Department of Ophthalmology. Tianjin Medical University General Hospital.
Eye Institute and School of Optometry. Tianjin Medical University Eye Hospital.
Nutr Hosp. 2024 Oct 31;41(5):1044-1051. doi: 10.20960/nh.04704.
Background: myopia is associated with sight-threatening potential complications, and it becoming increasingly common globally. However, the association between serum 25-hydroxyvitamin D [25(OH)D] concentrations and myopia remains unclear and the evidence is controversial. Thus, this study aimed to investigate the association between serum 25(OH)D concentrations and myopia in the U.S. population. Subject and methods: this study used the National Health and Nutrition Examination Survey (NHANES) 2001-2008 data. The logistic regression was applied to explore the association between serum 25(OH)D concentrations and myopia. Results: among the 14,051 participants, the prevalence of myopia was 33.2 % (4,668/14,051). In the multivariate regression models, serum 25(OH)D concentrations as continuous variable were non-significantly associated with the prevalence of myopia (adjusted OR, 0.98 [95 % CI, 0.97-1.00]) after adjusting all covariates. As a categorical variable, serum 25(OH)D compared with the lowest tertile, the adjusted ORs with increasing tertiles were 0.96 (95 % CI: 0.89,1.05) and 0.95 (95 % CI: 0.86, 1.06). In myopia participants, serum 25(OH)D concentrations were also non-significantly associated with the progress of myopia. In stratified analyses, the results remain stable with different ages, sex, and education parameters. Conclusions: serum 25(OH)D concentrations were non-significantly associated with myopia in the U.S. population. We need more prospective studies to provide evidence.
近视与潜在致盲的并发症有关,且在全球范围内越来越普遍。然而,血清 25-羟维生素 D [25(OH)D] 浓度与近视之间的关系尚不清楚,且证据存在争议。因此,本研究旨在调查美国人群中血清 25(OH)D 浓度与近视之间的关系。
本研究使用了 2001-2008 年国家健康和营养调查(NHANES)的数据。应用逻辑回归探讨血清 25(OH)D 浓度与近视之间的关系。
在 14051 名参与者中,近视的患病率为 33.2%(4668/14051)。在多变量回归模型中,血清 25(OH)D 浓度作为连续变量与近视的患病率无显著相关性(调整后的比值比,0.98 [95%可信区间,0.97-1.00]),在调整了所有协变量后。作为分类变量,与血清 25(OH)D 浓度最低三分位相比,血清 25(OH)D 浓度增加三分位的调整比值比分别为 0.96(95%可信区间:0.89,1.05)和 0.95(95%可信区间:0.86,1.06)。在近视患者中,血清 25(OH)D 浓度与近视的进展也无显著相关性。在分层分析中,不同年龄、性别和教育参数的结果保持稳定。
血清 25(OH)D 浓度与美国人群中的近视无显著相关性。我们需要更多的前瞻性研究来提供证据。