老年人群白内障的影响因素分析

doi:10.19485/j.cnki.issn2096-5087.2023.04.009

Preventive Medicine

2023, Vol. 35

Issue (4): 311-315 DOI: 10.19485/j.cnki.issn2096-5087.2023.04.009

Disease Control

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Factors affecting cataract among the elderly population

WANG Qianqian¹, ZHANG Tao², LI Fudong², LIN Junfen², HE Fan², YU Min², CAO Yifei¹

1. School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang 311121, China;
2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China

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Abstract Objective To investigate the factors affecting cataract among the elderly, so as to provide insights into cataract control. Methods Based on the major public health monitoring project of Zhejiang Province, residents at ages of 60 years and older were selected from 7 districts (counties) using a multi-stage stratified cluster random sampling method, and were followed up every other year from 2014 to 2020. Demographics, lifestyle, dietary habits and cataract incidence were collected, and factors affecting the incidence of cataract were identified using a multivariable Cox proportional hazard regression model. Results Totally 9 642 residents were investigated, with a mean age of (68.89±7.39) years, and including 4 635 males (48.07%). There were 828 incident cataract cases, with an incidence rate of 20.946/1 000 person-years. Multivariable Cox proportional hazard regression analysis showed that women (HR=1.695, 95%CI: 1.377-2.088), age of 65 years and older (HR=1.707-5.044, 95%CI: 1.400-7.327), overweight/obesity (HR=1.313, 95%CI: 1.131-1.524), educational level (primary school, HR=1.642, 95%CI: 1.400, 1.926; junior high school, HR=1.553, 95%CI: 1.148-2.102), annual family income (10 000 to 50 000 Yuan, HR=1.353, 95%CI: 1.155-1.585; 50 000 to 100 000 Yuan, HR=0.663, 95%CI: 0.500-0.881; 100 000 to 150 000 Yuan, HR=0.340, 95%CI: 0.204-0.565), smoking (HR=0.649, 95%CI: 0.494-0.853), frequency of vegetable intake of >3 days/week (HR=0.693, 95%CI: 0.527-0.912), frequency of fruit intake of >3 days/ week (HR=0.833, 95%CI: 0.694-0.899), frequency of egg intake of >3 days/week (HR=0.579, 95%CI: 0.450-0.745), frequency of soy products intake of >3 days/week (HR=0.706, 95%CI: 0.588-0.849), frequency of dairy products intake of >3 days/week (HR=1.510, 95%CI: 1.199-1.901) and frequency of nut intake of >3 days/week (HR=1.733, 95%CI: 1.162-2.586) were statistically associated with the development of cataract among the elderly. Conclusion Gender, age, body mass index, educational level, income, smoking, and frequency of vegetables, fruits, eggs, soy products, dairy products and nuts intake are associated with the development of cataracts.

Key words： cataract elderly influencing factor prospective cohort study

Received: 28 October 2022 Revised: 19 January 2023 Published: 17 April 2023

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	WANG Qianqian
	ZHANG Tao
	LI Fudong
	LIN Junfen
	HE Fan
	YU Min
	CAO Yifei

Cite this article:

WANG Qianqian,ZHANG Tao,LI Fudong, et al. Factors affecting cataract among the elderly population[J]. Preventive Medicine, 2023, 35(4): 311-315.

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http://www.zjyfyxzz.com/EN/10.19485/j.cnki.issn2096-5087.2023.04.009 OR http://www.zjyfyxzz.com/EN/Y2023/V35/I4/311

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