Evidence map›Paper›PMID 41555144›Full record

ArticleJournal of epidemiology and global health2026

Non-Invasive Break-Up Time in the Beijing Adult Dry Eye Cohort Study (ADEC): A Cross-Sectional Baseline Analysis.

Yihan Guo, Kai Cao, Qing Zhang, Ya Wen, Jun Feng, Yinghui Wang, Jiayang Tang, Louis Tong, Lei Tian, Ying Jie

Abstract read
In one paragraph

Article in Journal of epidemiology and global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yihan GuoBeijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing, 100730, China.
Kai CaoBeijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing, 100730, China.
Qing ZhangBeijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing, 100730, China.
Ya WenBeijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing, 100730, China.
Jun FengBeijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing, 100730, China.
Yinghui WangBeijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing, 100730, China.
Jiayang TangBeijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing, 100730, China.
Louis TongOcular Surface Research Group, Singapore Eye Research Institute, Singapore Cornea and external eye disease service, Singapore National Eye Center, Singapore Ocular and Visual Science Academic Clinical Program, Duke-National University of Singapore Medical School, Singapore, Singapore.
Lei TianBeijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing, 100730, China. tianlei3131@163.com.
Ying JieBeijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing, 100730, China. jie_yingcn@aliyun.com.

Funding

Beijing Hospitals Authority's Ascent Plan 1-1-1-2-301-1Beijing Municipal Public Welfare Development and Reform Pilot Project for Medical Research Institutes PWD&RPP-MRI, JYY2023-6Capital Health Research and Development of Special No. 2022-1-1081National Natural Science Foundation of China 81970764Talent Development Plan for High-level Public Health Technical Personnel Project, academic leaders 02-22The Youth Beijing Scholars program NO.022
6 · The paper itself

Abstract

objectiveTo analyze the distribution of Non-Invasive Break-Up Time (NIBUT) and its potential associations with demographic characteristics, systemic disease, lifestyle factors, and psychological among adults in Beijing.

methodsWe conducted a population-based, cross-sectional analysis using baseline data from the Beijing Adult Dry Eye Cohort (ADEC), collected between July and August 2023. A total of 1,249 adult participants were randomly selected from 15 communities in Beijing, China, and 91.5% responded. Assessments included dry eye clinical signs, the Ocular Surface Disease Index (OSDI), and structured collection of demographic data, systemic diseases, lifestyle factors, and psychological status. Associations between NIBUT and potential correlates were examined using Univariable analyses and blocked multiple linear regression models adjusted for age, sex and other covariates. Results are reported as unstandardized regression coefficients (B) with 95% confidence intervals (CIs).

resultsData from 1,087 participants (one eye per participant) were included in the final analysis. The mean NIBUT of participants was 11.84 ± 4.39 s. Young adults (aged 18-39 years) had significantly higher NIBUT than both middle-aged (40-59 years) and older adults (≥ 60 years) (both p < 0.001). Female had significantly lower NIBUT values than male (p < 0.001). Blocked multiple linear regression analysis identified several factors that remained independently associated with NIBUT after multivariable adjustment, including female sex (B=-0.966, p = 0.001), older age (B=-0.040, p < 0.001), myopia (B=-0.531, p = 0.023), oral mucosal dryness (B=-1.124, p < 0.001), higher scores on the Hamilton Depression Rating Scale (B=-0.344, p < 0.001), and higher scores on the Hamilton Anxiety Rating Scale (B=-0.212, p < 0.001).

conclusionNIBUT is associated with a range of demographic, ocular, and psychological factors. These findings highlight the importance of a comprehensive, multi-factorial approach to the diagnosis and management of dry eye disease in clinical practice.

Indexed as

Dry Eye SyndromesTearsAdolescentAdultAgedBeijingCohort StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedYoung AdultBeijingDry eye diseaseEpidemiologyNon-Invasive Break-Up time (NIBUT)Ocular surface disease index (OSDI)

Identifiers

PMID41555144
PMCPMC12847470

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.