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过去十年间,瑞士一大型军事队列中近视发病率持续上升:欧洲“近视潮”在哪里?

Following prevalence of myopia in a large Swiss military cohort over the last decade: where is the European "myopia boom"?

机构信息

Health Sciences and Technology, ETH Zurich, Raemistrasse 101, 8092, Zurich, ZH, Switzerland.

Eye Clinic, Cantonal Hospital of Lucerne, Spitalstrasse, 6000, Lucerne, LU, Switzerland.

出版信息

Graefes Arch Clin Exp Ophthalmol. 2024 Sep;262(9):3039-3046. doi: 10.1007/s00417-024-06467-0. Epub 2024 Apr 5.

DOI:10.1007/s00417-024-06467-0
PMID:38578331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11377683/
Abstract

PURPOSE

Myopia prevalence is increasing globally, with the highest rates found in Asia. Data from European countries is scarce. We aimed to investigate whether the prevalence of myopia is rising in our meridians.

METHODS

Data from male military conscripts for the recruitment period of 2008-2017 were retrospectively analyzed. Year of recruitment, conscripts' birth year, visual acuity, refractive status (spherical equivalent), and spectacle wear (yes/no) were available.

RESULTS

The dataset contained data of a total of 355,657 male conscripts, who had been recruited in the years 2008 to 2017. The mean number of conscripts per year was 35,566 (MD = 35,440, SD = 1249), reaching a minimum number of 33,998 conscripts in 2017 and a maximum of 37,594 in 2011. Mean age at recruitment was 19.7 years (MD = 19.0 years, SD = 1.1 years). Overall, the number of conscripts wearing spectacles remained stable over the observation time; on average 29.6% (n = 10,540; MD = 10,472; SD = 492) of conscripts wore glasses at recruitment. Of 21.8% (n = 77,698) of conscripts, data on the refractive status was available: The mean spherical equivalent for both right and left eyes was -2.3D (MD = -2 D, SD = 2.4 D). No decrease in mean spherical equivalent per recruitment year was noted over the observation period. Estimated myopia prevalence reached an average of 27.5% (SD = 0.8%) and did not increase during the observation period.

CONCLUSION

In summary, no change in spherical equivalent refractive errors of male Swiss army conscripts was found for the years 2008-2017. Equally, the percentage of spectacle wearers (MN = 29.6%) and estimated myopia prevalence (MN = 27.5%) did not significantly increase during the observation time.

TRIAL REGISTRATION

BASEC 2019-00060 (18/01/2019).

摘要

目的

近视的患病率在全球范围内呈上升趋势,亚洲的患病率最高。欧洲国家的数据很少。我们旨在研究在我们的经络中近视的患病率是否在上升。

方法

回顾性分析了 2008 年至 2017 年期间男性应征入伍者的数据。应征入伍年份、应征入伍者出生年份、视力、屈光状态(等效球镜)和眼镜佩戴情况(是/否)均可获得。

结果

该数据集包含了总共 355657 名男性应征入伍者的数据,他们于 2008 年至 2017 年期间被招募入伍。每年应征入伍者的平均人数为 35566 人(MD=35440,SD=1249),2017 年应征入伍者人数最少为 33998 人,2011 年最多为 37594 人。招募时的平均年龄为 19.7 岁(MD=19.0 岁,SD=1.1 岁)。总的来说,在观察期间,戴眼镜的应征入伍者人数保持稳定;平均有 29.6%(n=10540;MD=10472;SD=492)的应征入伍者在入伍时戴眼镜。在 21.8%(n=77698)的应征入伍者中,有数据记录了屈光状态:右眼和左眼的平均等效球镜值均为-2.3D(MD=-2 D,SD=2.4 D)。在观察期间,每年的平均等效球镜值没有下降。估计的近视患病率平均达到 27.5%(SD=0.8%),在观察期间没有增加。

结论

总之,2008-2017 年,瑞士陆军应征入伍男性的等效球镜屈光误差没有变化。同样,在观察期间,戴眼镜者的比例(MN=29.6%)和估计的近视患病率(MN=27.5%)并没有显著增加。

试验注册

BASEC 2019-00060(2019 年 1 月 18 日)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d03/11377683/c8e638f14037/417_2024_6467_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d03/11377683/aa3619b83fee/417_2024_6467_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d03/11377683/246892f8d931/417_2024_6467_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d03/11377683/03649f9f6f70/417_2024_6467_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d03/11377683/c8e638f14037/417_2024_6467_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d03/11377683/aa3619b83fee/417_2024_6467_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d03/11377683/246892f8d931/417_2024_6467_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d03/11377683/03649f9f6f70/417_2024_6467_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d03/11377683/c8e638f14037/417_2024_6467_Fig4_HTML.jpg

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