Pan Chen-Wei, Dirani Mohamed, Cheng Ching-Yu, Wong Tien-Yin, Saw Seang-Mei
*MD, PhD †PhD ‡MPH, PhD Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, China (C-WP); Singapore Eye Research Institute, Singapore, Singapore (C-WP, C-YC, T-YW, S-MS); Centre for Eye Research Australia, University of Melbourne, Melbourne, Australia (MD); and Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore (C-YC, T-YW, S-MS).
Optom Vis Sci. 2015 Mar;92(3):258-66. doi: 10.1097/OPX.0000000000000516.
To estimate the age-specific prevalence of myopia in Asia.
We searched PubMed, Embase, and Web of Science from their inception through September 2013 for population-based surveys reporting the prevalence of myopia in adults or children in Asia. We pooled the prevalence estimates for myopia by age groups and by year of birth using a random-effects model.
We identified 50 eligible population-based studies including 215,672 subjects aged 0 to 96 years reporting the prevalence of myopia from 16 Asian countries or regions. Myopia was found to be most prevalent (96.5%; 95% confidence interval, 96.3 to 96.8) in Koreans aged 19 years. There was no significant linear age group effect on the prevalence of myopia in the whole Asian population but there was a U-shaped relationship between both age and year of birth and the prevalence of myopia. The prevalence of myopia was also higher in those older than 70 years (36.3%; 95% confidence interval, 27.6 to 45.0) compared with other age groups, which revealed nuclear cataract-myopia shifts in refraction.
There is a large variation in the age-specific prevalence of myopia in Asia. A U-shaped relationship between age and the prevalence of myopia was found in the whole Asian population. The analysis is essential to guide future eye health care, intervention, and clinical management in Asia.
评估亚洲不同年龄段近视的患病率。
我们检索了PubMed、Embase和Web of Science数据库，检索时间从建库至2013年9月，查找基于人群的调查，这些调查报道了亚洲成年人或儿童的近视患病率。我们使用随机效应模型汇总了按年龄组和出生年份划分的近视患病率估计值。
我们确定了50项符合条件的基于人群的研究，包括来自16个亚洲国家或地区的215,672名年龄在0至96岁之间的受试者，这些研究报告了近视患病率。发现19岁的韩国人近视患病率最高（96.5%；95%置信区间，96.3至96.8）。在整个亚洲人群中，年龄组对近视患病率没有显著的线性影响，但年龄和出生年份与近视患病率之间存在U型关系。与其他年龄组相比，70岁以上人群的近视患病率也更高（36.3%；95%置信区间，27.6至45.0），这表明核性白内障-近视在屈光方面发生了转变。
亚洲不同年龄段近视的患病率存在很大差异。在整个亚洲人群中发现年龄与近视患病率之间存在U型关系。该分析对于指导亚洲未来的眼部保健、干预和临床管理至关重要。
