The association between myopia with overweight and obesity in middle school students in Zhengzhou

CHEN Yanzhe; TIAN Xinjie; XING Yiyuan; LIU Yunbo; WANG Xian

doi:10.16835/j.cnki.1000-9817.2023.04.006

Volume 44 Issue 4

Apr. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(4): 502-505

CHEN Yanzhe, TIAN Xinjie, XING Yiyuan, LIU Yunbo, WANG Xian. The association between myopia with overweight and obesity in middle school students in Zhengzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(4): 502-505. doi: 10.16835/j.cnki.1000-9817.2023.04.006

Citation:

CHEN Yanzhe, TIAN Xinjie, XING Yiyuan, LIU Yunbo, WANG Xian. The association between myopia with overweight and obesity in middle school students in Zhengzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(4): 502-505. doi: 10.16835/j.cnki.1000-9817.2023.04.006

Citation:

PDF( 1029 KB)

The association between myopia with overweight and obesity in middle school students in Zhengzhou

doi: 10.16835/j.cnki.1000-9817.2023.04.006

1.
Institute of Public Health Monitoring and Evaluation, Zhengzhou Municipal Center for Disease Control and Prevention, Zhengzhou(450012), China

Received Date: 2022-09-21
Rev Recd Date: 2023-02-24

Available Online: 2023-04-26

Publish Date: 2023-04-25

Abstract

Abstract

Objective To understand associated factors of myopia among middle school students in Zhengzhou and to explore the correlation between myopia with overweight and obesity, to provide a scientific basis for myopia prevention. Methods A total of 3 297 middle school students from 8 middle schools in Erqi District, Zhongmu County and Xingyang County of Zhengzhou City were selected by a cluster random sampling method to participate in vision testing and questionnaire survey. Chi-square test, and Logistic regression analysis were used. Results Overall prevalence of myopia of middle school students was 80.5%, overweight 14.7%, obesity 10.1% in Zhengzhou. The prevalence of myopia differed significantly by schooling stage, parental myopia status and sex (χ²=18.34, 23.55, 8.98, 26.53, 27.46, 47.25, P < 0.05). Significant differences in myopia detection rate by after-school homework duration were observed in boys and the entire population(χ²=12.40, 15.25, P < 0.01), and significant differences in myopia detection rate by body mass index (BMI) were only observed in boys (χ²=6.32, P < 0.05). The distribution of myopia severity was statistically significant by sex among junior school students, and by BMI categories among high school students (χ²=22.71, 20.37, P < 0.01). Multivariate binary Logistic regression analysis showed that the risk for myopia among school students who were overweight and obese was 1.81 times higher than that of students who were not overweight and obese(P < 0.01). Conclusion Overweight and obesity might increase the risk of myopia among middle school students, targeted measures should be taken to maintain the healthy weight of middle school students and reduce the risk of myopia.
- Overweight,
- Obesity,
- Myopia,
- Regression analysis,
- Students

FullText(HTML)

References(26)

References

[1]	HOLDEN B A, FRICKE T R, WILSON D A, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050[J]. Ophthalmology, 2016, 123(5): 1036-1042. doi: 10.1016/j.ophtha.2016.01.006
[2]	WANG J, LI Y, ZHAO Z, et al. School-based epidemiology study of myopia in Tianjin, China[J]. Int Ophthalmol, 2020, 40(9): 2213-2222. doi: 10.1007/s10792-020-01400-w
[3]	LAI L J, HSU W H, TUNG T H. Prevalence and associated factors of myopia among rural school students in Chiayi, Taiwan[J]. BMC Ophthalmol, 2020, 20(1): 320. doi: 10.1186/s12886-020-01590-y
[4]	王仁杰, 张强, 伍晓艳, 等. 深圳市6~18岁儿童青少年随迁时间与近视的关联研究[J]. 中华预防医学杂志, 2021, 55(4): 460-464. WANG R J, ZHANG Q, WU X Y, et al. The relationship between migration time and the prevalence of myopia of children and adolescents aged 6-18 years old in Shenzhen[J]. Chin J Prev Med, 2021, 55(4): 460-464. (in Chinese)
[5]	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
[6]	曾彩琼, 周炼红, 张鹏, 等. 湖北省一至三年级小学生近视眼现况调查[J]. 中华眼科杂志, 2018, 54(10): 756-761. ZENG C Q, ZHOU L H, ZHANG P, et al. The epidemiology of myopia in primary school students of grade 1 to 3 in Hubei Province[J]. Chin J Ophthalmol, 2018, 54(10): 756-761. (in Chinese)
[7]	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): e154671.
[8]	ASSEM A S, TEGEGNE M M, FEKADU S A. Prevalence and associated factors of myopia among school children in Bahir Dar City, Northwest Ethiopia, 2019[J]. PLoS One, 2021, 16(3): e248936.
[9]	ZHANG J, LI X, HAWLEY N, et al. Trends in the prevalence of overweight and obesity among Chinese school-age children and adolescents from 2010 to 2015[J]. Child Obes, 2018, 14(3): 182-188. doi: 10.1089/chi.2017.0309
[10]	陈德东, 李锦琼, 胡飞龙, 等. 重庆市2016年中小学生肥胖现况及其对常见疾病的影响[J]. 中国学校卫生, 2018, 39(12): 1864-1866. doi: 10.16835/j.cnki.1000-9817.2018.12.029 CHEN D D, LI J Q, HU F L, et al. Obesity and comorbid chronic diseases among primary and secondary school students in Chongqing in 2016[J]. Chin J Sch Health, 2018, 39(12): 1864-1866. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.12.029
[11]	DYACHUK D D, ZABOLOTNA I E, YASCHENKO Y B. Analysis of the extension of childhood expectations and evaluation of the risks of the development of diseases associated with overweight[J]. Wiad Lek, 2018, 71(3 pt 1): 546-550.
[12]	HARRINGTON S C, STACK J, O'DWYER V. Risk factors associated with myopia in school children in Ireland[J]. Br J Ophthalmol, 2019, 103(12): 1803-1809.
[13]	李宏昀, 殷雯琴, 王秋红, 等. 临湘市2016年小学生近视和肥胖发生情况的调查分析[J]. 中南医学科学杂志, 2019, 47(3): 260-263. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYY201903008.htm LI H Y, YIN W Q, WANG Q H, et al. Investigation and analysis of myopia and adiposity among primary school students of Linxiang City in 2016[J]. Med Sci J Central South Chin, 2019, 47(3): 260-263. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HYYY201903008.htm
[14]	PILEGGI C, PAPADOPOLI R, DE S C, et al. Obesity, blood pressure, and intraocular pressure: a cross-sectional study in Italian children[J]. Obes Facts, 2021, 14(2): 169-177. doi: 10.1159/000514096
[15]	LEE S, LEE H J, LEE K G, et al. Obesity and high myopia in children and adolescents: Korea National Health and Nutrition Examination Survey[J]. PLoS One, 2022, 17(3): e265317.
[16]	PELED A, NITZAN I, MEGRELI J, et al. Myopia and BMI: a nationwide study of 1.3 million adolescents[J]. Obesity, 2022, 30(8): 1691-1698. doi: 10.1002/oby.23482
[17]	齐文娟, 杨东玲, 周月芳, 等. 上海市小学高年级学生近视与营养状况的相关性[J]. 中国学校卫生, 2022, 43(1): 112-116. doi: 10.16835/j.cnki.1000-9817.2022.01.025 QI W J, YANG D L, ZHOU Y F, et al. Relationship between myopia and nutritional status among upper elementary students in Shanghai[J]. Chin J Sch Health, 2022, 43(1): 112-116. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.01.025
[18]	张凤云, 张锡彦, 杨婕, 等. 儿童青少年近视筛查3种方案比较[J]. 中国学校卫生, 2019, 40(10): 1542-1544. doi: 10.16835/j.cnki.1000-9817.2019.10.029 ZHANG F Y, ZHANG X Y, YANG J, et al. A comparative study of 3 types of myopia screening methods among children and adolescents[J]. Chin J Sch Health, 2019, 40(10): 1542-1544. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.10.029
[19]	温跃春, 梁莉, 文磊, 等. 安徽省中小学生视力不良和近视流行现状[J]. 中国学校卫生, 2018, 39(12): 1831-1834. doi: 10.16835/j.cnki.1000-9817.2018.12.019 WEN Y C, LIANG L, WEN L, et al. Epidemiological status of poor vision and myopia among primary and secondary school students in Anhui Province[J]. Chin J Sch Health, 2018, 39(12): 1831-1834. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.12.019
[20]	国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586—201[S]. 北京: 中国标准出版社, 2018. National Health and Fanily Planning Commission of the PRC. Screening for overweight and obesity among school-age children and adolescents: WS/T 586-2018[S]. Beijing: China Standards Press, 2018. (in Chinese)
[21]	郭向晖, 柳静, 赵进. 2020年北京市朝阳区4935名儿童青少年近视眼流行状况调查[J]. 预防医学论坛, 2021, 27(8): 616-618. https://www.cnki.com.cn/Article/CJFDTOTAL-YXWX202108018.htm GUO X H, LIU J, ZHAO J. Survey on prevalence of myopia among 4935 children and adolescents, Chaoyang District, Beijing City, 2020[J]. Prev Med Trib, 2021, 27(8): 616-618. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YXWX202108018.htm
[22]	曹锦程, 毛树存. 河南省许昌市学生常见病患病情况监测分析[J]. 河南预防医学杂志, 2021, 32(9): 689-692. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYF202109014.htm CAO J C, MAO S C. Investigation and analysis on the prevalence of common diseases among students in Xuchang, Henan[J]. Henan J Prev Med, 2021, 32(9): 689-692. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HNYF202109014.htm
[23]	刘利. 2018—2020年焦作市儿童青少年视力现状分析[J]. 疾病预防控制通报, 2022, 37(1): 86-88. https://www.cnki.com.cn/Article/CJFDTOTAL-DFBT202201024.htm LIU L. Present situation of eyesight of children and adolescents in Jiaozuo City from 2018 to 2020[J]. Bull Dis Control Prev, 2022, 37(1): 86-88. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-DFBT202201024.htm
[24]	LEE D C, LEE S Y, KIM Y C. An epidemiological study of the risk factors associated with myopia in young adult men in Korea[J]. Sci Rep, 2018, 8(1): 511.
[25]	XU C, ZHOU G, ZHAO M, et al. Bidirectional temporal relationship between obesity and hyperinsulinemia: longitudinal observation from a Chinese cohort[J]. BMJ Open Diabetes Res Care, 2021, 9(1): e002059.
[26]	景彩梅, 杜莎, 苏月楠, 等. 乌海市青少年儿童近视现状及影响因素分析[J]. 职业与健康, 2022, 38(17): 2400-2404, 2409. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202217019.htm JING C M, DU S, SU Y N, et al. Analysis on prevalence and influencing factors of myopia in adolescents and children in Wuhai City[J]. Occup Health, 2022, 38(17): 2400-2404, 2409. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202217019.htm