A cohort study of the association between linear growth and BMI trajectories with ametropia among 6-year-old children

LIU Jia; XIE Yang; HUANG Kun; WU Xiaoyan; TAO Shuman; XU Shaojun; WANG Xing; YUAN Min; TAO Biao

doi:10.16835/j.cnki.1000-9817.2022.10.026

Volume 43 Issue 10

Oct. 2022

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(10): 1551-1555

LIU Jia, XIE Yang, HUANG Kun, WU Xiaoyan, TAO Shuman, XU Shaojun, WANG Xing, YUAN Min, TAO Biao. A cohort study of the association between linear growth and BMI trajectories with ametropia among 6-year-old children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(10): 1551-1555. doi: 10.16835/j.cnki.1000-9817.2022.10.026

Citation:

LIU Jia, XIE Yang, HUANG Kun, WU Xiaoyan, TAO Shuman, XU Shaojun, WANG Xing, YUAN Min, TAO Biao. A cohort study of the association between linear growth and BMI trajectories with ametropia among 6-year-old children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(10): 1551-1555. doi: 10.16835/j.cnki.1000-9817.2022.10.026

Citation:

LIU Jia, XIE Yang, HUANG Kun, WU Xiaoyan, TAO Shuman, XU Shaojun, WANG Xing, YUAN Min, TAO Biao. A cohort study of the association between linear growth and BMI trajectories with ametropia among 6-year-old children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(10): 1551-1555. doi: 10.16835/j.cnki.1000-9817.2022.10.026

PDF( 448 KB)

A cohort study of the association between linear growth and BMI trajectories with ametropia among 6-year-old children

doi: 10.16835/j.cnki.1000-9817.2022.10.026

LIU Jia¹,
XIE Yang¹,
HUANG Kun^{1, 2},
WU Xiaoyan^{1, 2},
TAO Shuman^{2, 3},
XU Shaojun^{1, 2},
WANG Xing¹,
YUAN Min^{2, 4},
TAO Biao^{1, 2
,
,}

1.
Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei(230032), China

Received Date: 2022-05-07
Rev Recd Date: 2022-06-24

Available Online: 2022-10-28

Publish Date: 2022-10-25

Abstract

Abstract

Objective To describe the linear growth trajectory and BMI growth trajectory of children aged 0-6 years, and to investigate the relationship between different growth trajectory patterns and refractive error of preschool children. Methods The participants were selected from Ma'anshan Birth Cohort Study (MABC), which was established from May 2013 to September 2014. In this study, 15 follow-up interviews were conducted among 2 037 live births between 42 days after birth and 72 months of age to collect the data of body length and body weight. And at the age of (72±6) months, data of the naked eye visual acuity was measured by professional ophthalmologist in Ma'anshan Maternal and Child Health Hospital. The latent class growth model was conducted to identify distinct linear growth trajectory and BMI Z-score trajectories of 0 to 6 year old infants and young children. Multinomial Logistic regression model was used for analyzing the relationship between distinct growth trajectories and ametropia in 6-year-old children. Results According to the latent class growth model, children showed three obvious linear growth trajectories: slow growth trajectory (n=302), normal growth trajectory (n=1 162), and fast growth trajectory (n=573). And BMI growth trajectory were also divided into three patterns: slow growth trajectory (n=630), normal growth trajectory (n=1 058), and fast growth trajectory (n=349). Multinomial Logistic regression analysis showed that linear slow growth trajectory was a risk factor for hyperopia in 6-year-old children (OR=1.80, 95%CI=1.09-2.98, P < 0.05). But it was not significantly associated with myopia. There was no significant correlation between fast growth BMI pattern and slow growth BMI pattern with myopia and hyperopia in 6-year-old children. Conclusion Slower growth patterns in linear growth trajectories were associated with hyperopia in 6-year-old children.It should pay close attention to the height growth pattern of preschool children. Regular examination of physical development indicators and distance vision can help prevent the occurrence and development of ametropia in preschool children.
- Growth and development,
- Body mass index,
- Refractive errors,
- Cohort studies,
- Child

FullText(HTML)

References(31)

References

[1]	WILLIAMA K M, VERHOEVEN V J, CUMBERLAND P, et al. Prevalence of refractive error in Europe: the European Eye Epidemiology (E(3)) Consortium[J]. Eur J Epidemiol, 2015, 30(4): 305-315. doi: 10.1007/s10654-015-0010-0
[2]	CHEN J, CHEN Z, LIN S, et al. Correlation analysis for school-age children's height and refractive errors[J]. Adv Clin Exp Med, 2018, 27(8): 1125-1130. doi: 10.17219/acem/78773
[3]	HARRINGTON S C, STACK J, O'DWYER V. Risk factors associated with myopia in schoolchildren in Ireland[J]. Br J Ophthalmol, 2019, 103(12): 1803-1809.
[4]	TIDEMAN J W L, POLLING J R, HOFMAN A, et al. Environmental factors explain socioeconomic prevalence differences in myopia in 6-year-old children[J]. Br J Ophthalmol, 2018, 102(2): 243-247. doi: 10.1136/bjophthalmol-2017-310292
[5]	SHARMA A, CONGDON N, GAO Y, et al. Height, stunting, and refractive error among rural Chinese schoolchildren: the See Well to Learn Well project[J]. Am J Ophthalmol, 2010, 149(2): 347-353. doi: 10.1016/j.ajo.2009.08.015
[6]	葛星, 徐叶清, 黄三唤, 等. 妊娠期肝内胆汁淤积症对分娩结局影响的出生队列研究[J]. 中华流行病学杂志, 2016, 37(2): 187-191. GE X, XU Y Q, HUANG S H, et al. Intrahepatic cholestasis of pregnancy and fetal outcomes: a prospective birth cohort study[J]. Chin J Epidemiol, 2016, 37(2): 187-191. (in Chinese)
[7]	闻星. 学龄前期睡眠时间、社会时差与6岁儿童屈光不正关联的前瞻性队列研究[D]. 合肥: 安徽医科大学, 2022. WEN X. A prospective cohort study on the association of sleep time, social jetlag with refractive error in 6-year-old children[D]. Hefei: Anhui Medical University, 2022. (in Chinese)
[8]	CHEN M, WU A, ZHANG L, et al. The increasing prevalence of myopia and high myopia among high school students in Fenghua City, eastern China: a 15-year population-based survey[J]. BMC Ophthalmol, 2018, 18(1): 159. doi: 10.1186/s12886-018-0829-8
[9]	MCKEAN-COWDIN R, COTTER S A, TARCZY-HORNOCH K, et al. Prevalence of amblyopia or strabismus in asian and non-hispanic white preschool children: multi-ethnic pediatric eye disease study[J]. Ophthalmology, 2013, 120(10): 2117-2124. doi: 10.1016/j.ophtha.2013.03.001
[10]	TARCZY-HORNOCH K, COTTER S A, BORCHERT M, et al. Pre-valence and causes of visual impairment in asian and non-hispanic white preschool children: multi-ethnic pediatric eye disease study[J]. Ophthalmology, 2013, 120(6): 1220-1226. doi: 10.1016/j.ophtha.2012.12.029
[11]	LI T, ZHOU X, CHEN X, et al. Refractive error in Chinese preschool children: the Shanghai study[J]. Eye Contact Lens, 2019, 45(3): 182-187. doi: 10.1097/ICL.0000000000000555
[12]	WHO Multicentre Growth Reference Study Group. WHO child growth standards based on length/height, weight and age[J]. Acta Paediatr Suppl, 2006, 450: 76-85.
[13]	TANG Y, CHEN A, ZOU M, et al. Prevalence and time trends of refractive error in Chinese children: a systematic review and Meta-analysis[J]. J Global Health, 2021, 11: 8006. doi: 10.7189/jogh.11.08006
[14]	FAN D S, RAO S K, CHEUNG E Y, et al. Astigmatism in Chinese preschool children: prevalence, change, and effect on refractive development[J]. Br J Ophthalmol, 2004, 88: 938-941. doi: 10.1136/bjo.2003.030338
[15]	WU J F, BI H S, WANG S M, et al. Refractive error, visual acuity and causes of vision loss in children in Shandong, China. The Shandong Children Eye Study[J]. PLoS One, 2013, 8: e82763. doi: 10.1371/journal.pone.0082763
[16]	LAN W, ZHAO F, LIN L, et al. Refractive errors in 3-6 year-old Chinese children: a very low prevalence of myopia?[J]. PLoS One, 2013, 8: e78003. doi: 10.1371/journal.pone.0078003
[17]	WANG X, LIU D, FENG R, et al. Refractive error among urban preschool children in Xuzhou, China[J]. Int J Clin Exp Pathol, 2014, 7: 8922-8928.
[18]	GARDINER P A. The relation of myopia to growth[J]. Lancet, 1954, 266(6810): 476-479.
[19]	GARDINER P A. Physical growth and the progress of myopia[J]. Lancet, 1955, 269(6897): 952-953.
[20]	SAW S M, CHUA W H, HONG C Y, et al. Height and its relationship to refraction and biometry parameters in Singapore Chinese children[J]. Invest Ophthalmol Vis Sci, 2002, 43(5): 1408-1413.
[21]	KEARNEY S, STRANG N C, CAGNOLATI B, et al. Change in body height, axial length and refractive status over a four-year period in Caucasian children and young adults[J]. J Optom, 2020, 13(2): 128-136. doi: 10.1016/j.optom.2019.12.008
[22]	TIDEMAN J W L, POLLING J R, JADDOE V W V, et al. Growth in foetal life, infancy, and early childhood and the association with ocular biometry[J]. Ophthal Physiol Opt, 2019, 39(4): 245-252. doi: 10.1111/opo.12630
[23]	YE S, LIU S, LI W, et al. Associations between anthropometric indicators and both refraction and ocular biometrics in a cross-sectional study of Chinese schoolchildren[J]. BMJ Open, 2019, 9(5): 027212.
[24]	HUANG C Y, HOU C H, LIN K K, et al. Relationship of lifestyle and body stature growth with the development of myopia and axial length elongation in Taiwanese elementary school children[J]. Indian J Ophthalmol, 2014, 62(8): 865-869. doi: 10.4103/0301-4738.141047
[25]	NORTHSTONE K, GUGGENHEIM J A, HOWE L D, et al. Body stature growth trajectories during childhood and the development of myopia[J]. Ophthalmol, 2013, 120(5): 1064-1073. doi: 10.1016/j.ophtha.2012.11.004
[26]	BRUCE A, MOJARRAD N G, SANTORELLI G. Association of anthropometric measures across the life-course with refractive error and ocular biometry at age 15 years[J]. BMC Ophthalmol, 2020, 20(1): 269. doi: 10.1186/s12886-020-01480-3
[27]	MATTSSON M, MAHER G M, BOLAND F, et al. Group-based trajectory modelling for BMI trajectories in childhood: a systematic review[J]. Obes Rev, 2019, 20(7): 998-1015. doi: 10.1111/obr.12842
[28]	LIU J X, LIU J H, FRONGILLO E A, et al. Body mass index trajectories during infancy and pediatric obesity at 6 years[J]. Ann Epidemiol, 2017, 27(11): 708-715. doi: 10.1016/j.annepidem.2017.10.008
[29]	ARIS I M, CHEN L W, TINT M T, et al. Body mass index trajectories in the first two years and subsequent childhood cardio-metabolic outcomes: a prospective multi-ethnic Asian cohort study[J]. Sci Rep, 2017, 7(1): 8424.
[30]	BOYER B P, NELSON J A, HOLUB S C. Childhood body mass index trajectories predicting cardiovascular risk in adolescence[J]. J Adolesc Health, 2015, 56(6): 599-605.
[31]	BUSCOT M J, THOMSON R J, JUONALA M, et al. BMI trajectories associated with resolution of elevated youth BMI and incident adult obesity[J]. Pediatrics, 2018, 141(1): e20172003.