Co-morbidity of myopia and obesity and the moderating role of lifestyle among primary and secondary school students in Inner Mongolia Autonomous Region in 2021

ZHANG Yihang; YUAN Wen; DANG Jiajia; LIU Yunfei; CAI Shan; SHI Di; CHEN Ziyue; YANG Tian; MA Xinyue; MA Caixia; JIANG Jianuo; DONG Yanhui; ZHANG Xiuhong; MA Jun; SONG Yi

doi:10.16835/j.cnki.1000-9817.2023.09.005

Volume 44 Issue 9

Sep. 2023

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(9): 1299-1303

ZHANG Yihang, YUAN Wen, DANG Jiajia, LIU Yunfei, CAI Shan, SHI Di, CHEN Ziyue, YANG Tian, MA Xinyue, MA Caixia, JIANG Jianuo, DONG Yanhui, ZHANG Xiuhong, MA Jun, SONG Yi. Co-morbidity of myopia and obesity and the moderating role of lifestyle among primary and secondary school students in Inner Mongolia Autonomous Region in 2021[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1299-1303. doi: 10.16835/j.cnki.1000-9817.2023.09.005

Citation:

ZHANG Yihang, YUAN Wen, DANG Jiajia, LIU Yunfei, CAI Shan, SHI Di, CHEN Ziyue, YANG Tian, MA Xinyue, MA Caixia, JIANG Jianuo, DONG Yanhui, ZHANG Xiuhong, MA Jun, SONG Yi. Co-morbidity of myopia and obesity and the moderating role of lifestyle among primary and secondary school students in Inner Mongolia Autonomous Region in 2021[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1299-1303. doi: 10.16835/j.cnki.1000-9817.2023.09.005

Citation:

ZHANG Yihang, YUAN Wen, DANG Jiajia, LIU Yunfei, CAI Shan, SHI Di, CHEN Ziyue, YANG Tian, MA Xinyue, MA Caixia, JIANG Jianuo, DONG Yanhui, ZHANG Xiuhong, MA Jun, SONG Yi. Co-morbidity of myopia and obesity and the moderating role of lifestyle among primary and secondary school students in Inner Mongolia Autonomous Region in 2021[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1299-1303. doi: 10.16835/j.cnki.1000-9817.2023.09.005

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Co-morbidity of myopia and obesity and the moderating role of lifestyle among primary and secondary school students in Inner Mongolia Autonomous Region in 2021

doi: 10.16835/j.cnki.1000-9817.2023.09.005

1.
Institute of Child and Adolescent Health/School of Public Health, Peking University, Beijing (100191), China

Received Date: 2023-08-16
Rev Recd Date: 2023-08-31

Available Online: 2023-09-28

Publish Date: 2023-09-25

Abstract

Abstract

Objective To describe the current status of the prevalence of co-morbid myopia and obesity among 7-18 years students in the Inner Mongolia Autonomous Region in 2021 and to analyze the moderating effect of lifestyle in this association, so as to provide scientific basis for the establishment of the mechanism of Co-morbidity, Shared Etiology, and Shared Prevention of common diseases in children and adolescents. Methods A total of 139 630 primary and secondary school students aged 7-18 years from Inner Mongolia Autonomous Region were selected by stratified random cluster sampling method in September, 2021. Myopia was determined using distance visual acuity examination and refractive error examination, and obesity was determined according to the BMI classification criteria for overweight, obesity screening of Chinese school-age children and adolescents. Used a questionnaire, healthy lifestyles were determined according to the American Heart Association's Healthy Lifestyle Score by totaling the six scores for smoking, alcohol consumption, diet, exercise, screen time, and sleep duration. The χ² test was used to compare the association between group differences in the co-morbidity rate of myopia and obesity. The multivariable Logistic regression model was used to explore the influencing factors of the co-morbidity of myopia and obesity, and the stratified analysis was used to analyze the moderating effect of lifestyles on the prevalence of the co-morbidity. Results The prevalence of myopia and obesity co-morbidity among students aged 7-18 years old in the Inner Mongolia Autonmous Region in 2021 was 13.7%, higher among boys than girls (15.5% vs. 11.8%), higher among those aged 10-12 years old than 7-9, 13-15, and 16-18 years old (14.7%, 13.7%, 13.3%, 12.0%), higher among other ethnic minorities than Han Chinese and Mongolians (15.3%, 14.0%, 12.5%), higher in urban areas than that in suburban areas(15.3%, 13.0%), and middle economic level tracts were higher than poor and good tracts (14.8%, 12.9%, 12.6%) (χ²=392.37, 115.73, 62.80, 119.02, 121.60, P < 0.05). Multivariable Logistic regression modeling showed that unhealthy lifestyles (OR=1.24, 95%CI=1.19-1.29) and middle level of lifestyle score (OR=1.15, 95%CI=1.10-1.19) students had higher prevalence of co-morbidity, and the results were statistically significant among both boys and girls, the age groups of 10-12, 13-15, and 16-18 years old, as well as the Han and Mongolian ethnic groups (all P < 0.05). Conclusion In 2021, the current situation of myopia and obesity co-morbidity and unhealthy lifestyles among primary and secondary school students in the Inner Mongolia Autonomous Region are not optimistic.
- Myopia,
- Obesity,
- Life style,
- Regression analysis,
- Students,
- Minority groups

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References(29)

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