Dirani Mohamed, Islam Amirul, Baird Paul N
Centre for Eye Research Australia, University of Melbourne, Australia.
Ophthalmic Epidemiol. 2008 May-Jun;15(3):135-9. doi: 10.1080/09286580801957751.
A consensus regarding whether a "myopia body stature" exists is still unclear with previous literature being inconsistent and conflicting. We wished to explore the relationship of body stature and myopia using a large Australian twin cohort [The Genes in Myopia (GEM) twin study].
All twins examined in the GEM twin study were recruited from the Australian Twin Registry (ATR). Each twin underwent a standard questionnaire, comprehensive eye examination and anthropometric (height and weight) measures were obtained. Myopia was defined as spherical equivalent, equal to or worse than -0.50 Diopters (D) RESULTS: A total of 1224 twins (690 monozygotic twins and 534 dizygotic twins) aged between 18 to 86 years (mean age = 52.36 years) were recruited into the GEM study. The mean height [meters (m)] and weight [kilograms (kg)] of all twins in the GEM study was 1.67 m (1.44 m to 1.95 m) and 71.66 kg (40 kg to 167 kg), respectively. In the heaviest individuals (greater than or equal to 80kg), there was a significant risk (OR 1.48, p = 0.01) of having myopia compared to those in the lightest quartile of weight (less than 61 kg). However, when gender was analyzed separately, this significant risk remained only for females (OR:1.79, p = 0.01).
Females in the heaviest quartile of weight have a significantly increased risk of myopia compared to those in the lightest weight quartile in our twin study population. Our study adds to the growing consensus that anthropometric measures should be considered as potential risk factors in myopia.
关于是否存在“近视体型”的共识仍不明确,先前的文献存在不一致和相互矛盾之处。我们希望利用澳大利亚一个大型双胞胎队列[近视基因(GEM)双胞胎研究]来探讨体型与近视之间的关系。
GEM双胞胎研究中接受检查的所有双胞胎均从澳大利亚双胞胎登记处(ATR)招募。每个双胞胎都接受了标准问卷调查、全面的眼部检查,并获取了人体测量数据(身高和体重)。近视定义为等效球镜度数等于或低于-0.50屈光度(D)。结果:共有1224对双胞胎(690对同卵双胞胎和534对异卵双胞胎),年龄在18至86岁之间(平均年龄=52.36岁)被纳入GEM研究。GEM研究中所有双胞胎的平均身高[米(m)]和体重[千克(kg)]分别为1.67米(1.44米至1.95米)和71.66千克(40千克至167千克)。与体重最轻四分位数(低于61千克)的人相比,体重最重的人(大于或等于80千克)患近视的风险显著增加(OR 1.48,p = 0.01)。然而,当分别分析性别时,这种显著风险仅在女性中存在(OR:1.79,p = 0.01)。
在我们的双胞胎研究人群中,体重最重四分位数的女性与体重最轻四分位数的女性相比,患近视的风险显著增加。我们的研究进一步支持了越来越多的共识,即人体测量指标应被视为近视的潜在风险因素。