ArticleThe Lancet regional health. Western Pacific2025
Prevalence and temporal trends in myopia and high myopia children in China: a systematic review and meta-analysis with projections from 2020 to 2050.
Article in The Lancet regional health. Western Pacific, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 5 of them syntheses that pooled it.
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Who cites it
64 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Exposure-response association between outdoor activity time and myopia risk in Chinese children and adolescents: a systematic review and meta-analysis.Journal of global health · 2026Pooled it
- Prevalence of myopia in Chinese children and adolescents: a systematic review and meta-analysis.Journal of global health · 2026Pooled it
- Effects of table tennis on vision in children and adolescents: a multilevel dose-response meta-analysis.Frontiers in medicine · 2026Pooled it
- Myopia prevalence in Malaysian children: a systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- Refractive Error Centile Curves for Asian and Western Children and Adolescents: An Individual Level Meta-Analysis.Investigative ophthalmology & visual science · 2025Pooled it
- Efficacy and Safety of Specialty-Designed Orthokeratology Lenses with a Reduced Corneal Central Zone Moulding Area in Children with Low Myopia: A Prospective, Randomised, Controlled Trial.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Article
- Influence of environmental, economic, dietary, and behavioural factors on high myopia onset in children: a 4-year large-scale cohort study.Journal of global health · 2026Article
- Clearer Vision, Brighter Futures: Addressing Unmet Pediatric Eye Care Needs Through School-Based Vision Programs.The Journal of school health · 2026Article
- A Mixed-Methods Investigation of Myopia Management Practices Among Eye Care Practitioners in China.Ophthalmology and therapy · 2026Article
- Development of a deep learning model to predict cycloplegic myopia and pre- myopia: based on a large-scale screening of school-aged children.Eye (London, England) · 2026Article
- Article
- Adjunctive 0.05% Atropine for Children with Continued Rapid Myopia Progression During Defocus Incorporated Multiple Segments Spectacle Lens Treatment: A Retrospective Matched Cohort Study.Ophthalmology and therapy · 2026Article
- Progression with myopia control spectacles: identifying predictors of response to defocus incorporated multiple segment and highly aspherical lenslets spectacles in the French myopia cohort.BMJ open ophthalmology · 2026Article
- Cross-tissue dual-omics analysis reveals molecular programs linked to myopia susceptibility and progression.Life science alliance · 2026Article
- Vortex Vein Morphology and Choroidal Thickness as Predictors of Refractive Status: Model Construction and Mediation Analysis.Translational vision science & technology · 2026Article
- Annual Solar Cycles: Investigating Seasonal Variations in Southern Norway and Their Potential Role in Human Eye Growth.Investigative ophthalmology & visual science · 2026Article
- Efficacy of Multifocal Spectacles for Myopia Control in Pre-myopic Children: A Multicentre Real-world Study.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Article
- Randomized Clinical Trial of Diffusion Optics Technology Spectacle Lenses in a Chinese Population (CATHAY): 12-Month Results.Ophthalmology science · 2026Article
- The Role of Sex in Ocular Biometry: A Large-Scale Study of Cataract Candidates in Greece.Ophthalmology and therapy · 2026Article
- Myopia management functional lenses (MMFL): a bibliometric analysis of multidisciplinary perspective and trend insights in the context of vision health.International ophthalmology · 2026Review
4 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Myopia rates have risen in the past decades in China. New strategies for the prevention and control of myopia are now available, and understanding the prevalence and future trends in myopia and high myopia in children and adolescents in China may provide insights into the impact of implementing these measures. The study aims to provide updated data on the prevalence of myopia and high myopia in children and to project temporal trends in prevalence from 2020 to 2050 in China. Methods: A systematic review and meta-analysis searching several databases in both English and Chinese: PubMed, Web of Science, Science Direct, China National Knowledge Infrastructure (CNKI), Wanfang, China Science and Technology Journal Database (CSTJ) with date limits from 01/01/2010 to 11/23/2024 was conducted. We included population-based or school-based studies in China that determined the myopia prevalence, based on the cycloplegic refraction, in children under 20. Studies with a response rate <70% or sample size <200 were excluded. A fixed-effect meta-analysis was used, and projections were made based on three scenarios: experience-based, maximum growth (maximum near-work, minimal outdoor time), and minimum growth (2 h outdoor time daily). Findings: From 6555 reports, 82 studies with 218,794 participants were included. The overall myopia prevalence was 36.6% (95% CI: 36.4%, 36.8%), with rates of 2.6% in ages 0-4, 22.0% in ages 5-9, 45.4% in ages 10-14, and 67.2% in ages 15-19. High myopia prevalence was 5.3% overall, with rates of 0.1% in ages 0-4, 1.1% in ages 5-9, 3.0% in ages 10-14, and 9.5% in ages 15-19. Projections for 2030 under minimum growth, experience-based, and maximum growth scenarios were 26.8%, 46.2%, 56.0%; 2040 were 19.6%, 54.4%, 65.6%; and 2050 were 14.4%, 61.3%, 71.9%, respectively. Interpretation: China is facing a substantial and potentially worsening epidemic of childhood myopia. This information will provide data for guiding implementation and evaluating the effectiveness of existing and new nationwide myopia prevention and control programs. Funding: The Science and Technology Innovation Program of Hunan Province, China (2023RC1079, 2024RC5002).
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