PDF(Pubmed)
Abstract：
This study assessed the prevalence of myopia, cataracts, glaucoma, and macular degeneration among Koreans over 40, utilizing data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII, 2018). We analyzed 204,973 adults (44% men, 56% women; mean age 58.70 ± 10.75 years), exploring the association between myopia and these eye diseases through multivariate logistic regression, adjusting for confounders and calculating adjusted odds ratios (ORs) with 95% confidence intervals (CIs). Results showed a myopia prevalence of 44.6%, cataracts at 19.4%, macular degeneration at 16.2%, and glaucoma at 2.3%, with significant differences across ages and genders. A potential link was found between myopia and an increased risk of cataracts and macular degeneration, but not with glaucoma. Additionally, a higher dietary intake of carbohydrates, polyunsaturated and n-6 fatty acids, vitamins, and minerals correlated with lower risks of these diseases, underscoring the importance of the diet in managing and preventing age-related eye conditions. These findings highlight the need for dietary considerations in public health strategies and confirm myopia as a significant risk factor for specific eye diseases in the aging Korean population.
摘要：
这项研究评估了近视的患病率，白内障,青光眼,和40岁以上韩国人的黄斑变性，利用来自第七届韩国国家健康和营养检查调查的数据(KNHANESVII，2018)。我们分析了204,973名成年人（44％的男性，56%的女性；平均年龄58.70±10.75岁），通过多因素logistic回归分析探讨近视与这些眼病之间的关系，校正混杂因素，并计算95%置信区间(CI)的校正比值比(OR)。结果显示近视患病率为44.6%,白内障占19.4%，黄斑变性为16.2%，青光眼占2.3%，年龄和性别之间存在显著差异。发现近视与白内障和黄斑变性风险增加之间存在潜在联系，但不是青光眼。此外,饮食中碳水化合物的摄入量较高，多不饱和和n-6脂肪酸，维生素,和矿物质与这些疾病的低风险相关，强调饮食在管理和预防与年龄相关的眼部疾病中的重要性。这些发现强调了公共卫生策略中饮食考虑的必要性，并确认近视是韩国人口老龄化中特定眼病的重要风险因素。
