Evidence map›Paper›PMID 41930098›Full record

ArticleBiomedical reports2026

Near-work activity duration and myopia in children: An updated systematic review and meta-analysis.

Yanxia Song, Wei Zheng, Xiaoge Yang, Suling Yang, Feifan Du, Haixia Tian

Abstract read
In one paragraph

Article in Biomedical reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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. Review
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

6 authors.

Yanxia SongDepartment of Ophthalmology, Children's Hospital of Hebei Province (Hebei Provincial Clinical Research Center for Child Health and Disease), Shijiazhuang, Hebei 050000, P.R. China.
Wei ZhengDepartment of Ophthalmology, Children's Hospital of Hebei Province (Hebei Provincial Clinical Research Center for Child Health and Disease), Shijiazhuang, Hebei 050000, P.R. China.
Xiaoge YangDepartment of Ophthalmology, Children's Hospital of Hebei Province (Hebei Provincial Clinical Research Center for Child Health and Disease), Shijiazhuang, Hebei 050000, P.R. China.
Suling YangDepartment of Ophthalmology, Children's Hospital of Hebei Province (Hebei Provincial Clinical Research Center for Child Health and Disease), Shijiazhuang, Hebei 050000, P.R. China.
Feifan DuDepartment of Ophthalmology, Children's Hospital of Hebei Province (Hebei Provincial Clinical Research Center for Child Health and Disease), Shijiazhuang, Hebei 050000, P.R. China.
Haixia TianDepartment of Ophthalmology, Children's Hospital of Hebei Province (Hebei Provincial Clinical Research Center for Child Health and Disease), Shijiazhuang, Hebei 050000, P.R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present systematic review and meta-analysis aimed to assess the association between near-work activity and myopia in children, as well as to examine the influence of potential moderators, such as age, region and study design. Multiple databases were systematically searched from inception through to June 2025 for observational studies exploring the connection between near work and myopia in children. Random-effects models were used to calculate pooled odds ratios (ORs) with 95% confidence intervals (CIs). Analyses of heterogeneity, subgroup differences, meta-regressions and assessments of publication bias were conducted. A total of 33 studies (43 comparisons) were included. The pooled analysis revealed a significant association between increased near-work exposure and a higher risk of myopia in children (OR, 1.084; 95% CI, 1.060-1.108), although substantial heterogeneity was observed across studies (I²=85.2%). The 95% prediction interval (1.010-1.163) indicated that future studies would likely observe a similar positive association. Subgroup analyses demonstrated that the effect was consistent across continents, with the strongest correlation observed in Asian populations (OR, 1.177; 95% CI, 1.116-1.240) and the weakest in North America (OR, 1.098; 95% CI, 0.859-1.403). These patterns were confirmed by mixed-effects analysis. Meta-regression revealed no statistically significant moderators, and leave-one-out sensitivity analyses supported the stability of the results. Visual inspection of the funnel plot and quantitative tests pointed to minor publication bias, but the effect remained statistically significant after adjustment. In conclusion, higher levels of near-work activity are significantly linked to an increased risk of myopia in children. These findings highlight the importance of limiting prolonged near-work behaviors during childhood as part of comprehensive strategies to reduce myopia risk.

Indexed as

childrenmeta-analysismyopianear-work activityreadingrisk factorsscreen timesystematic review

Identifiers

PMID41930098
PMCPMC13041198

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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.