CAJ | 학술논문

目的分析身高、体重和体重指数(BMI)等人体测量参数对青少年眼轴长度和屈光度等眼生物学参数的影响.方法横断面研究.选择河南安阳市某中学初一年级的两个班学生共101人(12.9±0.6岁)进行问卷调查,内容包括近距离用眼情况、近视家族史及父母月经济收入等,并对其进行眼生物学测量、散瞳电脑验光及检影验光,测定身高、体重和腰围等.计算BMI及眼轴长度(AL)与角膜曲率半径(CR)之比(AL/CR).对参数间的关联性进行双变量直线相关分析和多重线性回归分析.结果入选初一学生总的近视比例为73.3％,男生为63.6％,女生为80.2％,轻、中和高度近视的比例分别为35.5％、33.7％和4.1％.在校正年龄、性别、近距离用眼时间、近视家族史及父母月经济收入后,体重越重的学生眼轴越长(r=0.269,P＜0.05),近视度数越高(r=-0.313,P＜0.05)；BMI越大的学生近视度数越高(r=-0.313,P＜0.05)；身高、腰围与眼生物学参数及屈光度均没有关联性.结论青少年的体重及BMI与眼轴长度及屈光度存在一定的关联性.
목적 분석신고、체중화체중지수(BMI)등인체측량삼수대청소년안축장도화굴광도등안생물학삼수적영향.방법 횡단면연구.선택하남안양시모중학초일년급적량개반학생공101인(12.9±0.6세)진행문권조사,내용포괄근거리용안정황、근시가족사급부모월경제수입등,병대기진행안생물학측량、산동전뇌험광급검영험광,측정신고、체중화요위등.계산BMI급안축장도(AL)여각막곡솔반경(CR)지비(AL/CR).대삼수간적관련성진행쌍변량직선상관분석화다중선성회귀분석.결과 입선초일학생총적근시비례위73.3％,남생위63.6％,녀생위80.2％,경、중화고도근시적비례분별위35.5％、33.7％화4.1％.재교정년령、성별、근거리용안시간、근시가족사급부모월경제수입후,체중월중적학생안축월장(r=0.269,P＜0.05),근시도수월고(r=-0.313,P＜0.05)；BMI월대적학생근시도수월고(r=-0.313,P＜0.05)；신고、요위여안생물학삼수급굴광도균몰유관련성.결론 청소년적체중급BMI여안축장도급굴광도존재일정적관련성.
Objective To analyze the relationship of height,weight,body mass index and other anthropometric parameters to eye refraction,axial length and other biological parameters of the eye in youths.Methods It was a cross-sectional study.One hundred and one first-year students (12.9±0.7 years of age) were selected from 2 classes in a middle school in Anyang City of Henan Province.A questionnaire survey was conducted that included near work time,family history of myopia,parental income,etc.Biological eye measurements,autorefraction under cycloplegia,retinoscopy,and axial length to corneal curvature radius (AL/CR) were taken and height,weight,waist circumference,and body mass index (BMI) were measured and calculated.Correlations between the parameters were analyzed using bivariate linear correlation analysis and multiple linear regression analysis.Results The myopia rate of the selected first-year students in junior middle school was 73.3％,with 63.6％ for boys and 80.2％ for girls.The mild,moderate and high myopia rates were 35.5％,33.7％ and 4.1％,respectively.After adjustment for age,gender,near work time and family history of myopia,the heavier students had longer axial lengths (r=0.269,P＜0.05) and higher degrees of myopia (r=-0.313,P＜0.05); the more obese students (greater BMI value) had higher degrees of myopia (r=-0.313,P＜0.05).No associations were found between height or waist circumference and ocular biological parameters or refraction.Conclusion There were some correlations between weight,body mass index and axial length,and refraction in junior middle school students.