic children are at high risk of developing myopia within 2 years and are a priority group for surveillance and myopia prevention interventions.
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  • [1]
    国家卫生健康委员会疾病预防控制局. 国家卫生健康委发挥专业优势积极推进儿童青少年近视防控工作取得成效. (2022-01-21). http://www.nhc.gov.cn/jkj/s5899tg/202201/ef8c412b1c494af0b1913b36e94cd237.shtml.

    Bureau of Disease Control and Prevention of National Health Commisson of the PRC. The National Health Commission gave full play to its professional advantages, actively promoted the prevention and control of myopia among children and adolescents, and achieved results. (2022-01-21). http://www.nhc.gov.cn/jkj/s5899tg/202201/ef8c412b1c494af0b1913b36e94cd237.shtml.
    [2]
    陈军, 何鲜桂, 王菁菁, 等. 2021至2030年我国6~18岁学生近视眼患病率预测分析[J]. 中华眼科杂志, 2021, 57(4): 261-267. doi: 10.3760/cma.j.cn112142-20201228-000851

    CHEN J, HE X G, WANG J J, et al. Forcasting the prevalence of myopia among students aged 6-18 years in China from 2021 to 2030[J]. Chin J Ophthalmol, 2021, 57(4): 261-267. doi: 10.3760/cma.j.cn112142-20201228-000851
    [3]
    OHNO-MATSUI K, LAI T Y Y, LAI C C, et al. Updates of pathologic myopia[J]. Prog Retin Eye Res, 2016, 52: 156-187. doi: 10.1016/j.preteyeres.2015.12.001
    [4]
    CHUA S Y L, SABANAYAGAM C, CHEUNG Y B, et al. Age of onset of myopia predicts risk of high myopia in later childhood in myopic Singapore children[J]. Ophthalmic Physiol Opt, 2016, 36(4): 388-394. doi: 10.1111/opo.12305
    [5]
    程天宇, 何鲜桂, 汪玲. 青少年屈光发育与青春期生长发育的研究进展[J]. 上海预防医学, 2019, 31(5): 338-343. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201905002.htm

    CHEN T Y, HE X G, WANG L. Advances in research of adolescent refraction development during puberty[J]. Shanghai J Prev Med, 2019, 31(5): 338-343. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201905002.htm
    [6]
    中华预防医学会公共卫生眼科分会. 中国学龄儿童眼球远视储备、眼轴长度、角膜曲率参考区间及相关遗传因素专家共识(2022年)[J]. 中华眼科杂志, 2022, 58(2): 96-102.

    Public Health Ophthalmology Branch of Chinese Preventive Medicine Association. Chinese expert consensus on the reference interval of ocular hyperopia reserve, axial length, corneal curvature and genetic factors in school-age children (2022)[J]. Chin J Ophthalmol, 2022, 58(2): 96-102.
    [7]
    JONG M, JONAS J B, WOLFFSOHN J S, et al. IMI 2021 yearly digest[J]. Invest Ophthalmol Vis Sci, 2021, 62(5): 7. doi: 10.1167/iovs.62.5.7
    [8]
    国家卫生健康委. 《儿童青少年近视防控适宜技术指南(更新版)》及解读. (2021-10-13). http://www.gov.cn/xinwen/2021-10/13/content_5642345.htm.

    National Health Commission of the PRC. Appropriate technical guidelines for prevention and control of myopia in children and adolescents (updated version) and interpretation. (2021-10-13). http://www.gov.cn/xinwen/2021-10/13/content_5642345.htm.
    [9]
    MA Y, ZOU H, LIN S, et al. Cohort study with 4-year follow-up of myopia and refractive parameters in primary schoolchildren in Baoshan District, Shanghai[J]. Clin Exp Optom, 2018, 46(8): 861-872.
    [10]
    LI S M, WEI S, ATCHISON D A, et al. Annual incidences and progressions of myopia and high myopia in chinese schoolchildren based on a 5-year Cohort Study[J]. Invest Ophthalmol Vis Sci, 2022, 63(1): 8. doi: 10.1167/iovs.63.1.8
    [11]
    HE X, SANKARIDURG P, XIONG S, et al. Shanghai time outside to reduce myopia trial: design and baseline data[J]. Clin Exp Optom, 2019, 47(2): 171-178.
    [12]
    XIONG S, HE X, SANKARIDURG P, et al. Accelerated loss of crystalline lens power initiating from emmetropia among young school children: a 2-year longitudinal study[J]. Acta Ophthalmol, 2022, 100(4): e968-e976.
    [13]
    MORGAN I G, ROSE K A, ELLWEIN L B. Is emmetropia the natural endpoint for human refractive development? An analysis of population-based data from the refractive eORor study in children (RESC)[J]. Acta Ophthalmol, 2010, 88(8): 877-884. doi: 10.1111/j.1755-3768.2009.01800.x
    [14]
    ZADNIK K, SINNOTT L T, COTTER S A, et al. Prediction of juvenile-onset myopia[J]. JAMA Ophthalmol, 2015, 133(6): 683-689. doi: 10.1001/jamaophthalmol.2015.0471
    [15]
    FANG P C, CHUNG M Y, YU H J, et al. Prevention of myopia onset with 0.025% atropine in premyopic children[J]. J Ocul Pharmacol Ther, 2010, 26(4): 341-345. doi: 10.1089/jop.2009.0135
    [16]
    WANG S K, GUO Y, LIAO C, et al. Incidence of and factors associated with myopia and high myopia in Chinese children, based on refraction without cycloplegia[J]. JAMA Ophthalmol, 2018, 136(9): 1017-1024. doi: 10.1001/jamaophthalmol.2018.2658
    [17]
    MYROWITZ E H. Juvenile myopia progression, risk factors and interventions[J]. Saud J Ophthalmol, 2012, 26(3): 293-297.
    [18]
    MCCULLOUGH S, ADAMSON G, BRESLIN K M M, et al. Axial growth and refractive change in white European children and young adults: predictive factors for myopia[J]. Sci Rep, 2020, 10(1): 15189-15189.
    [19]
    GRZYBOWSKI A, KANCLERZ P, TSUBOTA K, et al. A review on the epidemiology of myopia in school children worldwide[J]. BMC Ophthalmol, 2020, 20(1): 27.
    [20]
    JIANG X, TARCZY-HORNOCH K, COTTER S A, et al. Association of parental myopia with higher risk of myopia among multiethnic children before school age[J]. JAMA Ophthalmol, 2020, 138(5): 501-509.
    [21]
    TANG S M, KAM K W, FRENCH A N, et al. Independent influence of parental myopia on childhood myopia in a dose-related manner in 2055 trios: the Hong Kong children eye study[J]. Am J Ophthalmol, 2020, 218: 199-207.
    [22]
    MORGAN I G, WU P C, OSTRIN L A, et al. IMI risk factors for myopia[J]. Invest Ophthalmol Vis Sci, 2021, 62(5): 3. https://www.hindawi.com/journals/joph/2018/7942379/
    [23]
    TSAI D C, FANG S Y, HUANG N, et al. Myopia development among young schoolchildren: the myopia investigation study in Taipei[J]. Invest Ophthalmol Vis Sci, 2016, 57(15): 6852-6860. https://iovs.arvojournals.org/article.aspx?articleid=2594999
    [24]
    LINGHAM G, YAZAR S, LUCAS R M, et al. Time spent outdoors in childhood is associated with reduced risk of myopia as an adult[J]. Sci Rep, 2021, 11(1): 6337.
    [25]
    XIONG S, SANKARIDURG P, NADUVILATH T, et al. Time spent in outdoor activities in relation to myopia prevention and control: a Meta-analysis and systematic review[J]. Acta Ophthalmol, 2017, 95(6): 551-566. doi: 10.1111/aos.13403
    [26]
    WILLIAMS K M, BERTELSEN G, CUMBERLAND P, et al. Increasing prevalence of myopia in europe and the impact of education[J]. Ophthalmology, 2015, 122(7): 1489-1497.
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