Tao Li1,2, Ting Wan1, Xiaoqian Yao1, Huihong Qi3, Xuefeng Chen3, Man She1, Qianqian Hu1, Xiaodong Zhou4,5. 1. Department of Ophthalmology, Jinshan Hospital of Fudan University, 1508 Longhang Road, Shanghai, 201508, China. 2. Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, China. 3. Center of Eye Disease Prevention, Jinshan District, Shanghai, China. 4. Department of Ophthalmology, Jinshan Hospital of Fudan University, 1508 Longhang Road, Shanghai, 201508, China. xdzhou_2013@163.com. 5. Center of Eye Disease Prevention, Jinshan District, Shanghai, China. xdzhou_2013@163.com.
Abstract
PURPOSE: To evaluate the time trend of axial length (AL) and associated factors in 4- and 5-year-old children in Shanghai from 2013 to 2019. METHODS: This was a 7-year observational study of 985 four-year-old and 1059 five-year-old children in Shanghai. AL, horizontal and vertical corneal curvature, spherical equivalent (SE), and body height and weight were measured. Furthermore, a questionnaire was collected, including time outdoors and bad eyesight habits. RESULTS: In 4-year-old children, no significant difference was found in AL (P = 0.526), but significant differences were observed in SE (P = 0.001), horizontal corneal curvature (P = 0.006), vertical corneal curvature (P = 0.004), height (P < 0.001), and weight (P = 0.022) from 2013 to 2019. In 5-year-old children, no significant differences were found in AL (P = 0.304), SE (P = 0.200), or weight (P = 0.292), but significant differences were observed in horizontal corneal curvature (P = 0.040), vertical corneal curvature (P = 0.015), and height (P < 0.001) from 2013 to 2019. Multivariate analyses revealed that AL was mainly significantly associated with boys and time outdoors in the 4- and 5-year-old children. CONCLUSIONS: The AL of 4- and 5-year-old children remained relatively stable in Shanghai from 2013 to 2019. Longitudinal studies are needed to confirm the relationship between AL elongation and environmental risk factors.
PURPOSE: To evaluate the time trend of axial length (AL) and associated factors in 4- and 5-year-old children in Shanghai from 2013 to 2019. METHODS: This was a 7-year observational study of 985 four-year-old and 1059 five-year-old children in Shanghai. AL, horizontal and vertical corneal curvature, spherical equivalent (SE), and body height and weight were measured. Furthermore, a questionnaire was collected, including time outdoors and bad eyesight habits. RESULTS: In 4-year-old children, no significant difference was found in AL (P = 0.526), but significant differences were observed in SE (P = 0.001), horizontal corneal curvature (P = 0.006), vertical corneal curvature (P = 0.004), height (P < 0.001), and weight (P = 0.022) from 2013 to 2019. In 5-year-old children, no significant differences were found in AL (P = 0.304), SE (P = 0.200), or weight (P = 0.292), but significant differences were observed in horizontal corneal curvature (P = 0.040), vertical corneal curvature (P = 0.015), and height (P < 0.001) from 2013 to 2019. Multivariate analyses revealed that AL was mainly significantly associated with boys and time outdoors in the 4- and 5-year-old children. CONCLUSIONS: The AL of 4- and 5-year-old children remained relatively stable in Shanghai from 2013 to 2019. Longitudinal studies are needed to confirm the relationship between AL elongation and environmental risk factors.
Entities:
Keywords:
Associated factors; Axial length; Preschool-age children; Time trend
Authors: Elvis Ojaimi; Dana Robaei; Elena Rochtchina; Kathryn A Rose; Ian G Morgan; Paul Mitchell Journal: Am J Ophthalmol Date: 2005-09 Impact factor: 5.258
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