Evidence map›Paper›PMID 33407251›Full record

ArticleBMC ophthalmology2021

Longitudinal association between myopia and parental myopia and outdoor time among students in Wenzhou: a 2.5-year longitudinal cohort study.

Dandan Jiang, Haishuang Lin, Chunchun Li, Linjie Liu, Haishao Xiao, Yaoyao Lin, Xiaoqiong Huang, Yanyan Chen

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% of its field
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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Identifying and Managing Pre-Myopia: A Narrative Review.Clinical ophthalmology (Auckland, N.Z.) · 2026
    Review
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  6. Article
  7. [Mediating effect of sleep duration between depression symptoms and myopia in middle school students].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
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  13. Article
  14. Article
  15. Daylight and Electric Lighting in Primary and Secondary School Classrooms in the UK-An Observational Study.International journal of environmental research and public health · 2024
    Observational
  16. Review
  17. Article
  18. Article
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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

8 authors at 1 institution in 1 country.

Dandan JiangThe Eye Hospital of Wenzhou Medical University, 270 West Xueyuan Road, Wenzhou, Zhejiang, 325027, China.
Haishuang LinThe Eye Hospital of Wenzhou Medical University, 270 West Xueyuan Road, Wenzhou, Zhejiang, 325027, China.
Chunchun LiThe Eye Hospital of Wenzhou Medical University, 270 West Xueyuan Road, Wenzhou, Zhejiang, 325027, China.
Linjie LiuSchool of Ophthalmology and Optometry, Wenzhou Medical University, 82 West Xueyuan Road, Wenzhou, Zhejiang, 325027, China.
Haishao XiaoSchool of Ophthalmology and Optometry, Wenzhou Medical University, 82 West Xueyuan Road, Wenzhou, Zhejiang, 325027, China.
Yaoyao LinSchool of Ophthalmology and Optometry, Wenzhou Medical University, 82 West Xueyuan Road, Wenzhou, Zhejiang, 325027, China.
Xiaoqiong HuangThe Eye Hospital of Wenzhou Medical University, 270 West Xueyuan Road, Wenzhou, Zhejiang, 325027, China.
Yanyan ChenThe Eye Hospital of Wenzhou Medical University, 270 West Xueyuan Road, Wenzhou, Zhejiang, 325027, China. wzcyymail@163.com.ORCID http://orcid.org/0000-0002-0948-5011
Wenzhou Medical University · CN

Funding

National Science Foundation of China 81873683
6 · The paper itself

Abstract

backgroundTo evaluate the impact of parental myopia and outdoor time on myopia among students in Wenzhou.

methodsWe examined 1388 primary students from first grade to third grade in Wenzhou from September 2012 to March 2015. We performed noncycloplegic refractometry on each student every six months and axial length (AL) measurements every year. At the commencement of our study, children were asked to complete a questionnaire regarding near work activity and outdoor activity, whereas parents were asked to complete a self-administered questionnaire regarding their background circumstances and their history of myopia.

resultsA total of 1294 students (93.2%) returned for follow-up examinations. Children with initial and final no myopia spent more time on outdoor activities than those with new onset myopia (1.92 vs. 1.81 h/d, p = 0.022), and elongation of AL in children with a high level (> 2.5 h/day) of outdoor time (0.22 ± 0.13 mm/Y) was less than those with a low level (≤ 1.5 h/day) of outdoor time (0.24 ± 0.14 mm/Y, p = 0.045). The proportion of rapid myopia progression (≤-0.5D/Y) was 16.7%, 20.2% and 31.5% among the children with no myopic parent, one myopic parent and two myopic parents, respectively (X

conclusionsIn this sample, parental myopia and outdoor time were associated with myopia in children. A high level of outdoor time was a protective factor for children with one myopic parent.

Indexed as

MyopiaChildCohort StudiesHumansLongitudinal StudiesParentsRefraction, OcularStudentsSurveys and QuestionnairesAxial lengthChildren myopiaOutdoor timeParental myopiaRefractive error

Identifiers

PMID33407251
PMCPMC7789164
OpenAlexW3118953141

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.