Determinants and prediction model construction of coexistence of myopia, overweight/obesity and depressive symptoms among middle school students in Quzhou City

XU Haoxuan; WANG Shengxian; REN Fei; DAI Liping; LAI Shiming; ZHAO Shiguang

doi:10.16835/j.cnki.1000-9817.2025229

Volume 46 Issue 8

Aug. 2025

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2025 > 46(8): 1198-1202

XU Haoxuan, WANG Shengxian, REN Fei, DAI Liping, LAI Shiming, ZHAO Shiguang. Determinants and prediction model construction of coexistence of myopia, overweight/obesity and depressive symptoms among middle school students in Quzhou City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(8): 1198-1202. doi: 10.16835/j.cnki.1000-9817.2025229

Citation:

XU Haoxuan, WANG Shengxian, REN Fei, DAI Liping, LAI Shiming, ZHAO Shiguang. Determinants and prediction model construction of coexistence of myopia, overweight/obesity and depressive symptoms among middle school students in Quzhou City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(8): 1198-1202. doi: 10.16835/j.cnki.1000-9817.2025229

Citation:

XU Haoxuan, WANG Shengxian, REN Fei, DAI Liping, LAI Shiming, ZHAO Shiguang. Determinants and prediction model construction of coexistence of myopia, overweight/obesity and depressive symptoms among middle school students in Quzhou City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(8): 1198-1202. doi: 10.16835/j.cnki.1000-9817.2025229

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Determinants and prediction model construction of coexistence of myopia, overweight/obesity and depressive symptoms among middle school students in Quzhou City

doi: 10.16835/j.cnki.1000-9817.2025229

1.
Department of Nutrition and Food Safety, Quzhou Center for Disease Control and Prevention, Quzhou 324000, Zhejiang Province, China

Received Date: 2025-02-25
Rev Recd Date: 2025-04-07

Available Online: 2025-08-30

Publish Date: 2025-08-25

Abstract

Abstract

Objective To investigate the coexistence of comorbidity of myopia, overweight/obesity and depressive symptoms among middle school students in Quzhou and its associated factors, so as to provide evidence for integrated prevention and control of common multiple health issues in students. Methods From September to November 2023, a total of 5 867 middle school students from 6 counties (cities and districts) in Quzhou City were selected by stratified random cluster sampling. Physical and visual examinations were conducted, and the Center for Epidemiological Studies - Depression Scale (CES-D) along with a questionnaire on health status and influencing factors were completed. Multivariate Logistic regression was used to analyze the related factors of coexistence of myopia, overweight/obesity, and depressive symptoms among middle school students, and a nomogram model was constructed based on the results. Results A total of 161 middle school students in Quzhou City were identified as having comorbid myopia, overweight/ obesity and depressive symptoms, with a detection rate of 2.74%. The results of multivariate Logistic regression analysis showed that the coexistence of myopia, overweight/obesity and depressive symptoms increased among middle school students with older age (OR=1.11), a greater number unhealthy dietary behaviors (1, 2, ≥3; OR=2.40, 2.70, 4.63), insufficient sleep(OR=1.78) and alcohol consumption (OR=2.11)(all P < 0.05). Compared with no homework after class, those whose homework duration after class was 1 to < 2 hour had a lower risk of comorbidity of myopia, overweight/obesity and depressive symptoms (OR=0.53, P < 0.05). The results of the nomogram model showed that the AUC (95%CI) was 0.71 (0.67-0.74). Conclusions The coexistence of myopia, overweight/obesity and depressive symptoms among middle school students in Quzhou City is related to age, sleeping, alcohol consumption, poor dietary behavior and the duration of after-school homework. The nomogram model can assist in the early screening and intervention of multiple health issues among students.
- Myopia,
- Overweight,
- Obesity,
- Depression,
- Comorbidity,
- Regression analysis,
- Students

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References(39)

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