摘要
目的了解上海市学龄期儿童近视共病肥胖的患病现状、发病情况及其影响因素,为制订协同防控策略提供科学依据。方法研究基于上海户外活动干预近视队列(STORM)的对照组数据,于2016年10—11月,在上海市8个区随机整群抽取8所学校的一年级和二年级学生,开展为期3年的随访,最终纳入1600名完成随访且资料完整的学生作为分析对象。在基线和随访时进行问卷调查、体格测量及眼科检查,采用单因素分析和有序logistic回归模型探讨儿童青少年近视共病肥胖发病的影响因素。结果基线时儿童近视共病肥胖患病率为2.56%(41/1600),随访时近视共病肥胖患病率为18.13%(290/1600)。其中,在基线健康的905名儿童中,有6.08%(55/905)的儿童新发近视共病肥胖。多因素分析结果显示:校外户外活动时间长(OR=0.99,P=0.02)、居住在郊区(OR=0.54,P<0.01)的学生发生近视共病肥胖风险较低;而父母双方近视(OR=1.69,P<0.01)的学生发病风险较高。结论儿童青少年近视与肥胖共病问题不容忽视,行为和环境因素共同作用于其形成过程。应加强高风险人群的早期识别,针对共同危险因素开展综合干预,以实现对双重慢性病的协同预防。
Objective To investigate the prevalence and incidence of co-occurrence of myopia and obesity among school-age children,and their influencing factors in Shanghai,and to provide scientific evidence for developing coordinated prevention strategies.Methods Data from the control group of the Shanghai Time Outside to Reduce Myopia Trial(STORM)were collected.During October and November 2016,a multistage random cluster sampling method was employed to recruit first-and second-grade students from eight schools in eight districts in Shanghai.After a three-year follow-up,a total of 1600 students with complete data were included in the final analysis.Questionnaires,physical examinations,and ophthalmic assessments were conducted at both baseline and follow-up.Univariate analysis and ordinal logistic regression were used to identify factors associated with the co-occurrence of myopia and obesity.Results At baseline,the prevalence of co-occurred myopia and obesity was 2.56%(41/1600),increased to 18.13%(290/1600)at follow-up.Among 905 healthy children at baseline,6.08%(55/905)developed co-occurred myopia and obesity during follow-up.Multivariate analysis showed that longer outdoor time after school(OR=0.99,P=0.02)and living in suburban areas(OR=0.54,P<0.01)were associated with a lower risk,while having both parents with myopia significantly increased the risk(OR=1.69,P<0.01).Conclusions The co-occurrence of myopia and obesity in school-aged children and adolescents is an emerging public health concern.Both behavioral and environmental factors contribute to its development.Early identification of high-risk populations and integrated interventions targeting shared risk factors are essential for coordinated prevention of these chronic conditions.
作者
杨金柳行
戚紫怡
张波
陈军
王天笑
杜林琳
何鲜桂
王菁菁
YANG Jinliuxing;QI Ziyi;ZHANG Bo;CHEN Jun;WANG Tianxiao;DU Linlin;HE Xiangui;WANG Jingjing(Shanghai Eye Diseases Prevention&Treatment Center/Shanghai Eye Hospital Affiliated to Tongji University/National Clinical Research Center for Eye Diseases,Shanghai 200331,China;National Clinical Research Center for Eye Diseases/Shanghai General Hospital/School of Medicine,the First Affiliated Hospital of Shanghai Jiao Tong University,Shanghai 200080,China)
出处
《中国校医》
2025年第8期597-604,共8页
Chinese Journal of School Doctor
基金
国家自然科学基金项目(82273648)
上海市科学技术委员会优秀学术带头人计划(22XD1422900)
上海市卫生健康委员会学科带头人人才计划(2022XD032)
上海市第六轮公共卫生体系建设三年行动计划重点学科建设项目(GWVI-11.1-30)
上海市第六轮公共卫生体系建设三年行动计划项目(GWVI-7)
上海市卫健委卫生行业临床研究专项面上项目(202340065)
上海市卫健委上海市公共卫生优秀人才培养计划(GWVI-11.2-YQ27)
上海市卫健委上海市健康科普青年英才能力提升专项(JKKPYC-2023-1310)。
关键词
学龄期儿童
近视
肥胖
共病
影响因素
School-aged children
Myopia
Obesity
Co-occurrence
Influencing factors
