Dietary shifts in populations undergoing rapid economic transitions have been proposed as partly contributing toward the rapid intergenerational rise in myopia prevalence; however, empirical evidence of the effect of dietary factors on myopia is limited. This study investigated the association between dietary factors and incident myopia in Chinese children aged 10–11 years. We evaluated dietary habits using a 72-item food frequency questionnaire (FFQ) among 7423 children. Myopic status was assessed using the “General Personal Information Questionnaire”. Principal component analysis was used to extract dietary patterns and investigate their association with myopia. After adjusting for potential confounders, participants with the highest adherence to dietary pattern A (95% confidence interval (CI): 0.66–0.92, p for trend = 0.007) and dietary pattern C (95% CI: 0.58–0.80, p for trend < 0.001) had a lower risk of myopia than participants with the least adherence. Both of these dietary patterns are characterized by high consumption of meats, aquatic product, dairy and its products, eggs, legumes, vegetables, fruits, grains, and potatoes. Our findings suggest that other environmental factors, such as those related to the dietary environment, may contribute to the development of myopia. These findings can serve as a reference for diet-related primary prevention of myopia.

Background/Objectives: The prevalence of both myopia and obesity is increasing among children and adolescents around the world. We aimed to examine the association between weight status and myopia in Chinese children and adolescents. Methods: The analysis included 35,108 participants aged 6–17 from a nationwide cross-sectional survey. Results: Our results indicated that girls with overweight and obesity had higher odds ratio (OR) of myopia and mild myopia: ages 6–8 (OR = 1.33, 95% CI: 1.01–1.76; OR = 1.71, 95% CI: 1.14–2.55) and 9–11 (OR = 1.22, 95% CI: 1.03–1.44; OR = 1.31, 95% CI: 1.06–1.62). Myopic boys had higher body fat percentages (BFP) at ages 6–8 (β = 1.18, 95% CI: 0.38–1.98), 9–11 (β = 0.58, 95% CI: 0.08–1.07), and 15–17 (β = 0.42, 95% CI: 0.03–0.80), and higher body mass index (BMI) at ages 9–11 (β = 0.30, 95% CI: 0.12–0.48) and 12–14 (β = 0.19, 95% CI: 0.02–0.38). Girls had higher BFP at ages 9–11 (β = 0.62, 95% CI: 0.19–1.05) and 12–14 (β =0.53, 95% CI: 0.19–0.88) and higher BMI at 9–11 (β = 0.53, 95% CI: 0.34–0.73). Furthermore, the dose–response curves revealed a significant gender- and age-specific association between BMI, BFP, and myopia odds ratio. Conclusions: the study found an association between overweight or obesity and myopia in girls aged 6–11, and indicated that high BFP and BMI are associated with myopia, varying by sex and age.

The nutritional status of rural Chinese children has improved in recent years, but their nutritional knowledge is still relatively lacking. School-based nutrition and health education was conducted for children in three counties of China from 2018 to 2020. The students in the intervention schools were given two-year nutrition and health education courses, while the control schools did not receive any intervention. Students’ nutrition knowledge, dietary intake, and dietary behaviors were collected using a questionnaire, and height and weight were measured uniformly. The nutrition knowledge score in the intervention group was increased by 1.01 and 0.64 points in the first and second years. A multilevel model was used to evaluate the intervention effects. Statistically significant interactions between groups and time were observed in nutrition knowledge, the frequency of eating breakfast, and dietary intake, including meat, eggs, milk, and vegetables (p < 0.05), but not in nutritional status. Therefore, the supplementation of school-based nutrition and health education had a positive impact on the nutrition knowledge and dietary intake of rural Chinese children.