Change in the prevalence of myopia in Australian middle‐aged adults across 20 years

Background The prevalence of myopia is increasing globally including in Europe and parts of Asia but Australian data are lacking. This study aim described the change in myopia prevalence in middle‐aged Australian adults over approximately a 20‐year period. Methods Two contemporary Western Australian...

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Veröffentlicht in:Clinical & experimental ophthalmology 2021-12, Vol.49 (9), p.1039-1047
Hauptverfasser: Mackey, David A., Lingham, Gareth, Lee, Samantha Sze‐Yee, Hunter, Michael, Wood, Diane, Hewitt, Alex W., Mitchell, Paul, Taylor, Hugh R., Hammond, Christopher J., Yazar, Seyhan
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container_end_page 1047
container_issue 9
container_start_page 1039
container_title Clinical & experimental ophthalmology
container_volume 49
creator Mackey, David A.
Lingham, Gareth
Lee, Samantha Sze‐Yee
Hunter, Michael
Wood, Diane
Hewitt, Alex W.
Mitchell, Paul
Taylor, Hugh R.
Hammond, Christopher J.
Yazar, Seyhan
description Background The prevalence of myopia is increasing globally including in Europe and parts of Asia but Australian data are lacking. This study aim described the change in myopia prevalence in middle‐aged Australian adults over approximately a 20‐year period. Methods Two contemporary Western Australian studies (conducted in mid‐late 2010s): the coastal‐regional Busselton Healthy Ageing Study (BHAS) and the urban Gen1 of the Raine Study (G1RS) were compared to two earlier studies (early‐mid 1990s) in Australia: the urban Blue Mountains Eye Study (BMES) and urban/regional Melbourne Visual Impairment Project (MVIP). Refractive error was measured by autorefraction, vertometry, or subjective refraction. Participants (49–70 years) of European descent without self‐reported/diagnosed cataract, corneal disease, or refractive or corneal surgery were included. Results After exclusions, data were available from 2217, 1760, 700, 2987 and 756 participants from BMES, urban MVIP, regional MVIP, BHAS, and G1RS, respectively. The mean age ranged from 57.1 ± 4.6 years in the G1RS to 60.1 ± 6.0 years in the BMES; 44–48% of participants were male. When stratified by location, the contemporary urban G1RS cohort had a higher age‐standardised myopia prevalence than the urban MVIP and BMES cohorts (29.2%, 16.4%, and 23.9%, p 
doi_str_mv 10.1111/ceo.13980
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This study aim described the change in myopia prevalence in middle‐aged Australian adults over approximately a 20‐year period. Methods Two contemporary Western Australian studies (conducted in mid‐late 2010s): the coastal‐regional Busselton Healthy Ageing Study (BHAS) and the urban Gen1 of the Raine Study (G1RS) were compared to two earlier studies (early‐mid 1990s) in Australia: the urban Blue Mountains Eye Study (BMES) and urban/regional Melbourne Visual Impairment Project (MVIP). Refractive error was measured by autorefraction, vertometry, or subjective refraction. Participants (49–70 years) of European descent without self‐reported/diagnosed cataract, corneal disease, or refractive or corneal surgery were included. Results After exclusions, data were available from 2217, 1760, 700, 2987 and 756 participants from BMES, urban MVIP, regional MVIP, BHAS, and G1RS, respectively. The mean age ranged from 57.1 ± 4.6 years in the G1RS to 60.1 ± 6.0 years in the BMES; 44–48% of participants were male. When stratified by location, the contemporary urban G1RS cohort had a higher age‐standardised myopia prevalence than the urban MVIP and BMES cohorts (29.2%, 16.4%, and 23.9%, p &lt; 0.001). The contemporary coastal‐regional BHAS had a higher age‐standardised myopia prevalence than the regional MVIP cohort (19.4% vs. 13.8%, p = 0.001). Conclusions We report an increase in myopia prevalence in older adults in Australia born after World War ll compared to cohorts born before, accounting for urban/regional location. The prevalence of myopia remains relatively low in middle‐aged Australian adults.</description><identifier>ISSN: 1442-6404</identifier><identifier>EISSN: 1442-9071</identifier><identifier>DOI: 10.1111/ceo.13980</identifier><identifier>PMID: 34378302</identifier><language>eng</language><publisher>Melbourne: John Wiley &amp; Sons Australia, Ltd</publisher><subject>adults ; Aged ; Australia ; Australia - epidemiology ; epidemiology ; Humans ; Male ; Middle Aged ; myopia ; Myopia - epidemiology ; Prevalence ; Refraction, Ocular ; Refractive Errors</subject><ispartof>Clinical &amp; experimental ophthalmology, 2021-12, Vol.49 (9), p.1039-1047</ispartof><rights>2021 Royal Australian and New Zealand College of Ophthalmologists</rights><rights>2021 Royal Australian and New Zealand College of Ophthalmologists.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3600-197b9ed26ed348efa8280d3473c2ced515b7605cd088be6a56b1c67cf991fab53</citedby><cites>FETCH-LOGICAL-c3600-197b9ed26ed348efa8280d3473c2ced515b7605cd088be6a56b1c67cf991fab53</cites><orcidid>0000-0001-6635-1098 ; 0000-0002-9437-784X ; 0000-0001-7914-4709 ; 0000-0002-8957-0733 ; 0000-0003-0994-6196</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fceo.13980$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fceo.13980$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34378302$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mackey, David A.</creatorcontrib><creatorcontrib>Lingham, Gareth</creatorcontrib><creatorcontrib>Lee, Samantha Sze‐Yee</creatorcontrib><creatorcontrib>Hunter, Michael</creatorcontrib><creatorcontrib>Wood, Diane</creatorcontrib><creatorcontrib>Hewitt, Alex W.</creatorcontrib><creatorcontrib>Mitchell, Paul</creatorcontrib><creatorcontrib>Taylor, Hugh R.</creatorcontrib><creatorcontrib>Hammond, Christopher J.</creatorcontrib><creatorcontrib>Yazar, Seyhan</creatorcontrib><title>Change in the prevalence of myopia in Australian middle‐aged adults across 20 years</title><title>Clinical &amp; experimental ophthalmology</title><addtitle>Clin Exp Ophthalmol</addtitle><description>Background The prevalence of myopia is increasing globally including in Europe and parts of Asia but Australian data are lacking. This study aim described the change in myopia prevalence in middle‐aged Australian adults over approximately a 20‐year period. Methods Two contemporary Western Australian studies (conducted in mid‐late 2010s): the coastal‐regional Busselton Healthy Ageing Study (BHAS) and the urban Gen1 of the Raine Study (G1RS) were compared to two earlier studies (early‐mid 1990s) in Australia: the urban Blue Mountains Eye Study (BMES) and urban/regional Melbourne Visual Impairment Project (MVIP). Refractive error was measured by autorefraction, vertometry, or subjective refraction. Participants (49–70 years) of European descent without self‐reported/diagnosed cataract, corneal disease, or refractive or corneal surgery were included. Results After exclusions, data were available from 2217, 1760, 700, 2987 and 756 participants from BMES, urban MVIP, regional MVIP, BHAS, and G1RS, respectively. The mean age ranged from 57.1 ± 4.6 years in the G1RS to 60.1 ± 6.0 years in the BMES; 44–48% of participants were male. When stratified by location, the contemporary urban G1RS cohort had a higher age‐standardised myopia prevalence than the urban MVIP and BMES cohorts (29.2%, 16.4%, and 23.9%, p &lt; 0.001). The contemporary coastal‐regional BHAS had a higher age‐standardised myopia prevalence than the regional MVIP cohort (19.4% vs. 13.8%, p = 0.001). Conclusions We report an increase in myopia prevalence in older adults in Australia born after World War ll compared to cohorts born before, accounting for urban/regional location. The prevalence of myopia remains relatively low in middle‐aged Australian adults.</description><subject>adults</subject><subject>Aged</subject><subject>Australia</subject><subject>Australia - epidemiology</subject><subject>epidemiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>myopia</subject><subject>Myopia - epidemiology</subject><subject>Prevalence</subject><subject>Refraction, Ocular</subject><subject>Refractive Errors</subject><issn>1442-6404</issn><issn>1442-9071</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLtOw0AQRVcIREKg4AfQllA42Ye9tsvICg8pUhoQpbXeHSdGfrFrg9ylpeMb8yU4caBjmrnSHF2NDkLXlExpPzMF1ZTyMCAnaExdlzkh8enpMQuXuCN0Ye0bIcRjXJyjEXe5H3DCxug12shyDTgrcbMBXBv4kDmUCnCV4qKr6kzub_PWNkbmmSxxkWmdw277LdegsdRt3lgslamsxYzstl8dSGMv0VkqcwtXxz1BL_eL5-jRWa4enqL50lFcEOLQ0E9C0EyA5m4AqQxYQProc8UUaI96iS-IpzQJggSE9ERClfBVGoY0lYnHJ-h26K1N9d6CbeIiswryXJZQtTZmniAsDHwqevRuQA-_Gkjj2mSFNF1MSbz3GPce44PHnr051rZJAfqP_BXXA7MB-Mxy6P5viqPFaqj8AbcOfdg</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Mackey, David A.</creator><creator>Lingham, Gareth</creator><creator>Lee, Samantha Sze‐Yee</creator><creator>Hunter, Michael</creator><creator>Wood, Diane</creator><creator>Hewitt, Alex W.</creator><creator>Mitchell, Paul</creator><creator>Taylor, Hugh R.</creator><creator>Hammond, Christopher J.</creator><creator>Yazar, Seyhan</creator><general>John Wiley &amp; Sons Australia, Ltd</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>7X8</scope><orcidid>https://orcid.org/0000-0001-6635-1098</orcidid><orcidid>https://orcid.org/0000-0002-9437-784X</orcidid><orcidid>https://orcid.org/0000-0001-7914-4709</orcidid><orcidid>https://orcid.org/0000-0002-8957-0733</orcidid><orcidid>https://orcid.org/0000-0003-0994-6196</orcidid></search><sort><creationdate>202112</creationdate><title>Change in the prevalence of myopia in Australian middle‐aged adults across 20 years</title><author>Mackey, David A. ; Lingham, Gareth ; Lee, Samantha Sze‐Yee ; Hunter, Michael ; Wood, Diane ; Hewitt, Alex W. ; Mitchell, Paul ; Taylor, Hugh R. ; Hammond, Christopher J. ; Yazar, Seyhan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3600-197b9ed26ed348efa8280d3473c2ced515b7605cd088be6a56b1c67cf991fab53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>adults</topic><topic>Aged</topic><topic>Australia</topic><topic>Australia - epidemiology</topic><topic>epidemiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>myopia</topic><topic>Myopia - epidemiology</topic><topic>Prevalence</topic><topic>Refraction, Ocular</topic><topic>Refractive Errors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mackey, David A.</creatorcontrib><creatorcontrib>Lingham, Gareth</creatorcontrib><creatorcontrib>Lee, Samantha Sze‐Yee</creatorcontrib><creatorcontrib>Hunter, Michael</creatorcontrib><creatorcontrib>Wood, Diane</creatorcontrib><creatorcontrib>Hewitt, Alex W.</creatorcontrib><creatorcontrib>Mitchell, Paul</creatorcontrib><creatorcontrib>Taylor, Hugh R.</creatorcontrib><creatorcontrib>Hammond, Christopher J.</creatorcontrib><creatorcontrib>Yazar, Seyhan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical &amp; experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mackey, David A.</au><au>Lingham, Gareth</au><au>Lee, Samantha Sze‐Yee</au><au>Hunter, Michael</au><au>Wood, Diane</au><au>Hewitt, Alex W.</au><au>Mitchell, Paul</au><au>Taylor, Hugh R.</au><au>Hammond, Christopher J.</au><au>Yazar, Seyhan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Change in the prevalence of myopia in Australian middle‐aged adults across 20 years</atitle><jtitle>Clinical &amp; experimental ophthalmology</jtitle><addtitle>Clin Exp Ophthalmol</addtitle><date>2021-12</date><risdate>2021</risdate><volume>49</volume><issue>9</issue><spage>1039</spage><epage>1047</epage><pages>1039-1047</pages><issn>1442-6404</issn><eissn>1442-9071</eissn><abstract>Background The prevalence of myopia is increasing globally including in Europe and parts of Asia but Australian data are lacking. This study aim described the change in myopia prevalence in middle‐aged Australian adults over approximately a 20‐year period. Methods Two contemporary Western Australian studies (conducted in mid‐late 2010s): the coastal‐regional Busselton Healthy Ageing Study (BHAS) and the urban Gen1 of the Raine Study (G1RS) were compared to two earlier studies (early‐mid 1990s) in Australia: the urban Blue Mountains Eye Study (BMES) and urban/regional Melbourne Visual Impairment Project (MVIP). Refractive error was measured by autorefraction, vertometry, or subjective refraction. Participants (49–70 years) of European descent without self‐reported/diagnosed cataract, corneal disease, or refractive or corneal surgery were included. Results After exclusions, data were available from 2217, 1760, 700, 2987 and 756 participants from BMES, urban MVIP, regional MVIP, BHAS, and G1RS, respectively. The mean age ranged from 57.1 ± 4.6 years in the G1RS to 60.1 ± 6.0 years in the BMES; 44–48% of participants were male. When stratified by location, the contemporary urban G1RS cohort had a higher age‐standardised myopia prevalence than the urban MVIP and BMES cohorts (29.2%, 16.4%, and 23.9%, p &lt; 0.001). The contemporary coastal‐regional BHAS had a higher age‐standardised myopia prevalence than the regional MVIP cohort (19.4% vs. 13.8%, p = 0.001). Conclusions We report an increase in myopia prevalence in older adults in Australia born after World War ll compared to cohorts born before, accounting for urban/regional location. The prevalence of myopia remains relatively low in middle‐aged Australian adults.</abstract><cop>Melbourne</cop><pub>John Wiley &amp; Sons Australia, Ltd</pub><pmid>34378302</pmid><doi>10.1111/ceo.13980</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-6635-1098</orcidid><orcidid>https://orcid.org/0000-0002-9437-784X</orcidid><orcidid>https://orcid.org/0000-0001-7914-4709</orcidid><orcidid>https://orcid.org/0000-0002-8957-0733</orcidid><orcidid>https://orcid.org/0000-0003-0994-6196</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Access via Wiley Online Library
subjects adults
Aged
Australia
Australia - epidemiology
epidemiology
Humans
Male
Middle Aged
myopia
Myopia - epidemiology
Prevalence
Refraction, Ocular
Refractive Errors
title Change in the prevalence of myopia in Australian middle‐aged adults across 20 years
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