Current status and influencing factors of insufficient hyperopia reserve in preschool children
10.3980/j.issn.1672-5123.2025.6.28
- VernacularTitle:学龄前期儿童远视储备不足现状及影响因素分析
- Author:
Xiaofang HU
1
,
2
;
Yan HAN
1
,
2
;
Min ZHANG
1
,
2
;
Jialu HOU
1
,
2
;
Qiaoqian WANG
1
,
2
;
Yanyan LUO
1
,
2
Author Information
1. School of Nursing, Xinxiang Medical University, Xinxiang 453000, Henan Province, China
2. Department of Nursing, Changzhi People's Hospital, Changzhi 046000, Shanxi Province, China
- Publication Type:Journal Article
- Keywords:
preschool children;
insufficient hyperopia reserve;
current status;
influencing factors;
cross-sectional study
- From:
International Eye Science
2025;25(6):1026-1032
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To analyze the current status and influencing factors for insufficient hyperopia reserve in preschool children from Changzhi City, Shanxi Province, and to provide reference and basis for myopia prevention and control in this district.METHODS: A stratified cluster random sampling strategy was used to select 2 854 preschool children(5 708 eyes)from 29 child-care centers in Changzhi City between January and May 2024. Hyperopia reserve was assessed through measurements and questionnaire surveys. Totally 2 820 cases(5 640 eyes)were finally included, with 34 cases excluded(32 cases of uncooperativeness and 2 cases of distractibility). The univariate analysis and multivariate Logistic regression were performed to analyze the associated influencing factors of insufficient hyperopia reserve.RESULTS: A total of 580 preschool children with insufficient hyperopia reserve were detected, with an incidence of 20.57%. Logistic regression analysis revealed that male(OR=1.723, 95% CI: 1.419-2.093), maternal myopia(OR=2.210, 95% CI: 1.681-2.906), paternal myopia(OR=1.426, 95% CI: 1.059-1.921), myopia in both parents(OR=2.761, 95% CI: 2.110-3.612), preterm infants(OR=1.740, 95% CI: 1.294-2.342), the mean daily sleep duration <10 h(OR=1.272, 95% CI: 1.024-1.579), and the mean daily outdoor activity time <2 h(OR=1.222, 95% CI: 1.005-1.485)were risk factors for insufficient hyperopia reserve(all P<0.05). Conversely, using blackout curtains during the day and turning off lights at night(OR=0.598, 95% CI: 0.405-0.883)were identified to be protective factors(P<0.05).CONCLUSION: Sex, genetics, gestational age, sleep duration and environmental conditions, and outdoor activity time are potentially associated with insufficient hyperopia reserve in preschool children. Caregivers should prioritize the management of these risk factors to prevent the occurrence of myopia.
