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影响因素与中国大学生高近视相关
Weiran Zhang1, Xiaoyun Hou1, Chang Li1
1Tianjin 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, China.
Frontiers in medicine
|July 10, 2023
概括
中国大学生高近视与视网膜内血管密度,光盘毛细血管密度以及智能手机使用和睡眠习惯等生活方式因素有关. 这五个因素可以预测高近视风险.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 生物医学工程 生物医学工程
背景情况:
- 高近视 (HM) 导致不可逆转的 fundus 损伤和视力损伤,在中国构成重大公共卫生挑战.
- 了解HM在大学生中的影响因素至关重要,因为它们在国家发展中的重要作用.
研究的目的:
- 确定与中国大学生高近视相关的因素.
- 在这个人群中开发出高近视风险的预测模型.
主要方法:
- 一项涉及96名中国大学生 (186只眼睛) 的横截面观测研究,分为非HM和HM组.
- 光学连贯断层扫描血管造影 (OCTA) 评估了黄斑和光盘血管密度和结构.
- 通过问卷来评估生活方式和学习习惯.
主要成果:
- 在各组之间确定了10个统计学上显著的因素,包括血液动力学,解剖学和生活方式指标.
- 内视网膜黄斑血管密度,光盘辐射周毛细血管密度,智能手机使用,在工作附近连续工作和晚睡是关键预测因素 (AUC > 0.700).
- 结合这五个因素的预测模型实现了0.940.0的AUC.
结论:
- 内视网膜黄斑血管密度,光盘毛细血管密度,智能手机使用,连续在工作附近,晚睡被确定为中国大学生中HM的关键影响因素.
- 结合这些因素的新型预测模型可以估计HM的可能性.
- 这些发现支持有针对性的生活方式干预和医疗建议,以减轻HM风险.
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