ArticleBMC ophthalmology2020
Probability of myopia in children with high refined carbohydrates consumption in France.
Article in BMC ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Association between nutritional factors and myopia in adolescents: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- The association between macronutrients intake and myopia risk: a systematic review and meta-analysis.BMC ophthalmology · 2024Pooled it
- The association between screen time exposure and myopia in children and adolescents: a meta-analysis.BMC public health · 2024Pooled it
- Comments on Diversified segmental defocus optimization lenses with and without atropine for myopia prevention: a randomized clinical trial.Annals of translational medicine · 2026Article
- The Role of Vitamin D and Selected Nutrients in the Development of Myopia in Children and Young Adults: A Narrative Review.Journal of clinical medicine · 2026Review
- The longitudinal associations of reading, writing and screen time with myopia at age 9 years among children from the GUSTO birth cohort.Acta ophthalmologica · 2026Article
- Association Between Dietary Patterns and Myopia Among Children and Adolescents: A School-Based Cross-Sectional Study.Journal of ophthalmology · 2026Article
- The prevalence and demographic profile of myopia among school children in Beirut City, Lebanon.BMC public health · 2025Article
- Antibiotics-Induced Gut Microbiome Dysbiosis Affects Susceptibility to Minus Lens-Induced Myopia in Mice.Investigative ophthalmology & visual science · 2025Article
- Hyperopic reserve as a predictor of myopia incidence in schoolchildren aged 6-12 years: a 24-month prospective cohort study.Frontiers in public health · 2025Observational
- Interdependence of Nutrition, Physical Activity, and Myopia.Nutrients · 2024Review
- Article
- Correlation analysis of myopia and dietary factors among primary and secondary school students in Shenyang, China.Scientific reports · 2024Article
- The influence of the environment and lifestyle on myopia.Journal of physiological anthropology · 2024Review
- Nutritional intake, environmental factors, and their impact on myopia prevalence in Korean children aged 5-12 years.Journal of health, population, and nutrition · 2024Article
- Oxidation balance scores are positively associated with the occurrence and severity of myopia in adults: results from the National Health and Nutrition Examination Survey 2007-2008.Molecular vision · 2024Article
- Macular function in patients with medium myopia.Documenta ophthalmologica. Advances in ophthalmology · 2023Article
- A Review of the Role of the School Spatial Environment in Promoting the Visual Health of Minors.International journal of environmental research and public health · 2023Review
- Association between whole-grain intake and myopia in chinese children: a cross-sectional epidemiological study.BMC ophthalmology · 2023Article
- Effect of insulin levels and plasma fasting glucose on refractive status in the United States population aged 12-19 years.Frontiers in medicine · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvaluate risk factors for paediatric myopia in a contemporary French cohort taking into account consumption of refined carbohydrates (starches and sugars).
methodsAn epidemiological cross-sectional study was conducted between May 2017 and May 2018. Two hundred sixty-four children aged 4 to 18 years attending the Centre Hospitalier Universitaire Gui de Chauliac in Montpellier were recruited. Ophthalmologic or optometric cycloplegic refraction were measured. Evaluated risk factors for myopia were collected, including family history of myopia, outdoor time, reading time, screen time, physical activity, and consumption of refined carbohydrates. Association between the probability of at least one eye showing myopia (defined as < 0 D) and frequency of refined carbohydrates consumption adjusted for risk factors and control factors was tested.
resultsOverall, 86/264 (32.6%) children investigated showed myopia in at least one eye. We included 180 children exhibiting refraction < 3 D in both eyes: 88 (48.9%) girls and 92 (51.1%) boys. The consumption of refined carbohydrates significantly increased the probability of myopia for girls (odds ratio [OR] = 1.07; 95% confidence interval [CI], 1.02-1.13; P = 0.009) but decreased it for boys (OR = 0.94; 95% CI, 0.89-0.98; P = 0.011). The probability of myopia was marginally increased with increased screen time (OR = 2.32; 95% CI, 0.94-6.47; P = 0.083). Outdoor time seemed marginally protective (OR = 0.74; 95% CI, 0.54-1.01; P = 0.057).
conclusionRefined carbohydrates consumption could be associated with child myopia, with increased probability for girls and unexpected reduced probability for boys, possibly due to the fact that frequency of carbohydrates consumption do not really capture boy's chronic hyperglycemia, boys being more physically active than girls at all ages. Some known risk/protective factors of myopia were marginally significant: screen time (risk) and outdoor time (protective). This study reinforces the belief that modifiable risk factors for myopia could be targets for future public health actions.
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