Evidence map›Paper›PMID 38020131›Full record

ArticleFrontiers in medicine2023

Indoor and outdoor human behavior and myopia: an objective and dynamic study.

Elise N Harb, Elsie Shin Sawai, Christine F Wildsoet

Abstract read
In one paragraph

Article in Frontiers in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Influence of light on myopia-a review.International journal of ophthalmology · 2026
    Review
  5. Optical and Visual Diet in Myopia.Investigative ophthalmology & visual science · 2025
    Review
  6. 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

3 authors.

Elise N HarbHerbert Wertheim School of Optometry and Vision Science, University of California at Berkeley, Berkeley, CA, United States.
Elsie Shin SawaiHerbert Wertheim School of Optometry and Vision Science, University of California at Berkeley, Berkeley, CA, United States.
Christine F WildsoetHerbert Wertheim School of Optometry and Vision Science, University of California at Berkeley, Berkeley, CA, United States.

Funding

Berkeley Clinical Scientist Development ProgramK12EY017269 · NEI · UNIVERSITY OF CALIFORNIA BERKELEY · PI POLSE, KENNETH A · 2005 to 2014
$8.6M
Objectively and dynamically measured human behaviors and their role in myopia developmentK23EY027851 · NEI · UNIVERSITY OF CALIFORNIA BERKELEY · PI HARB, ELISE N · 2018 to 2021
$765k
NEI NIH HHS K12 EY017269NEI NIH HHS K23 EY027851
6 · The paper itself

Abstract

Significance: Myopia holds significant public health concern given its social, ocular disease and economic burdens. Although environmental factors are primarily to blame for the rapid rise in prevalence, key risk factors remain unresolved. Purpose: The aim of this study was to objectively characterize, using a wearable technology, the temporal indoor and outdoor behavioral patterns and associated environmental lighting characteristics of young myopic and nonmyopic University students. Methods: Participants were recruited to continuously wear an Actiwatch for 3 weeks, during either or both academic and non-academic periods. The device allows continuous recording of activity and incident light. Recorded illuminance levels were used as a proxy for outdoors (>1,000 lux), with the dynamics (interval frequency and duration) of indoor and outdoor activities, as well as lighting characteristics derived. In addition, participant input regarding near work was obtained daily. Participants were classified by both myopia and axial length status (based on collected refractive error and biometry data) for the purpose of data analysis. Result: A total of 55 students, aged 18 to 25 years of age, participated. Overall, the dosing of indoor and outdoor activities was similar across participants, regardless of myopia status, during the academic period. Nonetheless, an apparent difference in the timing of outdoor activities was noted with myopes going outdoors later in the day, particularly during the weekend ( Conclusion: While the findings from this cohort of young adult students did not reveal substantial myopia-related differences in behavior, the power of a more objective and dynamic approach to quantifying behavior cannot be understated, providing argument for general adoption of wearable technologies in future clinical myopia studies.

Indexed as

myopianear workoutdoor timevisual environmentwearable technologies

Identifiers

PMID38020131
PMCPMC10643732

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.