부산, 울산 및 경상남도 만 19세 남자의 고도근시 유병률
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this study was to estimate the prevalence and correlated factors of high myopia in 19 year-old men in Southeast Korea. Methods: This retrospective study was based on the medical checkup data of conscription during 2005. The study subjects were 19 years old men in Busan, Ulsan and Gyeongsangnam-do. The health checkup data of the conscripts consisted of noncycloplegic autorefraction test, the biometric data and social factors. To analyze the social and biometric effects, we classified the biometric factors into 4 or 5 groups and the social factors into 3 groups. High myopia was defined as a spherical equivalent of under -6.0 diopter. Data analysis was performed using the chi square test for trends and multiple logistic regression analysis. The SAS(version 9.1) program was used for all the analyses. Results: The prevalence of high myopia was 12.39% (6256 / 50 508). The factors correlated with high myopia were the residence area (OR, 2.07; 95% CI, 1.77 to 2.4 for small city; OR, 2.01; 95% CI, 1.72 to 2.34 for metropolis; the reference group was rural area), academic achievement (OR, 1.43; 95% CI, 1.34 to 1.53 for students of 4-and 6-year-course university;the reference group was high school graduates & under) and blood pressure (OR, 1.54; 95% CI, 1.10 to 2.16 for hypertension;OR, 1.09; 95% CI, 1.02 to 1.17 for prehypertension; OR, 1.10; 95% CI, 1.01 to 1.20 for hypotension; the reference group was normal blood pressure). Conclusions: More than one tenth of the young men were high myopia as one of the risk factor for visual loss. Further studies on high myopia and its complications are needed to improve eye health in Southeast Korea.
Abstract
Objectives: The purpose of this study was to estimate the prevalence and correlated factors of high myopia in 19 year-old men in Southeast Korea. Methods: This retrospective study was based on the medical checkup data of conscription during 2005. The study subjects were 19 years old men in Busan, Ulsan and Gyeongsangnam-do. The health checkup data of the conscripts consisted of noncycloplegic autorefraction test, the biometric data and social factors. To analyze the social and biometric effects, we classified the biometric factors into 4 or 5 groups and the social factors into 3 groups. High myopia was defined as a spherical equivalent of under -6.0 diopter. Data analysis was performed using the chi square test for trends and multiple logistic regression analysis. The SAS(version 9.1) program was used for all the analyses. Results: The prevalence of high myopia was 12.39% (6256 / 50 508). The factors correlated with high myopia were the residence area (OR, 2.07; 95% CI, 1.77 to 2.4 for small city; OR, 2.01; 95% CI, 1.72 to 2.34 for metropolis; the reference group was rural area), academic achievement (OR, 1.43; 95% CI, 1.34 to 1.53 for students of 4-and 6-year-course university;the reference group was high school graduates & under) and blood pressure (OR, 1.54; 95% CI, 1.10 to 2.16 for hypertension;OR, 1.09; 95% CI, 1.02 to 1.17 for prehypertension; OR, 1.10; 95% CI, 1.01 to 1.20 for hypotension; the reference group was normal blood pressure). Conclusions: More than one tenth of the young men were high myopia as one of the risk factor for visual loss. Further studies on high myopia and its complications are needed to improve eye health in Southeast Korea.
참고문헌 (37)
- Vaughan D, "General ophthalmology. 15th ed", pp.354~361 (1999), Appleton & Lange
- Saw SM, "Epidemiology of myopia", Epidemiol Rev, 18(2), pp.175~187 (1996)
- Wu HM, "Does education explain ethnic differences in myopia prevalence? A population-based study of young adult males in Singapore", Optom Vis Sci, 78(4), pp.234~239 (2001)
- Lin LL, "Epidemiologic study of ocular refraction among schoolchildren in Taiwan in 1995", Optom Vis Sci, 76(5), pp.275~281 (1999)
- 강신희, "대한민국 만19세 남자의 근시 유병율: 유병율과 교육수준 및 도시화의 관계", 대한안과학회지, 45(12), pp.18~18 (2004), 대한안과학회
- 이상준, "2002년 부산, 울산 및 경상남도 19세 남자의 근시 유병률", 대한안과학회지, 50(9), pp.1392~1403 (2009), 대한안과학회
- The report of the 2008 Korean National Health and Nutrition Survey, "Ministry of Health and Social Welfare", Ministry of Health and Social Welfare, ~ (2008)
- Lam DS, "The effect of parental history of myopia on children’s eye size and growth: results of a longitudinal study", Invest Ophthalmol Vis Sci, 49(3), pp.873~876 (2008)
- Hammond CJ, "Genes and environment in refractive error: the twin eye study", Invest Ophthalmol Vis Sci, 42(6), pp.1232~1236 (2001)
- Pärssinen O, "Myopia and myopic progression among schoolchildren: a three-year follow-up study", Invest Ophthalmol Vis Sci, 34(9), pp.2794~2802 (1993)
- Saw SM, "Near-work activity, night-lights, and myopia in the Singapore-China study", Arch Ophthalmol, 120(5), pp.620~627 (2002)
- Saw SM, "IQ and the association with myopia in children", Invest Ophthalmol Vis Sci, 45(9), pp.2943~2948 (2004)
- Teasdale TW, "Degree of myopia in relation to intelligence and educational level", Lancet, 2(8624), pp.1351~1354 (1988)
- Ojaimi E, "Effect of stature and other anthropometric parameters on eye size and refraction in a population-based study of Australian children", Invest Ophthalmol Vis Sci, 46(12), pp.4424~4429 (2005)
- Curtin BJ, "The myopias; basic science and clinical management", pp.237~238 (1985), Harper & Row
- Katz J, "Prevalence and risk factors for refractive errors in an adult inner city population", Invest Ophthalmol Vis Sci, 38(2), pp.334~340 (1997)
- Javitt JC, "The socioeconomic aspects of laser refractive surgery", Arch Ophthalmol, 112(12), pp.1526~1530 (1994)
- Chobanian AV, "The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure : the JNC 7 report", JAMA, 289(19), pp.2560~2572 (2003)
- The Asia-Pacific perspective: refinding obesity and its treatment, "World Health Organization", WHO, ~ (2000)
- Jacobsen N, "Prevalence of myopia in Danish conscripts", Acta Ophthalmol Scand, 85(2), pp.165~170 (2007)
- Wong TY, "Prevalence and risk factors for refractive errors in adult Chinese in Singapore", Invest Ophthalmol Vis Sci, 41(9), pp.2486~2494 (2000)
- Guggenheim JA, "The heritability of high myopia: a reanalysis of Goldschmidt’s data", J Med Genet, 37(3), pp.227~231 (2000)
- Farbrother JE, "Family aggregation of high myopia: estimation of the sibling recurrence risk ratio", Invest Ophthalmol Vis Sci, 45(9), pp.2873~2878 (2004)
- Liang CL, "Impact of family history of high myopia on level and onset of myopia", Invest Ophthalmol Vis Sci, 45(10), pp.3446~3452 (2004)
- Saw SM, "Academic achievement, close up work parameters and myopia in Singapore military conscripts", Br J Ophthalmol, 85(7), pp.855~860 (2001)
- Wong TY, "The eye in hypertension", Lancet, 369(9559), pp.425~435 (2007)
- Hennis A, "Barbados Eye Studies Group. Hypertension, diabetes, and longitudinal changes in intraocular pressure", Ophthalmoloy, 110(5), pp.908~914 (2003)
- Klein BE, "Intraocular pressure and systemic blood pressure: longitudinal perspective: the Beaver Dam Eye Study", Br J Ophthalmol, 89(3), pp.284~287 (2005)
- Curtin BJ, "The myopias; basic science and clinical management", pp.277~385 (1985), Harper & Row
- Lee AJ, "Intraocular pressure associations with refractive error and axial length in children", Br J Ophthalmol, 88(1), pp.5~7 (2004)
- Schmid KL, "Relationship between intraocular pressure and eye growth in chick", Ophthalmic Physiol Opt, 23(1), pp.25~33 (2003)
- McBrien NA, "Role of the sclera in the development and pathological complications of myopia", Prog Retin Eye Res, 22(3), pp.307~338 (2003)
- Rada JA, "The sclera and myopia", Exp Eye Res, 82(2), pp.185~200 (2006)
- Liang CL, "Evaluation of MMP3 and TIMP1 as candidate genes for high myopia in young Taiwanese men", Am J Ophthalmol, 142(3), pp.518~520 (2006)
- Memarzadeh F, "Los Angeles Latino Eye Study Group. Blood pressure, perfusion pressure and open angle glaucoma: the Los Angeles Latino Eye Study", Invest Ophthalmol Vis Sci, 51(6), pp.2872~2877 (2010)
- Dirani M, "Body stature and myopia-The Genes in Myopia(GEM) twin study", Ophthalmic Epidemiol, 15(3), pp.135~139 (2008)
- Shiose Y, "Intraocular pressure: new perspectives", Surv Ophthalmol, 34(6), pp.413~435 (1990)