The Association between Near Work Activities and Myopia in Children-A Systematic Review and Meta-Analysis.

Myopia has a multifactorial etiology, although environmental factors are predominant in determining its current patterns. Currently, associations between near work activities and myopia have not been consistently observed. Therefore, we performed a systematic review to quantify the effect of near wo...

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Main Authors: Hsiu-Mei Huang, Dolly Shuo-Teh Chang, Pei-Chang Wu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0140419
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author Hsiu-Mei Huang
Dolly Shuo-Teh Chang
Pei-Chang Wu
author_facet Hsiu-Mei Huang
Dolly Shuo-Teh Chang
Pei-Chang Wu
author_sort Hsiu-Mei Huang
collection DOAJ
description Myopia has a multifactorial etiology, although environmental factors are predominant in determining its current patterns. Currently, associations between near work activities and myopia have not been consistently observed. Therefore, we performed a systematic review to quantify the effect of near work activities on myopia in children. Relevant articles published between 1989 and 2014 were identified in MEDLINE, Embase, and the Cochrane Library, and the citation lists were reviewed. Twelve cohort studies and 15 cross-sectional studies were included (25,025 children aged between 6 and 18 years). The I2 statistic was used to assess heterogeneity. Study-level data were pooled using a random-effects model or a fixed-effects model (when less than 5 studies were included). We found that more time spent on near work activities was associated with higher odds of myopia (odds ratio [OR] = 1.14; 95% confidence interval [CI] = 1.08-1.20) and that the odds of myopia increased by 2% (OR:1.02; 95% CI = 1.01-1.03) for every one diopter-hour (hr) more of near work per week. Therefore, the development of a strategy to reduce the impact of near work on myopia would be important for preventing myopia in children.
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spelling doaj-art-bf39556783144bf1a76f6d30249db69e2025-08-20T02:37:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011010e014041910.1371/journal.pone.0140419The Association between Near Work Activities and Myopia in Children-A Systematic Review and Meta-Analysis.Hsiu-Mei HuangDolly Shuo-Teh ChangPei-Chang WuMyopia has a multifactorial etiology, although environmental factors are predominant in determining its current patterns. Currently, associations between near work activities and myopia have not been consistently observed. Therefore, we performed a systematic review to quantify the effect of near work activities on myopia in children. Relevant articles published between 1989 and 2014 were identified in MEDLINE, Embase, and the Cochrane Library, and the citation lists were reviewed. Twelve cohort studies and 15 cross-sectional studies were included (25,025 children aged between 6 and 18 years). The I2 statistic was used to assess heterogeneity. Study-level data were pooled using a random-effects model or a fixed-effects model (when less than 5 studies were included). We found that more time spent on near work activities was associated with higher odds of myopia (odds ratio [OR] = 1.14; 95% confidence interval [CI] = 1.08-1.20) and that the odds of myopia increased by 2% (OR:1.02; 95% CI = 1.01-1.03) for every one diopter-hour (hr) more of near work per week. Therefore, the development of a strategy to reduce the impact of near work on myopia would be important for preventing myopia in children.https://doi.org/10.1371/journal.pone.0140419
spellingShingle Hsiu-Mei Huang
Dolly Shuo-Teh Chang
Pei-Chang Wu
The Association between Near Work Activities and Myopia in Children-A Systematic Review and Meta-Analysis.
PLoS ONE
title The Association between Near Work Activities and Myopia in Children-A Systematic Review and Meta-Analysis.
title_full The Association between Near Work Activities and Myopia in Children-A Systematic Review and Meta-Analysis.
title_fullStr The Association between Near Work Activities and Myopia in Children-A Systematic Review and Meta-Analysis.
title_full_unstemmed The Association between Near Work Activities and Myopia in Children-A Systematic Review and Meta-Analysis.
title_short The Association between Near Work Activities and Myopia in Children-A Systematic Review and Meta-Analysis.
title_sort association between near work activities and myopia in children a systematic review and meta analysis
url https://doi.org/10.1371/journal.pone.0140419
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