TY - JOUR
T1 - Myopia and Near Work
T2 - A Systematic Review and Meta-Analysis
AU - Dutheil, Frédéric
AU - Oueslati, Tharwa
AU - Delamarre, Louis
AU - Castanon, Joris
AU - Maurin, Caroline
AU - Chiambaretta, Frédéric
AU - Baker, Julien S.
AU - Ugbolue, Ukadike C.
AU - Zak, Marek
AU - Lakbar, Ines
AU - Pereira, Bruno
AU - Navel, Valentin
N1 - The study was funded from own funds by the University Hospital of Clermont-Ferrand and the UMR CNRS LaPSCo Lab.
Publisher Copyright:
© 2023 by the authors.
PY - 2023/1/3
Y1 - 2023/1/3
N2 - Background: Myopia is a global public health problem affecting quality of life and work productivity. Data is scarce regarding the effects of near work on myopia. Providing a larger meta-analysis with life-long perspective, including adults and occupational exposure seemed needed. Methods: We searched PubMed, Cochrane Library, Embase and Science Direct for studies reporting myopia prevalence in near work. Myopia was defined as a mean spherical equivalent ≤ −0.50 diopter. We performed a meta-analysis using random-effects model on myopia prevalence, myopia progression per year, and odds ratio (OR) of myopia in near work, completed by subgroup analyses and meta-regressions on patients’ characteristics, type of work in adults, geographic zones, time and characteristics of near work. Results: We included 78 studies, representing a total of 254,037 participants, aged from 6 to 39 years. The global prevalence of myopia in near work was 35% (95% CI: 30 to 41%), with a prevalence of 31% (95% CI: 26 to 37%) in children and 46% (95% CI: 30 to 62%) in adults. Myopia progression was −0.39 diopters per year (−0.53 to −0.24 D/year), ranging from −0.44 (−0.57 to −0.31) in children to −0.25 D/year (−0.56 to 0.06) in adults. The odds of myopia in workers exposed vs. non-exposed to near work were increased by 26% (18 to 34%), by 31% (21 to 42%) in children and 21% (6 to 35%) in adults. Prevalence of myopia was higher in adults compared to children (Coefficient 0.15, 95% CI: 0.03 to 0.27). Conclusions: Near work conditions, including occupational exposure in adults, could be associated with myopia. Targeted prevention should be implemented in the workplace.
AB - Background: Myopia is a global public health problem affecting quality of life and work productivity. Data is scarce regarding the effects of near work on myopia. Providing a larger meta-analysis with life-long perspective, including adults and occupational exposure seemed needed. Methods: We searched PubMed, Cochrane Library, Embase and Science Direct for studies reporting myopia prevalence in near work. Myopia was defined as a mean spherical equivalent ≤ −0.50 diopter. We performed a meta-analysis using random-effects model on myopia prevalence, myopia progression per year, and odds ratio (OR) of myopia in near work, completed by subgroup analyses and meta-regressions on patients’ characteristics, type of work in adults, geographic zones, time and characteristics of near work. Results: We included 78 studies, representing a total of 254,037 participants, aged from 6 to 39 years. The global prevalence of myopia in near work was 35% (95% CI: 30 to 41%), with a prevalence of 31% (95% CI: 26 to 37%) in children and 46% (95% CI: 30 to 62%) in adults. Myopia progression was −0.39 diopters per year (−0.53 to −0.24 D/year), ranging from −0.44 (−0.57 to −0.31) in children to −0.25 D/year (−0.56 to 0.06) in adults. The odds of myopia in workers exposed vs. non-exposed to near work were increased by 26% (18 to 34%), by 31% (21 to 42%) in children and 21% (6 to 35%) in adults. Prevalence of myopia was higher in adults compared to children (Coefficient 0.15, 95% CI: 0.03 to 0.27). Conclusions: Near work conditions, including occupational exposure in adults, could be associated with myopia. Targeted prevention should be implemented in the workplace.
KW - epidemiology
KW - myopia
KW - near work
KW - occupation
KW - public health
UR - http://www.scopus.com/inward/record.url?scp=85145972124&partnerID=8YFLogxK
UR - https://www.mdpi.com/1660-4601/20/1/875
U2 - 10.3390/ijerph20010875
DO - 10.3390/ijerph20010875
M3 - Review article
C2 - 36613196
AN - SCOPUS:85145972124
SN - 1661-7827
VL - 20
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 1
M1 - 875
ER -