The prevalence of uncorrected refractive error in Japan: the Locomotive Syndrome and Health Outcome in Aizu Cohort Study.
The prevalence of uncorrected refractive error in Japan: the Locomotive Syndrome and Health Outcome in Aizu Cohort Study.
复制标题
日本未矫正屈光不正的患病率：会津队列研究中的运动综合症和健康结果。
DOI：
10.1007/s10384-022-00900-9
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发表时间：
2022
影响因子：
2.4
通讯作者：
Murakami A
中科院分区：
文献类型：
--
作者：
Hiratsuka Y;Ono K;Takesue A;Sadamatsu Y;Yamada M;Otani K;Sekiguchi M;Konno S;Fukuhara S;Murakami A
目的未矫正屈光不正（URE）是视力损害的主要原因，也是致盲的第二大原因。这是一个全球性的重大公共卫生挑战。然而，目前的现状，在日本的URE是不清楚的。研究设计横断面研究。MethodsIn 2012年，人口为基础的横断面研究中进行了40岁及以上的社区居民接受健康检查，在南会津和忠见，福岛县，日本。当视敏度较好的眼的当前视力< 0.5时，以及视敏度在屈光矫正后改善超过1行时，考虑URE。我们估计年龄特异性的患病率的URE，并计算P值的趋势，检查的线性模式的关联的患病率的URE和age.ResultsThis分析包括2952名参与者。研究人群的平均年龄（标准差[SD]）为69.10（9.67）岁，57.79%为女性。URE的总体患病率为10.90%（95% CI，9.77-12.05%）。按年龄分类的患病率为5.00%（95% CI，2.03-10.03%），6.09%（95%CI，3.59-9.58%），7.02%（95% CI，5.49-8.81%），11.96%（95% CI，10.15-13.97%）和22.39% 40-49岁、50-59岁、60-69岁、70-79岁和80岁或以上的受试者（95% CI，18.41-26.78%）结论输尿管返流的患病率为10.9%，超过20%，尤其是80岁以上的人群。考虑到URE发病率的增加与年龄的增加之间的相关性，公共卫生干预以提高对URE的认识是重要的，特别是对于老年人群。
PurposeUncorrected refractive error (URE) is the leading cause of vision impairment and the second leading cause of blindness. It is a major public health challenge worldwide. However, the current status of URE in Japan is unclear.Study designCross-sectional study.MethodsIn 2012, a population-based cross-sectional study was conducted among community dwellers aged 40 years and older who received health check-ups in Minamiaizu and Tadami, Fukushima Prefecture, Japan. URE was considered when the presenting visual acuity in the better-seeing eye was < 0.5 and when visual acuity improved more than 1 line with refractive correction in the better-seeing eye. We estimated the age-specific prevalence of URE, and calculated the p-value for trend to examine the linear pattern of the association of the prevalence of URE and age.ResultsThis analysis included 2952 participants. The mean age (standard deviation [SD]) of the study population was 69.10(9.67) years and 57.79% were women. The overall prevalence of URE was 10.90% (95% CI, 9.77–12.05%). Prevalence by age category was 5.00% (95% CI, 2.03–10.03%), 6.09% (95% CI, 3.59–9.58%), 7.02% (95% CI, 5.49–8.81%), 11.96% (95% CI, 10.15–13.97%), and 22.39% (95% CI, 18.41–26.78%) for 40–49 years, 50–59 years, 60–69 years, 70–79 years, and 80 years or older, respectively (p-for trend, < 0.001).ConclusionsThe prevalence of URE was 10.9% and exceeded 20%, especially in individuals older than 80 years. Given the correlation between increasing incidence of URE and increase in age, public health intervention to promote awareness of URE is important, especially for the older population.