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Distribution and associations of intraocular pressure in 7- and 12-year-old Chinese children: The Anyang Childhood Eye Study

To report the intraocular pressure (IOP) and its association with myopia and other factors in 7 and 12-year-old Chinese children. All children participating in the Anyang Childhood Eye Study underwent non-contact tonometry as well as measurement of central corneal thickness (CCT), axial length, cycl...

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Published in:PloS one 2017-08, Vol.12 (8), p.e0181922-e0181922
Main Authors: Li, Shuning, Li, Shi-Ming, Wang, Xiao-Lei, Kang, Meng-Tian, Liu, Luo-Ru, Li, He, Wei, Shi-Fei, Ran, An-Ran, Zhan, Siyan, Thomas, Ravi, Wang, Ningli
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creator Li, Shuning
Li, Shi-Ming
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Zhan, Siyan
Thomas, Ravi
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description To report the intraocular pressure (IOP) and its association with myopia and other factors in 7 and 12-year-old Chinese children. All children participating in the Anyang Childhood Eye Study underwent non-contact tonometry as well as measurement of central corneal thickness (CCT), axial length, cycloplegic auto-refraction, blood pressure, height and weight. A questionnaire was used to collect other relevant information. Univariable and multivariable analysis were performed to determine the associations of IOP. A total of 2760 7-year-old children (95.4%) and 2198 12-year-old children (97.0%) were included. The mean IOP was 13.5±3.1 mmHg in the younger cohort and 15.8±3.5 mmHg in older children (P
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All children participating in the Anyang Childhood Eye Study underwent non-contact tonometry as well as measurement of central corneal thickness (CCT), axial length, cycloplegic auto-refraction, blood pressure, height and weight. A questionnaire was used to collect other relevant information. Univariable and multivariable analysis were performed to determine the associations of IOP. A total of 2760 7-year-old children (95.4%) and 2198 12-year-old children (97.0%) were included. The mean IOP was 13.5±3.1 mmHg in the younger cohort and 15.8±3.5 mmHg in older children (P<0.0001). On multivariable analysis, higher IOP in the younger cohort was associated with female gender (standardized regression coefficient [SRC], 0.11, P<0.0001), increasing central corneal thickness (SRC, 0.39, P<0.0001), myopia (SRC, 0.05, P = 0.03), deep anterior chamber (SRC, 0.07, P<0.01), smaller waist (SRC, 0.07, P<0.01) and increasing mean arterial pressure (SRC, 0.13, P<0.0001). In the older cohort, higher IOP was again associated with female gender (SRC, 0.16, P<0.0001), increasing central corneal thickness (SRC, 0.43, P<0.0001), deep anterior chamber (SRC, 0.09, P<0.01), higher body mass index (SRC, 0.07, P = 0.04) and with increasing mean arterial pressure (SRC, 0.09, P = 0.01), age at which reading commenced (SRC, 0.10, P<0.01) and birth method (SRC, 0.09, P = 0.01), but not with myopia (SRC, 0.09, P = 0.20). In Chinese children, higher IOP was associated with female gender, older age, thicker central cornea, deeper anterior chamber and higher mean arterial pressure. Higher body mass index, younger age at commencement of reading and being born of a caesarean section was also associated with higher IOP in adolescence.]]></description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0181922</identifier><identifier>PMID: 28817606</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescents ; Age ; Anterior chamber ; Biology and Life Sciences ; Blood pressure ; Body mass ; Body mass index ; Child ; Childhood ; Children ; China - epidemiology ; China - ethnology ; Cornea ; Cornea - pathology ; Cornea - physiopathology ; Delivery (Childbirth) ; Demographic aspects ; Ethnicity ; Eye ; Female ; Glaucoma ; Health care ; Humans ; Intraocular Pressure ; Male ; Medicine and Health Sciences ; Myopia ; Myopia - epidemiology ; People and Places ; Physiological aspects ; Population ; Public Health Surveillance ; Reading ; Refraction ; Regression analysis ; Regression coefficients ; Science ; Src protein ; Stress concentration</subject><ispartof>PloS one, 2017-08, Vol.12 (8), p.e0181922-e0181922</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Li et al. 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Higher body mass index, younger age at commencement of reading and being born of a caesarean section was also associated with higher IOP in adolescence.]]></description><subject>Adolescents</subject><subject>Age</subject><subject>Anterior chamber</subject><subject>Biology and Life Sciences</subject><subject>Blood pressure</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Child</subject><subject>Childhood</subject><subject>Children</subject><subject>China - epidemiology</subject><subject>China - ethnology</subject><subject>Cornea</subject><subject>Cornea - pathology</subject><subject>Cornea - physiopathology</subject><subject>Delivery (Childbirth)</subject><subject>Demographic aspects</subject><subject>Ethnicity</subject><subject>Eye</subject><subject>Female</subject><subject>Glaucoma</subject><subject>Health care</subject><subject>Humans</subject><subject>Intraocular Pressure</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Myopia</subject><subject>Myopia - epidemiology</subject><subject>People and Places</subject><subject>Physiological aspects</subject><subject>Population</subject><subject>Public Health Surveillance</subject><subject>Reading</subject><subject>Refraction</subject><subject>Regression analysis</subject><subject>Regression coefficients</subject><subject>Science</subject><subject>Src protein</subject><subject>Stress concentration</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7rr6D0QLguhFx3y0aeqFMIyrLiwsuKu3IZOcTjNkmtmkFQf88aYz3WUqeyG9aHvynPckb85JkpcYzTAt8Ye1630r7WzrWpghzHFFyKPkFFeUZIwg-vjo-yR5FsIaoYJyxp4mJ4RzXDLETpM_n03ovFn2nXFtKludyhCcMnL4D6mrU9N2XjrVW-nTrYcQeg8xmJbZHsck24H0mbM6XTSmhQCpaozVHtqP6U0D6bzdyXY1LFrdOKfT8x2k112vd8-TJ7W0AV6M77Pkx5fzm8W37PLq68VifpkpVpEuK4FWqmCSkhKxqqacsApkmWsslwUiklItCSk4LyoNXOUI5csiZ7oidZ2XnNCz5PVBd2tdEKNxQUR7UJ4TXBaRuDgQ2sm12HqzkX4nnDRiH3B-JaTvjLIgeM1zxgjUjLKcobiRJSuWDElEFCDMotansVq_3IBWMBhoJ6LTldY0YuV-iaKIV1LwKPBuFPDutofQiY0JCqyVLbh-3HfJMaYRffMP-vDpRmol4wFMW7tYVw2iYl6goRMQGcrOHqDio2FjVOyy2sT4JOH9JCEyHfzuVrIPQVxcf_9_9urnlH17xDYgbdcEZ_ctGqZgfgCVdyF4qO9NxkgMQ3LnhhiGRIxDEtNeHV_QfdLdVNC_10cKiQ</recordid><startdate>20170817</startdate><enddate>20170817</enddate><creator>Li, Shuning</creator><creator>Li, Shi-Ming</creator><creator>Wang, Xiao-Lei</creator><creator>Kang, Meng-Tian</creator><creator>Liu, Luo-Ru</creator><creator>Li, He</creator><creator>Wei, Shi-Fei</creator><creator>Ran, An-Ran</creator><creator>Zhan, Siyan</creator><creator>Thomas, Ravi</creator><creator>Wang, Ningli</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</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>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-2828-3260</orcidid></search><sort><creationdate>20170817</creationdate><title>Distribution and associations of intraocular pressure in 7- and 12-year-old Chinese children: The Anyang Childhood Eye Study</title><author>Li, Shuning ; 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All children participating in the Anyang Childhood Eye Study underwent non-contact tonometry as well as measurement of central corneal thickness (CCT), axial length, cycloplegic auto-refraction, blood pressure, height and weight. A questionnaire was used to collect other relevant information. Univariable and multivariable analysis were performed to determine the associations of IOP. A total of 2760 7-year-old children (95.4%) and 2198 12-year-old children (97.0%) were included. The mean IOP was 13.5±3.1 mmHg in the younger cohort and 15.8±3.5 mmHg in older children (P<0.0001). On multivariable analysis, higher IOP in the younger cohort was associated with female gender (standardized regression coefficient [SRC], 0.11, P<0.0001), increasing central corneal thickness (SRC, 0.39, P<0.0001), myopia (SRC, 0.05, P = 0.03), deep anterior chamber (SRC, 0.07, P<0.01), smaller waist (SRC, 0.07, P<0.01) and increasing mean arterial pressure (SRC, 0.13, P<0.0001). In the older cohort, higher IOP was again associated with female gender (SRC, 0.16, P<0.0001), increasing central corneal thickness (SRC, 0.43, P<0.0001), deep anterior chamber (SRC, 0.09, P<0.01), higher body mass index (SRC, 0.07, P = 0.04) and with increasing mean arterial pressure (SRC, 0.09, P = 0.01), age at which reading commenced (SRC, 0.10, P<0.01) and birth method (SRC, 0.09, P = 0.01), but not with myopia (SRC, 0.09, P = 0.20). In Chinese children, higher IOP was associated with female gender, older age, thicker central cornea, deeper anterior chamber and higher mean arterial pressure. Higher body mass index, younger age at commencement of reading and being born of a caesarean section was also associated with higher IOP in adolescence.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28817606</pmid><doi>10.1371/journal.pone.0181922</doi><tpages>e0181922</tpages><orcidid>https://orcid.org/0000-0003-2828-3260</orcidid><oa>free_for_read</oa></addata></record>
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recordid cdi_plos_journals_1930442175
source PubMed (Medline); Publicly Available Content Database
subjects Adolescents
Age
Anterior chamber
Biology and Life Sciences
Blood pressure
Body mass
Body mass index
Child
Childhood
Children
China - epidemiology
China - ethnology
Cornea
Cornea - pathology
Cornea - physiopathology
Delivery (Childbirth)
Demographic aspects
Ethnicity
Eye
Female
Glaucoma
Health care
Humans
Intraocular Pressure
Male
Medicine and Health Sciences
Myopia
Myopia - epidemiology
People and Places
Physiological aspects
Population
Public Health Surveillance
Reading
Refraction
Regression analysis
Regression coefficients
Science
Src protein
Stress concentration
title Distribution and associations of intraocular pressure in 7- and 12-year-old Chinese children: The Anyang Childhood Eye Study
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