Progression of myopia among school-aged children in Guangzhou, China.

IF 1.8 4区医学 Q2 OPHTHALMOLOGY

International journal of ophthalmology Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI:10.18240/ijo.2025.08.19

Kun Huang, Zhi-Dan Wu, Ze-Hao Chen, Jin Chen, Zhuo-Ming Tang, Rong Lin

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引用次数: 0

Abstract

Aim: To investigate the prevalence and characteristics of myopia in school-aged students and effects of environmental and genetic factors on the progression of myopia.

Methods: A total of 2422 students aged between 5 and 18y from nine schools in Baiyun District of Guangzhou, China were sampled using a stratified sampling method in 2020. Among them, 1066 students participated in the follow-up survey the following year. Data were obtained based on ocular examinations and a questionnaire survey conducted during two visits. Factors potentially influencing the progression of myopia were analyzed.

Results: During the year assessed in this study, the percentage of students with myopia increased from 58.4% to 64.8% (P=0.002). Spherical equivalent (SE) progressed from -1.44±1.91 diopters (D) at baseline to -1.66±1.10 D (P=0.005). A generalized estimating equation (GEE) model revealed that age [adjusted odds ratio (aOR)=1.298, P<0.001], residential students (aOR=2.428, P=0.018), parental myopia (one myopic parent: aOR=1.553, both parents myopic: aOR=2.609, P<0.001), frequent reading of books or viewing of screens in direct sunlight (aOR=3.502, P=0.023), using only overhead lighting for reading and writing at night (aOR=1.633, P=0.011), parental restrictions on exercise time (aOR=2.286, P=0.012), and having less than 2h of outdoor exercise per day during the past week (aOR=1.584, P=0.019) were all identified as independent risk factors for progression of myopia.

Conclusion: Our findings in this study indicate that age, residential students, parental myopia, indoor lighting environment, and physical activity have significant effects on the progression of myopia, providing evidence for further in-depth mechanistic interpretation and efficient intervention strategies for school-age children in this area.

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中国广州学龄儿童近视的进展。

目的：了解学龄学生近视的患病率、特点及环境和遗传因素对近视发展的影响。方法：采用分层抽样方法，于2020年对广州市白云区9所学校5 ~ 18岁学生2422人进行抽样调查。其中1066名学生参加了次年的随访调查。数据是根据眼科检查和在两次就诊期间进行的问卷调查获得的。分析影响近视发展的潜在因素。结果：在本研究评估的一年中，近视学生的比例从58.4%上升到64.8% （P=0.002）。球面等效度（SE）从基线时的-1.44±1.91屈光度(D)增加到-1.66±1.10 D （P=0.005）。广义估计方程（GEE）模型显示，年龄[调整比值比(aOR)=1.298， PP=0.018]、父母近视(一方父母近视：aOR=1.553，双方父母近视：aOR=2.609， PP=0.023)、夜间仅使用顶灯读写（aOR=1.633， P=0.011）、父母限制运动时间（aOR=2.286， P=0.012）、过去一周每天户外运动时间少于2小时（aOR=1.584， P=0.019）均被认为是近视发展的独立危险因素。结论：年龄、住宿学生、父母近视、室内光照环境和体育活动对学龄儿童近视的发展有显著影响，为进一步深入解释学龄儿童近视的机制和有效的干预策略提供了依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of ophthalmology Medicine-Ophthalmology

CiteScore

2.50

自引率

7.10%

发文量

3141

审稿时长

4-8 weeks

期刊介绍： · International Journal of Ophthalmology-IJO (English edition) is a global ophthalmological scientific publication and a peer-reviewed open access periodical (ISSN 2222-3959 print, ISSN 2227-4898 online). This journal is sponsored by Chinese Medical Association Xi’an Branch and obtains guidance and support from WHO and ICO (International Council of Ophthalmology). It has been indexed in SCIE, PubMed, PubMed-Central, Chemical Abstracts, Scopus, EMBASE , and DOAJ. IJO JCR IF in 2017 is 1.166. IJO was established in 2008, with editorial office in Xi’an, China. It is a monthly publication. General Scientific Advisors include Prof. Hugh Taylor (President of ICO); Prof.Bruce Spivey (Immediate Past President of ICO); Prof.Mark Tso (Ex-Vice President of ICO) and Prof.Daiming Fan (Academician and Vice President, Chinese Academy of Engineering. International Scientific Advisors include Prof. Serge Resnikoff (WHO Senior Speciatist for Prevention of blindness), Prof. Chi-Chao Chan (National Eye Institute, USA) and Prof. Richard L Abbott (Ex-President of AAO/PAAO) et al. Honorary Editors-in-Chief: Prof. Li-Xin Xie(Academician of Chinese Academy of Engineering/Honorary President of Chinese Ophthalmological Society); Prof. Dennis Lam (President of APAO) and Prof. Xiao-Xin Li (Ex-President of Chinese Ophthalmological Society). Chief Editor: Prof. Xiu-Wen Hu (President of IJO Press). Editors-in-Chief: Prof. Yan-Nian Hui (Ex-Director, Eye Institute of Chinese PLA) and Prof. George Chiou (Founding chief editor of Journal of Ocular Pharmacology & Therapeutics). Associate Editors-in-Chief include: Prof. Ning-Li Wang (President Elect of APAO); Prof. Ke Yao (President of Chinese Ophthalmological Society) ; Prof.William Smiddy (Bascom Palmer Eye instituteUSA) ; Prof.Joel Schuman (President of Association of University Professors of Ophthalmology,USA); Prof.Yizhi Liu (Vice President of Chinese Ophtlalmology Society); Prof.Yu-Sheng Wang (Director of Eye Institute of Chinese PLA); Prof.Ling-Yun Cheng (Director of Ocular Pharmacology, Shiley Eye Center, USA). IJO accepts contributions in English from all over the world. It includes mainly original articles and review articles, both basic and clinical papers. Instruction is Welcome Contribution is Welcome Citation is Welcome Cooperation organization International Council of Ophthalmology(ICO), PubMed, PMC, American Academy of Ophthalmology, Asia-Pacific, Thomson Reuters, The Charlesworth Group, Crossref,Scopus,Publons, DOAJ etc.