Development pattern of ocular biometric parameters and refractive error in young Chinese adults: a longitudinal study of first-year university students
Abstract Background The increase in the prevalence of myopia has become a matter of serious public health concern, and few studies to date have examined the ocular biometric parameters of myopia in young Chinese adults. This study aimed to investigate the longitudinal ocular biometric and refractive...
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BMC
2022-05-01
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Series: | BMC Ophthalmology |
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Online Access: | https://doi.org/10.1186/s12886-022-02440-9 |
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author | Xue Bai Nan Jin Qingxin Wang Yicheng Ge Bei Du Di Wang Qiang Su Biying Wang Chi-ho To Ruihua Wei |
author_facet | Xue Bai Nan Jin Qingxin Wang Yicheng Ge Bei Du Di Wang Qiang Su Biying Wang Chi-ho To Ruihua Wei |
author_sort | Xue Bai |
collection | DOAJ |
description | Abstract Background The increase in the prevalence of myopia has become a matter of serious public health concern, and few studies to date have examined the ocular biometric parameters of myopia in young Chinese adults. This study aimed to investigate the longitudinal ocular biometric and refractive development of first-year university students and the influence of near work. Methods This study included 526 first-year university students from Tianjin Medical University (mean age, 18.34 years; 313 females and 213 males). From 2016 to 2018, participants underwent ocular biometry measurements and subjective refraction annually. Near-work activities such as the use of electronic devices, online games, reading, and writing as well as demographic data were recorded by questionnaires. Results The prevalence of myopia in this population from 2016 to 2018 was 92.40%, 92.59%, and 92.97%, respectively. Importantly, the prevalence of high myopia increased significantly from 20.91% to 28.33% (P < .001). The spherical equivalent refraction was significantly more myopic by approximately − 0.38 D (from − 4.18 ± 2.44 to − 4.56 ± 2.57 D; P < .001) during the period. The axial length, central corneal thickness, and lens thickness became significantly different (all P < .05), and the axial length significantly increased by 0.12 mm during 2 years (P < .001). Using binary logistic regression analysis, the data indicated that spending more time on online games (odds ratio, 2.09; 95% confidence interval, 1.33–3.29) could speed up the progression of myopia (P < .05). Conclusions This study showed that the prevalence of high myopia continued to increase in undergraduate students over 2 years. Baseline myopia correlated with myopic shift, the time spent on online games, and parental myopia were significantly associated with an increase in myopia in these young adult populations. |
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series | BMC Ophthalmology |
spelling | doaj.art-2b4f1717704d43f1b493475a8bbd4d4d2022-12-22T03:34:11ZengBMCBMC Ophthalmology1471-24152022-05-012211810.1186/s12886-022-02440-9Development pattern of ocular biometric parameters and refractive error in young Chinese adults: a longitudinal study of first-year university studentsXue Bai0Nan Jin1Qingxin Wang2Yicheng Ge3Bei Du4Di Wang5Qiang Su6Biying Wang7Chi-ho To8Ruihua Wei9Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye HospitalTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye HospitalTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye HospitalTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye HospitalTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye HospitalTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye HospitalTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye HospitalTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye HospitalSchool of Optometry, The Hong Kong Polytechnic UniversityTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye HospitalAbstract Background The increase in the prevalence of myopia has become a matter of serious public health concern, and few studies to date have examined the ocular biometric parameters of myopia in young Chinese adults. This study aimed to investigate the longitudinal ocular biometric and refractive development of first-year university students and the influence of near work. Methods This study included 526 first-year university students from Tianjin Medical University (mean age, 18.34 years; 313 females and 213 males). From 2016 to 2018, participants underwent ocular biometry measurements and subjective refraction annually. Near-work activities such as the use of electronic devices, online games, reading, and writing as well as demographic data were recorded by questionnaires. Results The prevalence of myopia in this population from 2016 to 2018 was 92.40%, 92.59%, and 92.97%, respectively. Importantly, the prevalence of high myopia increased significantly from 20.91% to 28.33% (P < .001). The spherical equivalent refraction was significantly more myopic by approximately − 0.38 D (from − 4.18 ± 2.44 to − 4.56 ± 2.57 D; P < .001) during the period. The axial length, central corneal thickness, and lens thickness became significantly different (all P < .05), and the axial length significantly increased by 0.12 mm during 2 years (P < .001). Using binary logistic regression analysis, the data indicated that spending more time on online games (odds ratio, 2.09; 95% confidence interval, 1.33–3.29) could speed up the progression of myopia (P < .05). Conclusions This study showed that the prevalence of high myopia continued to increase in undergraduate students over 2 years. Baseline myopia correlated with myopic shift, the time spent on online games, and parental myopia were significantly associated with an increase in myopia in these young adult populations.https://doi.org/10.1186/s12886-022-02440-9Young Chinese adultsOcular biometric parametersSubjective refractionMyopiaRisk factorsPlaying online games |
spellingShingle | Xue Bai Nan Jin Qingxin Wang Yicheng Ge Bei Du Di Wang Qiang Su Biying Wang Chi-ho To Ruihua Wei Development pattern of ocular biometric parameters and refractive error in young Chinese adults: a longitudinal study of first-year university students BMC Ophthalmology Young Chinese adults Ocular biometric parameters Subjective refraction Myopia Risk factors Playing online games |
title | Development pattern of ocular biometric parameters and refractive error in young Chinese adults: a longitudinal study of first-year university students |
title_full | Development pattern of ocular biometric parameters and refractive error in young Chinese adults: a longitudinal study of first-year university students |
title_fullStr | Development pattern of ocular biometric parameters and refractive error in young Chinese adults: a longitudinal study of first-year university students |
title_full_unstemmed | Development pattern of ocular biometric parameters and refractive error in young Chinese adults: a longitudinal study of first-year university students |
title_short | Development pattern of ocular biometric parameters and refractive error in young Chinese adults: a longitudinal study of first-year university students |
title_sort | development pattern of ocular biometric parameters and refractive error in young chinese adults a longitudinal study of first year university students |
topic | Young Chinese adults Ocular biometric parameters Subjective refraction Myopia Risk factors Playing online games |
url | https://doi.org/10.1186/s12886-022-02440-9 |
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