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Sex-Specific Effect of Obesity on Epiblepharon in Different Age Groups: A Case-Control Study

Author

Listed:
  • Jin-Jhe Wang

    (Department of Ophthalmology, Chiayi Chang Gung Memorial Hospital, Chiayi 61363, Taiwan
    Department of Ophthalmology, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan)

  • Chien-Hsiung Lai

    (Department of Ophthalmology, Chiayi Chang Gung Memorial Hospital, Chiayi 61363, Taiwan
    Department of Ophthalmology, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Department of Nursing, Chang Gung University of Science and Technology, Chiayi 61363, Taiwan
    School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan)

  • Ting-Yu Kuo

    (Health Information and Epidemiology Laboratory, Chang Gung Memorial Hospital, Chiayi 61363, Taiwan)

  • Meng-Hung Lin

    (Health Information and Epidemiology Laboratory, Chang Gung Memorial Hospital, Chiayi 61363, Taiwan)

  • Yao-Hsu Yang

    (School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Health Information and Epidemiology Laboratory, Chang Gung Memorial Hospital, Chiayi 61363, Taiwan
    Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Chiayi 61363, Taiwan)

  • Chau-Yin Chen

    (Department of Ophthalmology, Chiayi Chang Gung Memorial Hospital, Chiayi 61363, Taiwan
    Department of Ophthalmology, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan)

Abstract

Obesity has been regarded as a risk factor for several ocular diseases. This study aims to investigate the age- and sex-specific relationship between epiblepharon and obesity in children. A retrospective case–control study was conducted using the Chang Gung Research Database. Children ≤ 18 years of age with epiblepharon were identified from 1 January 2009 to 31 December 2019. Children were classified into three groups: normal, overweight and obese groups. A total of 513 patients and 1026 controls (57.7% males) aged 1 to 18 matched by sex and age were included in the analysis. The median body mass index (BMI) of children with epiblepharon was significantly higher than that of children without epiblepharon ( p < 0.001). In the subgroup analysis, among boys aged 4 to 9 years, the BMI in boys with epiblepharon was significantly higher than that in boys without epiblepharon ( p < 0.05) and the risk of epiblepahron in overweight/obese boys was significantly higher than in non-overweight boys (OR = 1.74, 95% CI = 1.07–2.82 for age 4 to 6; OR = 3.06, 95% CI = 1.56–6.03 for age 7 to 9). On the other hand, among girls aged 13 to 18 years, the BMI in adolescent girls with epiblepharon was significantly higher than that in the control group ( p < 0.05) and overweight/obese girls had a statistically higher risk of persistent epiblepharon than non-overweight girls (OR = 3.70, 95% CI = 1.38–9.97). The association between obesity and epiblepharon varies in strength according to age in a sex-specific manner.

Suggested Citation

  • Jin-Jhe Wang & Chien-Hsiung Lai & Ting-Yu Kuo & Meng-Hung Lin & Yao-Hsu Yang & Chau-Yin Chen, 2022. "Sex-Specific Effect of Obesity on Epiblepharon in Different Age Groups: A Case-Control Study," IJERPH, MDPI, vol. 19(19), pages 1-9, October.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12839-:d:935449
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