Interaction between parental myopia and children lifestyle on the incidence of myopia among children aged 6–18 years: a cross-sectional study in Tianjin, China
Objectives This study aimed to explore the influence of the interaction between parental myopia and lifestyle on myopia among school-age children.Design Cross-sectional study.Setting This study used data from the Tianjin Child and Adolescent Research of Eye between August and October 2022.Participan...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/1/e080929.full |
| _version_ | 1797296112214736896 |
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| author | Jing Yang Qi Wu Yuanyuan Liu Guowei Huang Hua Yan Clement C Tham Jing Yan Qiang Yang Ruihua Wei Xiangda Meng Tongtong Li Bei Du Chea-Su Kee Xuyang Yao Yuezhu Lu Qihua Wang |
| author_facet | Jing Yang Qi Wu Yuanyuan Liu Guowei Huang Hua Yan Clement C Tham Jing Yan Qiang Yang Ruihua Wei Xiangda Meng Tongtong Li Bei Du Chea-Su Kee Xuyang Yao Yuezhu Lu Qihua Wang |
| author_sort | Jing Yang |
| collection | DOAJ |
| description | Objectives This study aimed to explore the influence of the interaction between parental myopia and lifestyle on myopia among school-age children.Design Cross-sectional study.Setting This study used data from the Tianjin Child and Adolescent Research of Eye between August and October 2022.Participants A total of 49 035 participants between 6 and 18 years of age were eligible for this study.Primary and secondary outcome measures The primary outcome was the interaction between eye-healthy lifestyle and parental myopia on myopia. Parental myopia and eye-healthy lifestyle were ascertained by a Child and Adolescent Behavior Questionnaire. The lifestyle risk score (LRS) of eye health was calculated based on beta-coefficient in the backward regression model. The interaction between LRS and parental myopia was analysed by multivariate logistic regression. The predictive value of different predicted models was estimated using receiver operating characteristic curves. Multiple linear regression was used to evaluate the associations of lifestyle risk factors and parental myopia with spherical equivalent refraction, which were defined as the secondary outcomes.Results A total of 31 839 participants aged 6–18 years were included, and the myopia prevalence was 55.46%. Eye-healthy lifestyle and parental myopia were significantly associated with myopia, as was interaction. The predictive value for LRS & parental myopia was 0.714 (95% CI: 0.709 to 0.720), which was higher than LRS (0.693, 95% CI: 0.687 to 0.699) and parental myopia (0.710, 95% CI: 0.704 to 0.716) separately.Conclusions High-risk lifestyles of myopia and parental myopia were significantly associated with a higher risk of myopia, and the combination had the strongest effect. For children, lifestyle adjustment should be prioritised in preventing myopia, especially for those with parental myopia. |
| first_indexed | 2024-03-07T21:58:39Z |
| format | Article |
| id | doaj.art-f1554cd1395142bc9b050a82da675012 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-07T21:58:39Z |
| publishDate | 2024-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-f1554cd1395142bc9b050a82da6750122024-02-24T12:05:09ZengBMJ Publishing GroupBMJ Open2044-60552024-01-0114110.1136/bmjopen-2023-080929Interaction between parental myopia and children lifestyle on the incidence of myopia among children aged 6–18 years: a cross-sectional study in Tianjin, ChinaJing Yang0Qi Wu1Yuanyuan Liu2Guowei Huang3Hua Yan4Clement C Tham5Jing Yan6Qiang Yang7Ruihua Wei8Xiangda Meng9Tongtong Li10Bei Du11Chea-Su Kee12Xuyang Yao13Yuezhu Lu14Qihua Wang15Department of Ophthalmology, Tianjin Medical University General Hospital, Laboratory of Molecular Ophthalmology, Tianjin Medical University, Tianjin, ChinaSchool of Public Health, Tianjin Medical University, Tianjin, China1 Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin, ChinaSchool of Public Health, Tianjin Medical University, Tianjin, China22 Laboratory of Molecular Ophthalmology and Tianjin Key Laboratory of Ocular Trauma, Tianjin Medical University, Tianjin, ChinaDepartment of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, Hong KonSARg, ChinaSchool of Public Health, Tianjin Medical University, Tianjin, ChinaShenyang Xingqi Pharmaceutical Co., Ltd, Shenyang, ChinaTianjin 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 Hospital, Tianjin, China1 Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin, ChinaSchool of Public Health, Tianjin Medical University, Tianjin, ChinaTianjin 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 Hospital, Tianjin, ChinaSchool of Optometry, Centre for Myopia Research, Research Centre for SHARP Vision, The Hong Kong Polytechnic University, Hong Kong, China23 Tianjin Medical University Eye Hospital, Eye Institute & School of Optometry and Ophthalmology, Tianjin, ChinaDepartment of Ophthalmology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China1 Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin, ChinaObjectives This study aimed to explore the influence of the interaction between parental myopia and lifestyle on myopia among school-age children.Design Cross-sectional study.Setting This study used data from the Tianjin Child and Adolescent Research of Eye between August and October 2022.Participants A total of 49 035 participants between 6 and 18 years of age were eligible for this study.Primary and secondary outcome measures The primary outcome was the interaction between eye-healthy lifestyle and parental myopia on myopia. Parental myopia and eye-healthy lifestyle were ascertained by a Child and Adolescent Behavior Questionnaire. The lifestyle risk score (LRS) of eye health was calculated based on beta-coefficient in the backward regression model. The interaction between LRS and parental myopia was analysed by multivariate logistic regression. The predictive value of different predicted models was estimated using receiver operating characteristic curves. Multiple linear regression was used to evaluate the associations of lifestyle risk factors and parental myopia with spherical equivalent refraction, which were defined as the secondary outcomes.Results A total of 31 839 participants aged 6–18 years were included, and the myopia prevalence was 55.46%. Eye-healthy lifestyle and parental myopia were significantly associated with myopia, as was interaction. The predictive value for LRS & parental myopia was 0.714 (95% CI: 0.709 to 0.720), which was higher than LRS (0.693, 95% CI: 0.687 to 0.699) and parental myopia (0.710, 95% CI: 0.704 to 0.716) separately.Conclusions High-risk lifestyles of myopia and parental myopia were significantly associated with a higher risk of myopia, and the combination had the strongest effect. For children, lifestyle adjustment should be prioritised in preventing myopia, especially for those with parental myopia.https://bmjopen.bmj.com/content/14/1/e080929.full |
| spellingShingle | Jing Yang Qi Wu Yuanyuan Liu Guowei Huang Hua Yan Clement C Tham Jing Yan Qiang Yang Ruihua Wei Xiangda Meng Tongtong Li Bei Du Chea-Su Kee Xuyang Yao Yuezhu Lu Qihua Wang Interaction between parental myopia and children lifestyle on the incidence of myopia among children aged 6–18 years: a cross-sectional study in Tianjin, China BMJ Open |
| title | Interaction between parental myopia and children lifestyle on the incidence of myopia among children aged 6–18 years: a cross-sectional study in Tianjin, China |
| title_full | Interaction between parental myopia and children lifestyle on the incidence of myopia among children aged 6–18 years: a cross-sectional study in Tianjin, China |
| title_fullStr | Interaction between parental myopia and children lifestyle on the incidence of myopia among children aged 6–18 years: a cross-sectional study in Tianjin, China |
| title_full_unstemmed | Interaction between parental myopia and children lifestyle on the incidence of myopia among children aged 6–18 years: a cross-sectional study in Tianjin, China |
| title_short | Interaction between parental myopia and children lifestyle on the incidence of myopia among children aged 6–18 years: a cross-sectional study in Tianjin, China |
| title_sort | interaction between parental myopia and children lifestyle on the incidence of myopia among children aged 6 18 years a cross sectional study in tianjin china |
| url | https://bmjopen.bmj.com/content/14/1/e080929.full |
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