Association of parental myopia with their children′s myopic risk among pupils of grade 1 – 2 in Guangzhou city

LI Qian; ZHANG Sheng; LU Ci-yong

doi:10.11847/zgggws1133555

Volume 38 Issue 6

Jun. 2022

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LI Qian, ZHANG Sheng, LU Ci-yong, . Association of parental myopia with their children′s myopic risk among pupils of grade 1 – 2 in Guangzhou city[J]. Chinese Journal of Public Health, 2022, 38(6): 676-679. doi: 10.11847/zgggws1133555

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LI Qian, ZHANG Sheng, LU Ci-yong, . Association of parental myopia with their children′s myopic risk among pupils of grade 1 – 2 in Guangzhou city[J]. Chinese Journal of Public Health, 2022, 38(6): 676-679. doi: 10.11847/zgggws1133555

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Association of parental myopia with their children′s myopic risk among pupils of grade 1 – 2 in Guangzhou city

doi: 10.11847/zgggws1133555

Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong Province 510080, China

Received Date: 2010-01-18
Available Online: 2021-12-13
Publish Date: 2022-06-01

Abstract

Abstract

Objective To explore the impact of parental myopia on their children′s risk of myopia and to provide evidences for developing measures on myopia prevention and control in school-age children. Methods Using cluster random sampling, we recruited 3 433 students of grade 1 – 2 in 12 public primary schools in 2 districts of Guangzhou city. Visual acuity examination after mydriasis among the students and questionnaire survey on demographics and parental myopic conditions in the students′ parents were conducted during December 2018 and February 2019. Results For the 3 172 students with complete information, the average length of eye axis was 22.9 ± 0.8 mm; the average equivalent spherical lens prescription was 0.9 ± 1.1 degree; and the overall prevalence rate of myopia was 7.5%. Compared to those with neither paternal nor maternal myopia, the students with both paternal and maternal myopia had a 2.5 times higher myopia prevalence rate (13.23% vs. 6.99%). The myopia prevalence rate of the students with paternal high myopia was significantly higher in comparison to that of students with maternal high myopia (24.7% vs. 16.6%, P < 0.001). After adjusting for students′ age, height and weight, the results of multivariate logistic regression analysis indicated that paternal and maternal myopia (adjusted odds ratio [aOR] = 2.72, 95% confidence interval [95% CI] 1.96 – 3.78), paternal high myopia (aOR = 5.54, 95% CI: 3.31 – 9.26) and maternal high myopia (aOR = 3.10, 95% CI: 1.94 – 4.93) were significant risk factors for the students′ myopia; the results also showed that the students with paternal high myopia had a 1.8 times higher myopic risk than the students with maternal high myopia. Conclusion Parental myopia and both paternal or maternal high myopia are important risk factors for myopia in school-age children.
- myopia,
- primary school students,
- parental myopia

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References(25)

References

[1]	Holden BA, Fricke TR, Wilson DA, 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]	Pan CW, Ramamurthy D, Saw SM. Worldwide prevalence and risk factors for myopia[J]. Ophthalmic and Physiological Optics, 2012, 32(1): 3 – 16. doi: 10.1111/j.1475-1313.2011.00884.x
[3]	张勇. 卫健委: 2018年全国儿童青少年总体近视率为53.6 %[J]. 现代养生, 2019(16): 1 – 2.
[4]	Holden B, Sankaridurg P, Smith E, et al. Myopia, an underrated global challenge to vision: where the current data takes us on myopia control[J]. Eye, 2014, 28(2): 142 – 146. doi: 10.1038/eye.2013.256
[5]	Lin LLK, Shih YF, Hsiao CK, et al. Prevalence of myopia in Taiwanese schoolchildren: 1983 to 2000[J]. Annals of the Academy of Medicine, Singapore, 2004, 33(1): 27 – 33.
[6]	Wu PC, Chen CT, Lin KK, et al. Myopia prevention and outdoor light intensity in a school-based cluster randomized trial[J]. Ophthalmology, 2018, 125(8): 1239 – 1250. doi: 10.1016/j.ophtha.2017.12.011
[7]	Li SM, Li SY, Kang MT, et al. Near work related parameters and myopia in Chinese children: the Anyang childhood eye study[J]. PLoS One, 2015, 10(8): e0134514. doi: 10.1371/journal.pone.0134514
[8]	French AN, Morgan IG, Mitchell P, et al. Risk factors for incident myopia in Australian schoolchildren: the Sydney adolescent vascular and eye study[J]. Ophthalmology, 2013, 120(10): 2100 – 2108. doi: 10.1016/j.ophtha.2013.02.035
[9]	Mutti DO, Mitchell GL, Moeschberger ML, et al. Parental myopia, near work, school achievement, and children's refractive error[J]. Investigative Ophthalmology and Visual Science, 2002, 43(12): 3633 – 3640.
[10]	Lim DH, Han JS, Chung TY, et al. The high prevalence of myopia in Korean children with influence of parental refractive errors: the 2008 – 2012 Korean National Health and Nutrition Examination Survey[J]. PLoS One, 2018, 13(11): e0207690. doi: 10.1371/journal.pone.0207690
[11]	Zhang XY, Qu XH, Zhou XT. Association between parental myopia and the risk of myopia in a child[J]. Experimental and Therapeutic Medicine, 2015, 9(6): 2420 – 2428. doi: 10.3892/etm.2015.2415
[12]	Guo L, Yang J, Mai J, et al. Prevalence and associated factors of myopia among primary and middle school-aged students: a school-based study in Guangzhou[J]. Eye, 2016, 30(6): 796 – 804. doi: 10.1038/eye.2016.39
[13]	李海燕, 袁志刚, 刘克兰, 等. 儿童青少年屈光不正十年变化的探讨[J]. 国际眼科杂志, 2013, 13(7): 1447 – 1449. doi: 10.3980/j.issn.1672-5123.2013.07.44
[14]	Pärssinen O, Kauppinen M. Risk factors for high myopia: a 22-year follow-up study from childhood to adulthood[J]. Acta Ophthalmo-logica, 2019, 97(5): 510 – 518. doi: 10.1111/aos.13964
[15]	刘亚敏, 李晓勇. 儿童近视现状及影响因素分析[J]. 长江大学学报: 自然科学版, 2019, 16(10): 121 – 124.
[16]	Giloyan A, Harutyunyan T, Petrosyan V. Risk factors for developing myopia among schoolchildren in Yerevan and Gegharkunik province, Armenia[J]. Ophthalmic Epidemiology, 2017, 24(2): 97 – 103. doi: 10.1080/09286586.2016.1257028
[17]	谌丁艳, 李晓恒, 周丽, 等. 深圳市中小学生近视影响因素分析[J]. 中国学校卫生, 2020, 41(4): 583 – 587.
[18]	Wu MM, Edwards MH. The effect of having myopic parents: an analysis of myopia in three generations[J]. Optometry and Vision Science, 1999, 76(6): 387 – 392. doi: 10.1097/00006324-199906000-00018
[19]	Alsbirk PH. Refraction in adult West Greenland Eskimos. A population study of spherical refractive errors, including oculometric and familial correlations[J]. Acta Ophthalmologica, 1979, 57(1): 84 – 95.
[20]	Xiang F, He MG, Morgan IG. The impact of severity of parental myopia on myopia in Chinese children[J]. Optometry and Vision Science, 2012, 89(6): 884 – 891. doi: 10.1097/OPX.0b013e318255dc33
[21]	华文娟, 伍晓艳, 万宇辉, 等. 父母近视与儿童近视关联的遗传和环境共享因素的关系[J]. 中国学校卫生, 2013, 34(11): 1288 – 1291.
[22]	卢晗, 刘霞, 叶亦青, 等. 小学儿童表情和动作无意识模仿的特点研究[J]. 中国临床心理学杂志, 2013, 21(6): 901 – 904.
[23]	周丽, 侯万里, 谢思柔, 等. 中小学生视力保健行为及影响因素分析[J]. 中国公共卫生, 2014, 30(7): 896 – 898. doi: 10.11847/zgggws2014-30-07-14
[24]	Tang SM, Kam KW, French AN, et al. Independent influence of parental myopia on childhood myopia in a dose-related manner in 2 055 trios: the Hong Kong children eye study[J]. American Journal of Ophthalmology, 2020, 218: 199 – 207. doi: 10.1016/j.ajo.2020.05.026
[25]	杜雪莹, 姜轶, 杨杰文. 广州市小学生近视及影响因素研究[J]. 中国学校卫生, 2020, 41(8): 1261 – 1263.