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ORIGINAL RESEARCH article

Front. Med.

Sec. Ophthalmology

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1530960

This article is part of the Research TopicInterventional Modalities for the Prevention and Management of Childhood MyopiaView all articles

The Association Between Physical Stature and Myopia in elementary and junior high school graduates in Chongqing, China

Provisionally accepted
Jing  ZhangJing Zhang1Ruili  LiRuili Li1Yong  ZhangYong Zhang1Wensheng  TangWensheng Tang2Dan  AoDan Ao1Li  HeLi He1Kun  YangKun Yang1Xiaoya  QiXiaoya Qi1*Zhou  XiyuanZhou Xiyuan1*
  • 1Second Affiliated Hospital, Chongqing Medical University, Chongqing, China
  • 2Chongqing Medical University, Chongqing, China

The final, formatted version of the article will be published soon.

Purpose: This study aims to investigate the relationship between myopia and physical statures in elementary and junior high school graduates.Methods: 871 elementary graduates and 752 junior high graduates in the urban area of Chongqing in China were recruited when they came to the hospital for their physical examination at enrollment. All the participants underwent anthropometric measurements, ocular examination, including visual acuity, slit lamp, non-cycloplegic refraction, and a questionnaire survey on demographics and life habits related to eye use. Univariate and Multivariate regression was used to analyze the relationships between physiques and SER (spherical equivalent refraction).Results: The mean ages were 12±0.5 and 15±0.5 for graduates in elementary school and in junior high school, respectively, The myopia were 73.8% (643/871) and 82.6% (621/752) in elementary school and in junior high school respectively. The regression coefficients between SER and height for elementary school graduates were significant in the right eye(B= -0.002, P = 0.011) and in the left eye (B= -0.025, P=0.005) by univariate analysis. These negative associations between SER and height in elementary graduates were significant after adjusting for multiple covariates (B=-0.020, p=0.025 for right eye and B=-0.022, p=0.014 for left eye). On the contrary, physical indexes were not significantly related to SER in junior high school graduates in univariate analysis and multivariate analysis. Conclusion: Accelerated height growth at elementary school may increase the risk of myopia by accelerating the process of emmetropization, but this relationship may be covered up by other risk factors, especially the increased near-sight activity due to increased academic work at higher grades. Further study is warranted to explore this relationship in children of different ages.

Keywords: Myopia, Physical stature, height, Spherical equivalent refraction, Childre

Received: 19 Nov 2024; Accepted: 16 May 2025.

Copyright: © 2025 Zhang, Li, Zhang, Tang, Ao, He, Yang, Qi and Xiyuan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Xiaoya Qi, Second Affiliated Hospital, Chongqing Medical University, Chongqing, China
Zhou Xiyuan, Second Affiliated Hospital, Chongqing Medical University, Chongqing, China

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