Nutritional intake, environmental factors, and their impact on myopia prevalence in Korean children aged 5-12 years.

J Health Popul Nutr

Department of Food and Nutrition, Sahmyook University, 815, Hwarang-ro, Nowon-gu, Seoul, 01795, South Korea.

Published: January 2024


Article Synopsis

  • Myopia is influenced by genetic, environmental, and lifestyle factors, with ongoing research exploring the role of diet in its development.
  • The study examined dietary habits and their relationship to myopia prevalence in 24,345 children aged 5-12, highlighting significant findings through various analytical methods.
  • Results showed that age and parental myopia increase myopia risk, and that children with myopia have lower intakes of certain nutrients while higher carbohydrate and sodium consumption is linked to increased myopia risk, suggesting the need for dietary-focused prevention strategies.

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Article Abstract

Background: Myopia is a complex condition influenced by numerous factors, including genetic predisposition, environmental factors, and lifestyle choices. Although evidence indicates that certain dietary factors may influence the development of myopia, this relationship is still not completely understood and is a topic of ongoing research.

Methods: This study analyzed the relationship between dietary habits, environmental factors, and the prevalence of myopia in a sample of 24,345 children aged 5-12 years from the seventh Korea National Health and Nutrition Examination Survey (KNHANES VII). The average daily intake of dietary nutrients associated with the refractive error status of the participants was analyzed using analysis of variance (GLM) and the Scheffe method for post-hoc comparison. Multiple logistic regression analysis was conducted between the participant's refractive error status and daily dietary nutrient intake, while taking into consideration the age, sex, BMI, parental myopia, and near-work hours.

Results: The risk of myopia increased with age, especially notable between ages 11 and 12, and was higher in children with both parents having myopia. Dietary factors played a crucial role; children with myopia had significantly lower intake of fat, omega-3 fatty acids, and retinol but higher intake of other nutrients compared to emmetropic and hyperopic counterparts. High consumption of carbohydrates, protein, phosphorus, iron, potassium, and sodium was associated with increased myopia risk. High sodium intake was particularly associated with a 2.05-fold increased myopia risk.

Conclusions: This study highlights the significant role of diet and lifestyle choices in the development of myopia in children. Our findings suggest the importance of considering these specific factors in the management and prevention strategies for myopia, underscoring the need for targeted interventions in children's health and vision care.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10823653PMC
http://dx.doi.org/10.1186/s41043-024-00506-6DOI Listing

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