Associations between the status of sugar-sweetened beverage intake and myopia in children and adolescents in Baoan District of Shenzhen City
ZONG Zhiqiang1, ZHAO Mengjie2, ZHU Yi2,3, SUN Jian4, WANG Xi4, XU Shaojun2,3
1. The Second School of Clinical Medicine, Anhui Medical University, Hefei, Anhui 230032, China; 2. School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China; 3. Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University/MOE Key Laboratory of Population Health Across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, Anhui 230032, China; 4. Baoan District Center for Disease Control and Prevention, Shenzhen, Guangdong 518101, China
Abstract：Objective To analyze the associations between sugar-sweetened beverage intake frequency and myopia and their differences in the segments of school education among children and adolescents. Methods A stratified cluster sampling method was used to select 30,188 children and adolescents from 14 schools in six streets, Xixiang, Songgang, Shiyan, Fuyong, Shajing and Xin’an, in Bao’an District of Shenzhen. A questionnaire was used to investigate the children’s and adolescents’ demographic characteristics, myopia and frequency of sugar-sweetened beverage intake in the last month. χ2 test and logistic regression model were employed to analyze the relationships between sugar-sweetened beverage intake frequency and myopia in the children and adolescents. Results Among the 30,188 children and adolescents, the myopia rate was 49.8%. After controlling for gender, the segments of school education, parental education level, and parental myopia, the results of logistic analysis revealed that compared with having almost no sugar-sweetened beverage intake, the OR(95%CI) values for myopia in children and adolescents who consumed sugary carbonated beverages, sugary tea beverages and sugary coffee beverages ≥ 4 times per week were 1.18 (1.07-1.31), 1.16 (1.06-1.27) and 1.25 (1.09-1.42) respectively. The results of stratified analysis based on the segments of school education displayed that the OR(95%CI) values for myopia in pupils from grades 1-3 who consumed sugary carbonatedbeverages, sugary tea beverages and sugary coffee beverages ≥ 4 times per week were 2.32 (1.37-3.93), 2.29 (1.38-3.80) and 6.14 (2.75-13.71) respectively. The OR(95%CI) values for myopia in pupils from grades 4-6 who consumed sugary carbonated beverages, sugary tea beverages and sugary coffee beverages ≥ 4 times per week were 1.78 (1.44-2.21), 1.51 (1.24-1.84) and 3.22 (2.17-4.79) respectively. No statistically significant differences were observed in the associationsof the frequency of sugary carbonated beverages, sugary tea beverages and sugary coffee beverages intake with myopia between junior and senior high school students. Conclusion The frequency of sugar-sweetened beverage intake is positively associated with myopia in children and adolescents from primary schools. Pupils with higher frequency of sugar-sweetened beverage intake have a higher risk of myopia. As for early prevention and control of myopia, the intake of sugar-sweetened beverages should be restricted.
宗志强, 赵梦洁, 朱懿, 孙健, 王熙, 许韶君. 深圳市宝安区儿童青少年含糖饮料摄入状况与近视的关联[J]. 实用预防医学, 2023, 30(9): 1036-1040.
ZONG Zhiqiang, ZHAO Mengjie, ZHU Yi, SUN Jian, WANG Xi, XU Shaojun. Associations between the status of sugar-sweetened beverage intake and myopia in children and adolescents in Baoan District of Shenzhen City. , 2023, 30(9): 1036-1040.
[1] Holden BA,Fricke TR,Wilson DA,et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050[J]. Ophthalmology, 2016,123(5):1036-1042. [2] 陶芳标.学校—学生—学业联动是打好儿童青少年近视防控攻坚战的基石[J].中国学校卫生,2019,40(1):3-6. [3] 王宏亮, 甘倩, 张倩.控制儿童青少年含糖饮料消费国际策略研究进展[J].中国学校卫生,2021,42(3):471-475,480. [4] Hwang HS, Chun MY, Kim JS,et al. Risk factors for high myopia in Koreans: the Korea national health and nutrition examination survey[J]. Curr Eye Res,2018,43(8):1052-1060. [5] 王仁杰, 张强, 伍晓艳,等. 深圳市6～18岁儿童青少年随迁时间与近视的关联研究[J].中华预防医学杂志,2021,55(4):460-464. [6] 颜虹,徐勇勇.医学统计学[M].第3版.北京:人民卫生出版社, 2015:15-36. [7] Seferidi P, Millett C, Laverty AA. Sweetened beverage intake in association to energy and sugar consumption and cardiometabolic markers in children[J]. Pediatr Obes,2018,13(4):195-203. [8] George A,Villarosa AR,Ingram S,et al. Oral health status, behaviours, food and beverage consumption of aboriginal children in Australia[J]. Health Promot J Austr,2021, 32(2):208-215. [9] Zhang N, Morin C, Guelinckx I, et al. Fluid intake in urban China: results of the 2016 Liq.In7 national cross-sectional surveys[J]. Eur J Nutr,2018,57(Suppl 3):77-88. [10] 中国营养学会. 中国居民膳食指南[EB/OL].(2022-04-29)[2022-10-29].http://dg.cnsoc.org/article/04/J4-AsD_DR3OLQMnHG0-jZA.html. [11] 国家卫生健康委员会办公厅.关于印发儿童青少年肥胖防控实施方案的通知[EB/OL].(2020-10-16)[2022-10-29].http://www.moe.gov.cn/jyb_xxgk/moe_1777/moe_1779/202010/t20201026_496590.html. [12] 程天宇,何鲜桂,汪玲.青少年屈光发育与青春期生长发育的研究进展[J].上海预防医学,2019,31(5):338-343. [13] 符文雅,王丽卿,吴挺利,等. 海南省城乡中小学生近视现况及其差异性分析[J].实用预防医学,2022,29(10):1172-1176. [14] Li M, Tan CY, Foo LL, et al. Dietary intake and associations with myopia in Singapore children[J].Ophthalmic Physiol Opt,2022,42(2):319-326. [15] Chiang SY, Weng TH, Lin CM. Ethnic disparity in prevalence and associated risk factors of myopia in adolescents[J]. J Formos Med Assoc,2020,119(1):134-143. [16] Handa S, Chia A, Htoon HM, et al. Myopia in young patients with type 1 diabetes mellitus[J]. Singapore Med J, 2015,56(8):450-454. [17] 於亭,宋继科,毕宏生,等. 高糖饮食与近视相关信号通路关系的研究[J].眼科新进展,2020,40(8):789-792. [18] 吕秀芳,张莉,杨浩江,等.儿童近视与IGF1及IGFBP-3的相关研究[J].国际眼科杂志,2012,12(6):1073-1075. [19] Ritchey ER, Zelinka CP, Tang J, et al. The combination of IGF1 and FGF2 and the induction of excessive ocular growth and extreme myopia[J].Exp Eye Res,2012,7(99):1-16. [20] Cheng T,Wang J,Xiong S,et al. Association of IGF1 single-nucleotide polymorphisms with myopia in Chinese children[J]. PEER J,2020,1(8):436-446.
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