[1]谢小莲,陈启,李静,等.基于LASSO回归的宁夏回族自治区不同学段儿童青少年近视影响因素分析[J].眼科新进展,2024,44(7):549-553.[doi:10.13389/j.cnki.rao.2024.0106]
 XIE Xiaolian,CHEN Qi,LI Jing,et al.Analysis of the influencing factors of myopia among children and adolescents in different school age groups in Ningxia Hui Autonomous Region based on the least absolute shrinkage and selection operator regression model[J].Recent Advances in Ophthalmology,2024,44(7):549-553.[doi:10.13389/j.cnki.rao.2024.0106]
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基于LASSO回归的宁夏回族自治区不同学段儿童青少年近视影响因素分析/HTML
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
44卷
期数:
2024年7期
页码:
549-553
栏目:
应用研究
出版日期:
2024-07-01

文章信息/Info

Title:
Analysis of the influencing factors of myopia among children and adolescents in different school age groups in Ningxia Hui Autonomous Region based on the least absolute shrinkage and selection operator regression model
作者:
谢小莲陈启李静马娟王飞赵海萍曹娟
750004 宁夏回族自治区银川市,宁夏医科大学公共卫生学院(谢小莲,陈启,李静,马娟,王飞,赵海萍,曹娟);750002 宁夏回族自治区银川市,中国人民武装警察部队宁夏回族自治区总队医院消毒供应室(谢小莲);750004 宁夏回族自治区银川市,宁夏医科大学临床医学院(陈启)
Author(s):
XIE Xiaolian12CHEN Qi13LI Jing1MA Juan1WANG Fei1ZHAO Haiping1CAO Juan1
1.School of Public Health,Ningxia Medical University,Yinchuan 750004,Ningxia Hui Autonomous Region,China
2.Central Sterile Supply Department,Ningxia People’s Armed Police Corps Hospital,Yinchuan 750002,Ningxia Hui Autonomous Region,China
3.School of Clinical Medicine,Ningxia Medical University,Yinchuan 750004,Ningxia Hui Autonomous Region,China
关键词:
近视学段儿童青少年LASSO回归
Keywords:
myopia school age groups children and adolescents least absolute shrinkage and selection operator regression
分类号:
R778.1
DOI:
10.13389/j.cnki.rao.2024.0106
文献标志码:
A
摘要:
目的 分析宁夏回族自治区儿童青少年近视流行现状、影响因素及不同学段间的差异。
方法 采用分层整群随机抽样的方法,于2019年9月至12月,在宁夏回族自治区银川市、吴忠市、石嘴山市、固原市和中卫市,随机抽取8所小学、6所初中、6所高中、4所大学的学生为研究对象,小学每个年级抽取5个班级,初中至大学每个年级抽取4个班级,以抽取班级的全体学生作为研究对象,共抽取学生14 211人,对其进行问卷调查、体格检查和视力测量。不同学段儿童近视的影响因素采用最小绝对收缩和选择算子(LASSO)联合Logistic回归进行分析,选择贝叶斯信息准则(Bayesian information criterion,BIC)最小的模型为最优模型。
结果 宁夏回族自治区儿童青少年近视检出率为70.3%,女生高于男生,城市高于乡镇,差异均有统计学意义(均为P<0.001);按学段分层后,随着年级的增加,近视检出率随之升高,小学最低,大学最高,不同学段近视检出率差异有统计学意义(P<0.001)。近视影响因素的LASSO-Logistic回归分析表明,城乡、性别、年龄、目前是否配戴眼镜、每日课间操节数、是否积极参加体力活动和过去6个月是否保持规律活动是小学生近视的影响因素(均为P<0.05);性别、目前是否配戴眼镜是初中生和高中生近视的影响因素(均为P<0.05);目前是否配戴眼镜是大学生近视的影响因素(P<0.05)。
结论 宁夏回族自治区儿童青少年近视检出率高,不同学段儿童青少年近视影响因素差异明显。配戴眼镜是控制近视的保护因素。应根据儿童青少年所处学段开展有针对性的视力相关知识的健康教育,增强其健康保健意识,提高儿童青少年视力。
Abstract:
Objective To analyze the prevalence status, influencing factors, and differences among different school age groups of myopia in children and adolescents in Ningxia Hui Autonomous Region.
Methods From September to December 2019, in Yinchuan, Wuzhong, Shizuishan, Guyuan and Zhongwei of Ningxia, 8 primary schools, 6 junior high schools, 6 senior high schools and 4 universities were randomly selected by stratified cluster random sampling. Five classes were selected from each grade of primary school, and four classes were selected from each grade of junior high school to university. All students in the selected classes were included in the study. A total of 14 211 students were selected for questionnaire survey, physical examination and visual acuity measurement. The influencing factors of myopia in children of different grades were analyzed using the least absolute shrinkage and selection operator (LASSO) and logistic regression, and the model with the smallest Bayesian information criterion (BIC) was selected as the optimal model.
Results The detection rate of myopia in children and adolescents in Ningxia Hui Autonomous Region was 70.3 %. The detection rate of myopia in girls was higher than that in boys, and that in cities was higher than that in towns, with statistically significant differences (both P<0.001). Compared with primary school students, the detection rate of myopia in junior high school students, senior high school students and college students gradually increased, and that in the college students was the highest, with statistically significant differences among different grades (all P<0.001). The LASSO-logistic regression analysis of the influencing factors of myopia showed that urban and rural areas, gender, age, whether or not to wear glasses at present, the number of daily break exercises, whether or not to actively participate in physical activities, and whether or not to maintain regular exercises in the past 6 months were the influencing factors of myopia in primary school students (all P<0.05). Gender and whether or not to wear glasses at present were the influencing factors of myopia in junior high school students and senior high school students (all P<0.05). Whether or not to wear glasses at present was the influencing factor of myopia in college students (P<0.05).
Conclusion The detection rate of myopia in children and adolescents in Ningxia Hui Autonomous Region is high, and there are significant differences in the influencing factors of myopia among different age groups of children and adolescents. Wearing glasses is a protective factor to control myopia. Targeted health education on vision should be provided based on the academic stage of children and adolescents to enhance their awareness of health care and improve their visual health.

参考文献/References:

[1] BREMOND-GIGNAC D.Myopia in children[J].Med Sci,2020,36(8-9):763-768.
[2] HAARMAN A E G,ENTHOVEN C A,TIDEMAN J W L,TEDJA M S,VERHOEVEN V J M,KLAVER C C W.The complications of myopia:a review and meta-analysis[J].Invest Ophthalmol Vis Sci,2020,61(4):49.
[3] SHAH R L,HUANG Y,GUGGENHEIM J A,WILLIAMS C.Time outdoors at specific ages during early childhood and the risk of incident myopia[J].Invest Ophthalmol Vis Sci,2017,58(2):1158-1166.
[4] CAI X B,SHEN S R,CHEN D F,ZHANG Q,JIN Z B.An overview of myopia genetics[J].Exp Eye Res,2019,188:107778.
[5] WANG Y X,WANG T,ZHAO J J,HUI T,SHI W.Analysis of the current status and genetic factors of myopia among children and adolescents in Shaanxi Province[J].Cap J Public Health,2023,17(3):161-163.
[6] ZHUANG M,XIE H,ZHANG Y,LI S,XIAO P,JIANG Y,et al.Prevalence and influence factors for myopia and high myopia in schoolchildren in Shandong,China[J].Cent Eur J Public Health,2022,30(3):190-195.
[7] 王炳南,王丽娟,陈如专,周玉兰.儿童青少年睡眠与近视关系的研究进展[J].中国学校卫生,2020,41(2):313-316.
WANG B N,WANG L J,CHEN R Z,ZHOU Y L.Research progress on the relationship between sleep and myopia in children and adolescents[J].Chin J Sch Health,2020,41(2):313-316.
[8] ZHANG Y,SU M,SUN Y,QI L,GAO L,WU X,et al.Clouclip combined with a questionnaire on the influence factors of myopia in children[J].Front Pediatr,2023,11:1228257.
[9] CHEN S,LI L,HE L,XIONG S,DU N,CHEN H,et al.Establishment and validation of a risk assessment model for myopia among Chinese primary school students during the COVID-19 pandemic:a lasso regression approach[J].Heliyon,2023,9(10):e20638.
[10] 刘灵琳,吴峥峥,李冬锋,杨吟.成都和绵阳地区青少年近视患病率及影响因素分析[J].国际眼科杂志,2019,19(7):1196-1200.
LIU L L,WU Z Z,LI D F,YANG Y.Prevalence and influencing factors of myopia between adolescents in Chengdu and Mianyang Area[J].Int Eye Sci,2019,19(7):1196-1200.
[11] WANG Q,QIAO W,ZHANG H,LIU B,LI J,ZANG C,et al.Nomogram established on account of Lasso-Cox regression for predicting recurrence in patients with early-stage hepatocellular carcinoma[J].Front Immunol,2022,13:1019638.
[12] MORGAN I G,FRENCH A N,ASHBY R S,GUO X,DING X,HE M,et al.The epidemics of myopia:aetiology and prevention[J].Prog Retin Eye Res,2018,62:134-149.
[13] FRIEL C P,DURAN A T,SHECHTER A,DIAZ K M.U S.children meeting physical activity,screen time,and sleep guidelines[J].Am J Prev Med,2020,59(4):513-521.
[14] SANKARIDURG P.Contact lenses to slow progression of myopia[J].Clin Exp Optom,2017,100(5):432-437.
[15] LIU X,WANG P,XIE Z,SUN M,CHEN M,WANG J,et al.One-year myopia control efficacy of cylindrical annular refractive element spectacle lenses[J].Acta Ophthalmol,2023,101(6):651-657.
[16] LAM C S,TANG W C,LEE P H,ZHANG H Y,QI H,HASEGAWA K,et al.Myopia control effect of defocus incorporated multiple segments (DIMS) spectacle lens in Chinese children:results of a 3-year follow-up study[J].Br J Ophthalmol,2022,106(8):1110-1114.
[17] WALLINE J J,WALKER M K,MUTTI D O,JONES-JORDAN L A,SINNOTT L T,GIANNONI A G,et al.Effect of high add power,medium add power,or single-vision contact lenses on myopia progression in children:the BLINK randomized clinical trial[J].JAMA,2020,324(6):571-580.
[18] 中华人民共和国教育部.儿童青少年近视防控光明行动工作方案(2021-2025年)[J].眼科新进展,2021,41(6):599-600.
Ministry of Education of the People’s Republic of China.Bright action plan for the prevention and control of myopia in children and adolescents(2021-2025)[J].Rec Adv Ophthalmol,2021,41(6):599-600.

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备注/Memo

备注/Memo:
宁夏回族自治区自然科学基金(编号:2023AAC03226);宁夏医科大学2022年校级特殊人才启动项目(编号:XT2022010)
更新日期/Last Update: 2024-07-05