Prevalence and risk factors of myopia in adult Korean population: Korea national health and nutrition examination survey 2013-2014 (KNHANES VI)
To evaluate the prevalence and risk factors of myopia in adult Korean population. Population-based cross-sectional data of 3,398 subjects aged 19 to 49 years was obtained using the Korea National Health and Nutrition Examination Survey 2013-2014 (KNHANES VI). Data, including refractive errors and po...
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description | To evaluate the prevalence and risk factors of myopia in adult Korean population.
Population-based cross-sectional data of 3,398 subjects aged 19 to 49 years was obtained using the Korea National Health and Nutrition Examination Survey 2013-2014 (KNHANES VI). Data, including refractive errors and potential risk factors were analyzed. The prevalence and risk factors of myopia, low myopia, and high myopia-defined as a spherical equivalent (SEQ) ≤ -0.5 diopters (D), -6.0 D < SEQ |
doi_str_mv | 10.1371/journal.pone.0211204 |
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Population-based cross-sectional data of 3,398 subjects aged 19 to 49 years was obtained using the Korea National Health and Nutrition Examination Survey 2013-2014 (KNHANES VI). Data, including refractive errors and potential risk factors were analyzed. The prevalence and risk factors of myopia, low myopia, and high myopia-defined as a spherical equivalent (SEQ) ≤ -0.5 diopters (D), -6.0 D < SEQ <-0.5 D, and SEQ ≤ -6.0 D, respectively-were evaluated.
The prevalence of myopia and high myopia were 70.6 (standard error (SE), ±1.1)% and 8.0 (SE, ±0.6)%, respectively. In multivariable analysis, younger age, higher education (≥12 years), parental myopia, lower serum 25-hydroxyvitamin D (25(OH)D) concentration (<9 ng/mL), longer time spent on near work (≥3 hours/day), and higher white blood cell (WBC) count (5-8.9 x 103) were associated with increased prevalence of both myopia and high myopia. Serum 25(OH)D concentration of ≥ 9 ng/ml was significantly associated with decreased prevalence of high myopia in participants with near work of ≥3 hours/day, although the effect was not significant in myopia and low myopia.
The prevalence of myopia and high myopia in Korean adults was substantially high, which increased with decreasing age. In addition to parental myopia, the serum 25(OH)D concentration, near work and inflammation reflected by WBC counts may be associated with myopia.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0211204</identifier><identifier>PMID: 30677087</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>25-Hydroxyvitamin D ; Adult ; Adults ; Age Factors ; Biology and Life Sciences ; Cross-Sectional Studies ; Education ; Female ; Health aspects ; Health risks ; Humans ; Leukocyte Count ; Leukocytes ; Male ; Medicine and Health Sciences ; Middle Aged ; Myopia ; Myopia - epidemiology ; Nutrition ; Nutrition Surveys ; Nutritional aspects ; Parents ; People and Places ; Physical sciences ; Prevalence ; Preventive medicine ; Republic of Korea - epidemiology ; Risk analysis ; Risk Factors ; Social aspects ; Social Sciences ; Standard error ; Studies ; Surveys ; Vitamin D ; Vitamin D - blood ; Young Adult</subject><ispartof>PloS one, 2019-01, Vol.14 (1), p.e0211204-e0211204</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Han et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Han et al 2019 Han et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-be8aaee543d9d05bc46178b76bdb3b879c8b23d6113e50e3656d1aae36b0bc03</citedby><cites>FETCH-LOGICAL-c692t-be8aaee543d9d05bc46178b76bdb3b879c8b23d6113e50e3656d1aae36b0bc03</cites><orcidid>0000-0003-0837-2864</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345425/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345425/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30677087$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Tsai, Der-Chong</contributor><creatorcontrib>Han, Sang Beom</creatorcontrib><creatorcontrib>Jang, Jieun</creatorcontrib><creatorcontrib>Yang, Hee Kyung</creatorcontrib><creatorcontrib>Hwang, Jeong-Min</creatorcontrib><creatorcontrib>Park, Sue K</creatorcontrib><title>Prevalence and risk factors of myopia in adult Korean population: Korea national health and nutrition examination survey 2013-2014 (KNHANES VI)</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To evaluate the prevalence and risk factors of myopia in adult Korean population.
Population-based cross-sectional data of 3,398 subjects aged 19 to 49 years was obtained using the Korea National Health and Nutrition Examination Survey 2013-2014 (KNHANES VI). Data, including refractive errors and potential risk factors were analyzed. The prevalence and risk factors of myopia, low myopia, and high myopia-defined as a spherical equivalent (SEQ) ≤ -0.5 diopters (D), -6.0 D < SEQ <-0.5 D, and SEQ ≤ -6.0 D, respectively-were evaluated.
The prevalence of myopia and high myopia were 70.6 (standard error (SE), ±1.1)% and 8.0 (SE, ±0.6)%, respectively. In multivariable analysis, younger age, higher education (≥12 years), parental myopia, lower serum 25-hydroxyvitamin D (25(OH)D) concentration (<9 ng/mL), longer time spent on near work (≥3 hours/day), and higher white blood cell (WBC) count (5-8.9 x 103) were associated with increased prevalence of both myopia and high myopia. Serum 25(OH)D concentration of ≥ 9 ng/ml was significantly associated with decreased prevalence of high myopia in participants with near work of ≥3 hours/day, although the effect was not significant in myopia and low myopia.
The prevalence of myopia and high myopia in Korean adults was substantially high, which increased with decreasing age. In addition to parental myopia, the serum 25(OH)D concentration, near work and inflammation reflected by WBC counts may be associated with myopia.</description><subject>25-Hydroxyvitamin D</subject><subject>Adult</subject><subject>Adults</subject><subject>Age Factors</subject><subject>Biology and Life Sciences</subject><subject>Cross-Sectional Studies</subject><subject>Education</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Humans</subject><subject>Leukocyte Count</subject><subject>Leukocytes</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Myopia</subject><subject>Myopia - epidemiology</subject><subject>Nutrition</subject><subject>Nutrition Surveys</subject><subject>Nutritional aspects</subject><subject>Parents</subject><subject>People and Places</subject><subject>Physical sciences</subject><subject>Prevalence</subject><subject>Preventive medicine</subject><subject>Republic of Korea - epidemiology</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Social aspects</subject><subject>Social Sciences</subject><subject>Standard error</subject><subject>Studies</subject><subject>Surveys</subject><subject>Vitamin D</subject><subject>Vitamin D - blood</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk99u0zAUxiMEYmPwBggsIaHtosV_EifZBVI1DVZt2hCbdms5zknr4trFTqr1KXhlnLabWrQLFClxjn_fZ_v4nCR5T_CQsJx8mbnOW2mGC2dhiCkhFKcvkkNSMjrgFLOXO-OD5E0IM4wzVnD-OjlgmOc5LvLD5M8PD0tpwCpA0tbI6_ALNVK1zgfkGjRfuYWWSFsk68606NJ5kBYt3KIzstXOnm5CyK7_pEFTkKadrs1s13rdhxE8yLneICh0fgkrRDFhg_hK0fHl9cXo-vwW3Y9P3iavGmkCvNt-j5K7b-d3ZxeDq5vv47PR1UDxkraDCgopAbKU1WWNs0qlnORFlfOqrlhV5KUqKspqTgiDDAPjGa9JVDBe4UphdpR83NgujAtim8ogKMlxSRnlWSTGG6J2ciYWXs-lXwkntVgHnJ8I6VutDAggBOOSYcwITRuqCgyYNQrTrGZ5BTx6fd2u1lVzqBXY1kuzZ7o_Y_VUTNxScJZmKe03c7w18O53B6EVcx0UGCMtuG697zLNWJoXEf30D_r86bbUJN690LZxcV3Vm4pR1lO0yEikhs9Q8alhrlWsu0bH-J7gZE8QmRYe2onsQhDj25__z97c77Ofd9hNhQVnur6ewj6YbkDlXQgemqckEyz6tnnMhujbRmzbJso-7F7Qk-ixT9hfDdMRFw</recordid><startdate>20190124</startdate><enddate>20190124</enddate><creator>Han, Sang Beom</creator><creator>Jang, Jieun</creator><creator>Yang, Hee Kyung</creator><creator>Hwang, Jeong-Min</creator><creator>Park, Sue K</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-0837-2864</orcidid></search><sort><creationdate>20190124</creationdate><title>Prevalence and risk factors of myopia in adult Korean population: Korea national health and nutrition examination survey 2013-2014 (KNHANES VI)</title><author>Han, Sang Beom ; Jang, Jieun ; Yang, Hee Kyung ; Hwang, Jeong-Min ; Park, Sue K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-be8aaee543d9d05bc46178b76bdb3b879c8b23d6113e50e3656d1aae36b0bc03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>25-Hydroxyvitamin D</topic><topic>Adult</topic><topic>Adults</topic><topic>Age Factors</topic><topic>Biology and Life Sciences</topic><topic>Cross-Sectional Studies</topic><topic>Education</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health risks</topic><topic>Humans</topic><topic>Leukocyte Count</topic><topic>Leukocytes</topic><topic>Male</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Myopia</topic><topic>Myopia - epidemiology</topic><topic>Nutrition</topic><topic>Nutrition Surveys</topic><topic>Nutritional aspects</topic><topic>Parents</topic><topic>People and Places</topic><topic>Physical sciences</topic><topic>Prevalence</topic><topic>Preventive medicine</topic><topic>Republic of Korea - epidemiology</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Social aspects</topic><topic>Social Sciences</topic><topic>Standard error</topic><topic>Studies</topic><topic>Surveys</topic><topic>Vitamin D</topic><topic>Vitamin D - blood</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Han, Sang Beom</creatorcontrib><creatorcontrib>Jang, Jieun</creatorcontrib><creatorcontrib>Yang, Hee Kyung</creatorcontrib><creatorcontrib>Hwang, Jeong-Min</creatorcontrib><creatorcontrib>Park, Sue K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Han, Sang Beom</au><au>Jang, Jieun</au><au>Yang, Hee Kyung</au><au>Hwang, Jeong-Min</au><au>Park, Sue K</au><au>Tsai, Der-Chong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and risk factors of myopia in adult Korean population: Korea national health and nutrition examination survey 2013-2014 (KNHANES VI)</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-01-24</date><risdate>2019</risdate><volume>14</volume><issue>1</issue><spage>e0211204</spage><epage>e0211204</epage><pages>e0211204-e0211204</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To evaluate the prevalence and risk factors of myopia in adult Korean population.
Population-based cross-sectional data of 3,398 subjects aged 19 to 49 years was obtained using the Korea National Health and Nutrition Examination Survey 2013-2014 (KNHANES VI). Data, including refractive errors and potential risk factors were analyzed. The prevalence and risk factors of myopia, low myopia, and high myopia-defined as a spherical equivalent (SEQ) ≤ -0.5 diopters (D), -6.0 D < SEQ <-0.5 D, and SEQ ≤ -6.0 D, respectively-were evaluated.
The prevalence of myopia and high myopia were 70.6 (standard error (SE), ±1.1)% and 8.0 (SE, ±0.6)%, respectively. In multivariable analysis, younger age, higher education (≥12 years), parental myopia, lower serum 25-hydroxyvitamin D (25(OH)D) concentration (<9 ng/mL), longer time spent on near work (≥3 hours/day), and higher white blood cell (WBC) count (5-8.9 x 103) were associated with increased prevalence of both myopia and high myopia. Serum 25(OH)D concentration of ≥ 9 ng/ml was significantly associated with decreased prevalence of high myopia in participants with near work of ≥3 hours/day, although the effect was not significant in myopia and low myopia.
The prevalence of myopia and high myopia in Korean adults was substantially high, which increased with decreasing age. In addition to parental myopia, the serum 25(OH)D concentration, near work and inflammation reflected by WBC counts may be associated with myopia.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30677087</pmid><doi>10.1371/journal.pone.0211204</doi><tpages>e0211204</tpages><orcidid>https://orcid.org/0000-0003-0837-2864</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | 25-Hydroxyvitamin D Adult Adults Age Factors Biology and Life Sciences Cross-Sectional Studies Education Female Health aspects Health risks Humans Leukocyte Count Leukocytes Male Medicine and Health Sciences Middle Aged Myopia Myopia - epidemiology Nutrition Nutrition Surveys Nutritional aspects Parents People and Places Physical sciences Prevalence Preventive medicine Republic of Korea - epidemiology Risk analysis Risk Factors Social aspects Social Sciences Standard error Studies Surveys Vitamin D Vitamin D - blood Young Adult |
title | Prevalence and risk factors of myopia in adult Korean population: Korea national health and nutrition examination survey 2013-2014 (KNHANES VI) |
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