Association between whole-grain intake and myopia in chinese children: a cross-sectional epidemiological study
Abstract Background Nutritional status influences the growth and development of the eyes. However, there are few studies on the association between diet, especially whole grains (WG) consumption, and myopia. The study aimed to evaluate the association between WG intake and myopia prevalence among pr...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-022-02764-6 |
| _version_ | 1797958769437573120 |
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| author | Zhuzhu Liu Qingxin Wang Qianyu Zhao Fei Gao Nan Jin Di Wang Biying Wang Bei Du Ruihua Wei |
| author_facet | Zhuzhu Liu Qingxin Wang Qianyu Zhao Fei Gao Nan Jin Di Wang Biying Wang Bei Du Ruihua Wei |
| author_sort | Zhuzhu Liu |
| collection | DOAJ |
| description | Abstract Background Nutritional status influences the growth and development of the eyes. However, there are few studies on the association between diet, especially whole grains (WG) consumption, and myopia. The study aimed to evaluate the association between WG intake and myopia prevalence among primary school-age children in China. Methods This cross-sectional epidemiological study conducted between November 2019 and December 2019 included 586 children, aged 6–12 years, attending primary school in Binhai district, Tianjin, China. Ophthalmologic examinations and optometric cycloplegic refraction measurements were conducted. Information was collected on known risks and protective factors for myopia and the consumption of WGs, vegetables, and fruits. This association between the probability of myopia and the proportion of WG consumption (WG proportion was calculated as the mean intake from WG sources divided by total grain intake), adjusted for protective and risk factors, was analysed using crude and multivariable logistic regression. Results Among the study participants, 226/586 (38.57%) children had myopia in at least one eye. WG intake was inversely correlated with the prevalence of myopia. Furthermore, in the multivariate analysis, WG intake of > 50% was identified as a protective factor against myopia after subsequent adjustment for children’s age, sex, parental myopia, near-work activity, screen time, reading and writing habits, visual fatigue, outdoor time, and classroom light environment (all P < 0.05). Conclusion WG intake (> 50%) was an independent protective factor against myopia. Modifying the form of grains consumed (whole versus refined) could be one of the targets of future public health measures. |
| first_indexed | 2024-04-11T00:24:31Z |
| format | Article |
| id | doaj.art-dff742e3501c4d4585b69c757c06ee0f |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-11T00:24:31Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-dff742e3501c4d4585b69c757c06ee0f2023-01-08T12:07:27ZengBMCBMC Ophthalmology1471-24152023-01-0123111010.1186/s12886-022-02764-6Association between whole-grain intake and myopia in chinese children: a cross-sectional epidemiological studyZhuzhu Liu0Qingxin Wang1Qianyu Zhao2Fei Gao3Nan Jin4Di Wang5Biying Wang6Bei Du7Ruihua Wei8Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute, 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, School of Optometry, Tianjin Medical University Eye HospitalState Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical CollegeTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute, 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, 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, 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, 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, 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, School of Optometry, Tianjin Medical University Eye HospitalAbstract Background Nutritional status influences the growth and development of the eyes. However, there are few studies on the association between diet, especially whole grains (WG) consumption, and myopia. The study aimed to evaluate the association between WG intake and myopia prevalence among primary school-age children in China. Methods This cross-sectional epidemiological study conducted between November 2019 and December 2019 included 586 children, aged 6–12 years, attending primary school in Binhai district, Tianjin, China. Ophthalmologic examinations and optometric cycloplegic refraction measurements were conducted. Information was collected on known risks and protective factors for myopia and the consumption of WGs, vegetables, and fruits. This association between the probability of myopia and the proportion of WG consumption (WG proportion was calculated as the mean intake from WG sources divided by total grain intake), adjusted for protective and risk factors, was analysed using crude and multivariable logistic regression. Results Among the study participants, 226/586 (38.57%) children had myopia in at least one eye. WG intake was inversely correlated with the prevalence of myopia. Furthermore, in the multivariate analysis, WG intake of > 50% was identified as a protective factor against myopia after subsequent adjustment for children’s age, sex, parental myopia, near-work activity, screen time, reading and writing habits, visual fatigue, outdoor time, and classroom light environment (all P < 0.05). Conclusion WG intake (> 50%) was an independent protective factor against myopia. Modifying the form of grains consumed (whole versus refined) could be one of the targets of future public health measures.https://doi.org/10.1186/s12886-022-02764-6MyopiaProtective factorsDietWhole grainsNear work |
| spellingShingle | Zhuzhu Liu Qingxin Wang Qianyu Zhao Fei Gao Nan Jin Di Wang Biying Wang Bei Du Ruihua Wei Association between whole-grain intake and myopia in chinese children: a cross-sectional epidemiological study BMC Ophthalmology Myopia Protective factors Diet Whole grains Near work |
| title | Association between whole-grain intake and myopia in chinese children: a cross-sectional epidemiological study |
| title_full | Association between whole-grain intake and myopia in chinese children: a cross-sectional epidemiological study |
| title_fullStr | Association between whole-grain intake and myopia in chinese children: a cross-sectional epidemiological study |
| title_full_unstemmed | Association between whole-grain intake and myopia in chinese children: a cross-sectional epidemiological study |
| title_short | Association between whole-grain intake and myopia in chinese children: a cross-sectional epidemiological study |
| title_sort | association between whole grain intake and myopia in chinese children a cross sectional epidemiological study |
| topic | Myopia Protective factors Diet Whole grains Near work |
| url | https://doi.org/10.1186/s12886-022-02764-6 |
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