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. 2022 Feb 25;70(3):728–739. doi: 10.4103/ijo.IJO_1564_21

Table 2b.

Primary outcomes from the articles

Outcome Comparison Number of subjects (no. of primary studies) Measure of effect (95% confidence interval) Direction of effect
Near work
Estimation of risk More vs. less near work 6921 (6) OR=1.85 (1.31-2.62) Increased risk of myopia
Every 1 diopter-hour more of NW per week 3463 (5) OR=1.02 (1.01-1.03) Increased risk of myopia
Incidence of myopia with increasing diopter-hours spent in NW 10617 (3) RR=1.00 (0.99-1.01) No effect
More than 3 h/day reading 9109 (1) HR=1.22 (0.96-1.55) Increased risk of myopia
Reading more than 2 books/week 2103 (2) OR=1.43-3.05 Increased risk of myopia
Close reading distance (<30 cm) and continuous reading (>30 min) 2353 (1) OR=2.5 (1.74-4.0) and 1.5 (1.05-2.10) Increased risk of myopia
Changes in refractive error NA NA NA NA
Changes in axial length NA NA NA NA
Proportion (%) developing myopia NA NA NA NA
Proportion (%) with progressive myopia 6 h/day of reading and NW vs. control group 117 (1) 48.8% vs. 18.9% Increased risk of myopia
Time spent in near work
Reading time NA Myopic vs. non-myopic children NA 2919 (4) MD=0.66 (0.16-1.17) Increased risk of myopia
Watching television MD = -0.22 (-0.96 to 0.51) No effect
Computer or video games MD=0 (-0.60 to 0.57) No effect
Studying MD = -0.01 (-0.60 to 0.57) No effect

OR: odds ratio, RR: relative risk, HR: hazard ratio, MD: mean deviation, PA: physical activity, NW: near work, TSO: time spent outdoors, NA: not available