Evidence map›Paper›PMID 40664409›Full record

ArticleBMJ open2025

Role of various types of outdoor activities for school-aged children myopia in Fengyang County, Chuzhou City: a cross-sectional study.

Yuting Gao, Yuzhu Luo, Xinchen Wang, Yunhui Zhao, Tongcheng Xu, Bin He, Jingjing Ding, Xueyan Li, Xiaoxu Pan, Shuman Tao and 1 more

Erratum issuedAbstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Yuting Gao *Department of Ophthalmology, Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Yuzhu Luo *Department of Ophthalmology, Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Xinchen Wang *Department of Ophthalmology, Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Yunhui ZhaoGuangzhou Aier Eye Hospital, Guangzhou, Guangdong, China.
Tongcheng XuDepartment of Ophthalmology, Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Bin HeDepartment of Ophthalmology, Fengyang County People's Hospital, Chuzhou, China.
Jingjing DingDepartment of Ophthalmology, Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Xueyan LiDepartment of Ophthalmology, Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Xiaoxu PanDepartment of Ophthalmology, Fengyang County People's Hospital, Chuzhou, China.
Shuman TaoSecond Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China taoshuman@ahmu.edu.cn liuheting@ahmu.edu.cn.
Heting LiuDepartment of Ophthalmology, Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China taoshuman@ahmu.edu.cn liuheting@ahmu.edu.cn.ORCID http://orcid.org/0009-0008-9204-7012

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to assess the association between various types of outdoor activities and myopia among school-aged children.

designA cross-sectional study.

settingFengyang County, Chuzhou City, Anhui Province.

participantsA total of 2123 students aged 9-19 years (mean 14.60±2.04 years) were recruited from two primary schools, four junior high schools and eight high schools between October and December 2023. 2066 students were included in the final analysis, comprising 1151 boys and 915 girls.

main outcome measuresDaily time for various types of outdoor activities and eye parameters.

resultsOf the 2066 students enrolled, 85.04% (1757) were diagnosed with myopia. On adjustment for confounding variables, both the total (OR=0.82, 95% CI: 0.73 to 0.92, p=0.001) and low-intensity outdoor activities (OR=0.73, 95% CI: 0.58 to 0.92, p=0.008) exhibited significant associations with the presence of myopia. A gender-based subgroup analysis revealed that daily total outdoor activity hours emerged as a protective factor against myopia in male students (OR=0.83, 95% CI: 0.72 to 0.96, p=0.014), whereas for females, daily medium-intensity outdoor activities were identified as a protective factor (OR=0.44, 95% CI: 0.20 to 0.96, p=0.040). Stratified by educational level, our findings indicated that both daily total outdoor activity (OR=0.59; 95% CI: 0.46 to 0.77, p<0.001) and high-intensity outdoor activities (OR=0.44; 95% CI: 0.21 to 0.91, p=0.026) were beneficial in preventing myopia among students in primary grades 4 to 6. Conversely, for high school students, only daily low-intensity outdoor activities demonstrated a protective effect against myopia (OR=0.69; 95% CI: 0.50 to 0.94, p=0.020).

conclusionsOutdoor activities, particularly those of low intensity, may offer a protective effect against the development of myopia in school-aged children.

Indexed as

ExerciseLeisure ActivitiesMyopiaAdolescentChildChinaCross-Sectional StudiesFemaleHumansMaleSchoolsSex FactorsStudentsYoung AdultAdolescentCross-Sectional StudiesEPIDEMIOLOGIC STUDIESMyopiaPaediatric ophthalmology

Identifiers

PMID40664409
PMCPMC12265800

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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.