Volume 45 Issue 1
Jan.  2024
Turn off MathJax
Article Contents
XIAO Jie, SU Meihui, LI Peiqian, HUANG Dafeng, LI Xixi, MA Zixue, LUO Xiao, CHEN Maosen, HUANG Ying. Changes of axial length in primary and secondary school students in Yunnan and associated factors[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(1): 133-137. doi: 10.16835/j.cnki.1000-9817.2024024
Citation: XIAO Jie, SU Meihui, LI Peiqian, HUANG Dafeng, LI Xixi, MA Zixue, LUO Xiao, CHEN Maosen, HUANG Ying. Changes of axial length in primary and secondary school students in Yunnan and associated factors[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(1): 133-137. doi: 10.16835/j.cnki.1000-9817.2024024

Changes of axial length in primary and secondary school students in Yunnan and associated factors

doi: 10.16835/j.cnki.1000-9817.2024024
  • Received Date: 2023-07-31
  • Rev Recd Date: 2023-12-20
  • Available Online: 2024-02-01
  • Publish Date: 2024-01-25
  •   Objective  To explore the pattern of change of axial length/curvatrue radius ratio (AL/CR) and associated factors in primary and secondary school students in Yunnan, so as to provide scientific basis and prospective guidance for early myopia intervention and control.  Methods  A total of 685 students from grades 2 to 3 and grade 7 in 2 cities/counties in Yunnan Province were selected by multi-stage stratified random cluster sampling method in 2020. All the participants were followed up twice with questionnaire of myopia related factors, uncorrected distance visual acuity, and refractive parameter measurement from October, 2021 and March, 2023, respectivelty. The distribution and change of AL/CR in different classes and groups were analyzed, and the influencing factos of AL/CR cumulative progression were explored using generalized linear model.  Results  AL/CR ratio in primary school students was (2.95±0.09) at baseline, increased to (2.99±0.11) at the first follow-up and (3.04±0.12) at the second follow-up. AL/CR ratio in middle school students(3.08±0.13) at baseline, increased to (3.12±0.15) at the first follow-up and (3.15±0.14) at the second follow-up. The generalized linear model showed that after controlling for environmental factors, ethnicity (β=-0.017), cumulative progression of the SE (β=-0.027) influenced the changes of AL/CR ratio among the primary school students, whereas the changes of AL/CR ratio were associated with baseline AL (β=-0.005), baseline corneal curvatrue radius (β=0.032) and cumulative progression of SE(β=-0.035) among middle school students (P<0.05).  Conclusions  The AL/CR ratio of primary and secondary school students in Yunnan can be used to judge different refractive status types, but its variation is not only related to SE progression, but also affected by different ethnic groups and baseline ocular biological parameters. so the value of AL/CR application in assessing the progression of myopia needs to be further confirmed.
  • loading
  • [1]
    慕璟玉, 王雁, 杨依宁, 等. 近视的流行病学、病因学与发病机制研究现状[J]. 眼科新进展, 2021, 41(11): 1089-1096.

    MU J Y, WANG Y, YANG Y N, et al. Research progress on epidemiology, etiology and pathogenesis of myopia[J]. Rec Adv Ophthalmol, 2021, 41(11): 1089-1096. (in Chinese)
    [2]
    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
    [3]
    中华人民共和国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[EB/OL]. (2022-01-21)[2022-03-02]. http://www.nhc.gov/jkj/s5899tg/202201/ef8c412b1c494af0b1913b36e94cd237.shtml.

    Bureau of Disease Control and Prevention of National Health Commission 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[EB/OL]. (2022-01-21)[2022-03-02]. http://www.nhc.gov/jkj/s5899tg/202201/ef8c412b1c494af0b1913b36e94cd237.shtml. (in Chinese)
    [4]
    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.

    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. (in Chinese)
    [5]
    DONG L, KANG Y K, LI Y, et al. Prevalence and time trends of myopia in children and adolescents in China: a systemic review and Meta-analysis[J]. Retina, 2020, 40(3): 399-411. doi: 10.1097/IAE.0000000000002590
    [6]
    FAN Q, WANG H, JIANG Z. Axial length and its relationship to refractive error in Chinese university students[J]. Cont Lens Anterior Eye, 2022, 45(2): 101470. doi: 10.1016/j.clae.2021.101470
    [7]
    LIU S, CHEN J, WANG J, et al. Cutoff values of axial length/corneal radius ratio for determining myopia vary with age among 3-18 years old children and adolescents[J]. Graefes Arch Clin Exp Ophthalmol, 2023. DOI: 10.1007/00417-023-06176-0.
    [8]
    HARRINGTON S C, O'DWYER V. Ocular biometry, refraction and time spent outdoors during daylight in Irish schoolchildren[J]. Clin Exp Optom, 2020, 103(2): 167-176. doi: 10.1111/cxo.12929
    [9]
    平邑县疾病预防控制中心. 2022年全国学生常见病和健康影响因素监测方案[EB/OL]. (2022-10-08)[2023-09-12]. http://www.pingyi.gov.cn/info/5324/130444.htm.

    Pingyi County Center for Disease Control and Prevention. National monitoring program for common diseases and health influencing factors among students in 2022[EB/OL]. (2022-10-08)[2023-09-12]. http://www.pingyi.gov.cn/info/5324/130444.htm. (in Chinese)
    [10]
    中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会. 标准对数视力表: GB 11533-2011[S]. 北京: 中国标准出版社, 2011.

    General Administration of Quality Supervision of the PRC, Inspection and Quarantine of the PRC, Standardization Administration of the PRC. Standard for logarithmic visual acuity charts: GB 11533-2011[S]. Beijing: Standards Press of China, 2011. (in Chinese)
    [11]
    中华人民共和国国家卫生健康委员会. 儿童青少年近视防控适宜技术指南(更新版)[EB/OL]. (2021-10-11)[2023-10-23]. http://www.nhc.gov.cn/jkj/s5899tg/202110/65a3a99c42a84e3f8a11f392d9fea91e.shtml.

    National Health Commission of the PRC. Guidelines for appropriate techniques for myopia prevention and control in children and adolescents (Updated Edition)[EB/OL]. (2021-10-11)[2023-10-23]. http://www.nhc.gov.cn/jkj/s5899tg/202110/65a3a99c42a84e3f8a11f392d9fea91e.shtml. (in Chinese)
    [12]
    中华人民共和国国家卫生健康委员会. 中小学生屈光不正筛查规范: WS/T 663-2020[S]. 北京: 中国标准出版社, 2020.

    National Health Commission of the PRC. Specification for screening of refractive error in primary and secondary school students: WS/T 663-2020[S]. Beijing: Standards Press of China, 2020. (in Chinese)
    [13]
    EDAWAJI B S A, GOTTLOB I, PROUDLOCK F A. Anterior chamber measurements in healthy children: a cross-sectional study using optical coherence tomography[J]. Transl Vis Sci Technol, 2021, 10(6): 13. doi: 10.1167/tvst.10.6.13
    [14]
    TIDEMAN J W L, POLLING J R, VINGERLING J R, et al. Axial length growth and the risk of developing myopia in European children[J]. Acta Ophthalmol, 2018, 96(3): 301-309. doi: 10.1111/aos.13603
    [15]
    肖洁, 常利涛, 李佩谦, 等. 云南少数民族地区学龄儿童眼轴和角膜曲率半径分布及相关因素研究[J]. 现代预防医学, 2023, 50(16): 2957-2964.

    XIAO J, CHANG L T, LI P Q, et al. The distribution and associated factors of axial length and corneal radius of curvature among ethnic minority school-aged children, Yunnan[J]. Mod Prev Med, 2023, 50(16): 2957-2964. (in Chinese)
    [16]
    辛梅, 张雪梅, 占煜, 等. 成都市高新区儿童青少年屈光状态[J]. 中国学校卫生, 2022, 43(10): 1565-1569. doi: 10.16835/j.cnki.1000-9817.2022.10.029

    XIN M, ZHANG X M, ZHAN Y, et al. Refractive status of children and adolescents in Gaoxin District of Chengdu[J]. Chin J Sch Health, 2022, 43(10): 1565-1569. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.10.029
    [17]
    HASHEMI H, KHABAZKHOOB M, MIRAFTAB M, et al. Axial length to corneal radius of curvature ratio and refractive errors[J]. J Ophthalmic Vis Res, 2013, 8(3): 220-226.
    [18]
    李童, 于睿, 张凤一, 等. 3~6岁学龄前儿童各屈光参数情况及其与等效球镜的相关分析[J]. 国际眼科杂志, 2023, 23(7): 1189-1195.

    LI T, YU R, ZHANG F Y, et al. Analysis of refractive parameters and theirs correlation with spherical equivalent in preschool children aged 3 to 6 years[J]. Int Eye Sci, 2023, 23(7): 1189-1195. (in Chinese)
    [19]
    WANG Y M, LU S Y, ZHANG X J, et al. Myopia genetics and heredity[J]. Children (Basel), 2022, 9(3): 382.
    [20]
    HYMAN L, GWIAZDA J, HUSSEIN M, et al. Relationship of age, sex, and ethnicity with myopia progression and axial elongation in the correction of myopia evaluation trial[J]. Arch Ophthalmol, 2005, 123(7): 977-987. doi: 10.1001/archopht.123.7.977
    [21]
    郭寅, 唐萍, 刘丽娟, 等. 学龄儿童眼球生物学参数变化的队列研究: 二年随访观察[J]. 眼科, 2015, 24(1): 19-24.

    GUO Y, TANG P, LIU L J, et al. Longitudinal study of ocular biometry parameters in school children: two years follow-up[J]. Ophthalmol Clin, 2015, 24(1): 19-24. (in Chinese)
    [22]
    MU J, ZENG D, FAN J, et al. The accuracy of the axial length and axial length/corneal radius ratio for myopia assessment among Chinese children[J]. Front Pediatr, 2022, 10: 859944. doi: 10.3389/fped.2022.859944
    [23]
    XIANG F, HE M, MORGAN I G. Annual changes in refractive errors and ocular components before and after the onset of myopia in Chinese children[J]. Ophthalmology, 2012, 119(7): 1478-1484. doi: 10.1016/j.ophtha.2012.01.017
    [24]
    AL-GHOUL K J, YOU X, WANG L, 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
    [25]
    成雪, 于冬梅, 赵丽云, 等. 2016-2017年中国各省中小学生电子屏幕使用现状[J]. 卫生研究, 2023, 52(3): 382-387.

    CHENG X, YU D M, ZHAO L Y, et al. Screen time among Chinese primary and middle school students from 2016 to 2017[J]. J Hyg Res, 2023, 52(3): 382-387. (in Chinese)
    [26]
    JONG M, SANKARIDURG P, NADUVILATH T J, et al. The relationship between progression in axial length/corneal radius of curvature ratio and spherical equivalent refractive error in myopia[J]. Optom Vis Sci, 2018, 95(10): 921-929. doi: 10.1097/OPX.0000000000001281
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (140) PDF downloads(28) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return