The association between Chinese eye exercises and myopia in children and adolescents: A systematic review and meta-analysis
ObjectiveThis study aims to summarize the relevant evidence on the association between eye exercises and myopia in children and adolescents in China.MethodsThe meta-analysis pooled the results of 12 studies, with a total of 134,201 participants. Another five studies (no OR for myopia as an outcome a...
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| Format: | Article |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.950700/full |
| _version_ | 1811155481651052544 |
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| author | Jie Tang Yifei Pei Jingjing Wang Na Yan Yunjiao Luo Wen Zhou Xiaojuan Wang Wei Wang Wei Wang Wei Wang |
| author_facet | Jie Tang Yifei Pei Jingjing Wang Na Yan Yunjiao Luo Wen Zhou Xiaojuan Wang Wei Wang Wei Wang Wei Wang |
| author_sort | Jie Tang |
| collection | DOAJ |
| description | ObjectiveThis study aims to summarize the relevant evidence on the association between eye exercises and myopia in children and adolescents in China.MethodsThe meta-analysis pooled the results of 12 studies, with a total of 134,201 participants. Another five studies (no OR for myopia as an outcome and meeting inclusion criteria) were reported in the systematic review. We searched PubMed, Web of Science, CNKI, Wan Fang, and reference lists of retrieved studies. Association estimates were pooled using random-effects meta-analyses. Odds ratios (ORs) and 95% confidence intervals (CIs) for eye exercises and myopia were pooled from a meta-analysis.ResultsAfter standardizing the reference values, a pooled OR of the univariate analysis showed a 24% reduction in myopia in children and adolescents who performed eye exercises (OR = 0.76; 95% CI: 0.62–0.89). After adjusting the covariate, a pooled OR of multiple logistic analysis for myopia (OR = 0.87; 95% CI: 0.72–1.02) showed that there is no significance between eye exercises and myopia. However, in subgroup studies of the multivariate analysis, the large sample (OR = 0.84; 95% CI: 0.74–0.94) and Chinese database (OR = 0.80; 95% CI: 0.67–0.93) subgroup showed modest protective effects. In addition, five studies in the systematic review also evaluated the risk of myopia events, and Chinese eye exercises had a modest protective effect on myopic control, but the incorrect performance of and attitude toward eye exercises posed negative effects on their eyesight health.ConclusionChinese eye exercises have a modest protective effect on myopic control, but considering that the incorrect performance of and attitude toward eye exercises have a significant influence on the effect of eye exercises, the effect of eye exercises may not be enough to prevent the progress of myopia in the long term, and more standardized eye exercises need to be conducted. |
| first_indexed | 2024-04-10T04:34:25Z |
| format | Article |
| id | doaj.art-45818d31b6484dc8a7a5503760cf4982 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T04:34:25Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-45818d31b6484dc8a7a5503760cf49822023-03-10T04:39:26ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.950700950700The association between Chinese eye exercises and myopia in children and adolescents: A systematic review and meta-analysisJie Tang0Yifei Pei1Jingjing Wang2Na Yan3Yunjiao Luo4Wen Zhou5Xiaojuan Wang6Wei Wang7Wei Wang8Wei Wang9School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaSchool of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaSchool of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaSchool of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaSchool of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Ophthalmology, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Ophthalmology, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaSchool of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaKey Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaEngineering Research Innovation Center of Biological Data Mining and Healthcare Transformation, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaObjectiveThis study aims to summarize the relevant evidence on the association between eye exercises and myopia in children and adolescents in China.MethodsThe meta-analysis pooled the results of 12 studies, with a total of 134,201 participants. Another five studies (no OR for myopia as an outcome and meeting inclusion criteria) were reported in the systematic review. We searched PubMed, Web of Science, CNKI, Wan Fang, and reference lists of retrieved studies. Association estimates were pooled using random-effects meta-analyses. Odds ratios (ORs) and 95% confidence intervals (CIs) for eye exercises and myopia were pooled from a meta-analysis.ResultsAfter standardizing the reference values, a pooled OR of the univariate analysis showed a 24% reduction in myopia in children and adolescents who performed eye exercises (OR = 0.76; 95% CI: 0.62–0.89). After adjusting the covariate, a pooled OR of multiple logistic analysis for myopia (OR = 0.87; 95% CI: 0.72–1.02) showed that there is no significance between eye exercises and myopia. However, in subgroup studies of the multivariate analysis, the large sample (OR = 0.84; 95% CI: 0.74–0.94) and Chinese database (OR = 0.80; 95% CI: 0.67–0.93) subgroup showed modest protective effects. In addition, five studies in the systematic review also evaluated the risk of myopia events, and Chinese eye exercises had a modest protective effect on myopic control, but the incorrect performance of and attitude toward eye exercises posed negative effects on their eyesight health.ConclusionChinese eye exercises have a modest protective effect on myopic control, but considering that the incorrect performance of and attitude toward eye exercises have a significant influence on the effect of eye exercises, the effect of eye exercises may not be enough to prevent the progress of myopia in the long term, and more standardized eye exercises need to be conducted.https://www.frontiersin.org/articles/10.3389/fpubh.2023.950700/fullmyopiaChineseeye exercisesadolescentsmeta-analysis |
| spellingShingle | Jie Tang Yifei Pei Jingjing Wang Na Yan Yunjiao Luo Wen Zhou Xiaojuan Wang Wei Wang Wei Wang Wei Wang The association between Chinese eye exercises and myopia in children and adolescents: A systematic review and meta-analysis Frontiers in Public Health myopia Chinese eye exercises adolescents meta-analysis |
| title | The association between Chinese eye exercises and myopia in children and adolescents: A systematic review and meta-analysis |
| title_full | The association between Chinese eye exercises and myopia in children and adolescents: A systematic review and meta-analysis |
| title_fullStr | The association between Chinese eye exercises and myopia in children and adolescents: A systematic review and meta-analysis |
| title_full_unstemmed | The association between Chinese eye exercises and myopia in children and adolescents: A systematic review and meta-analysis |
| title_short | The association between Chinese eye exercises and myopia in children and adolescents: A systematic review and meta-analysis |
| title_sort | association between chinese eye exercises and myopia in children and adolescents a systematic review and meta analysis |
| topic | myopia Chinese eye exercises adolescents meta-analysis |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.950700/full |
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