The Relationship between Screen Time and Myopia in Children: A Narrative Review

Authors

  • Dr. Samer H. Sharkiya Sharkiya Doctor of Philosophy in Nursing, Dorot Geriatric Medical Center, Affiliated to the Technion Faculty of Medicine, Haifa, Israel
  • Dr. Malek N. EL erow Doctor of Medicine Pulmonary Unit, Meir Medical Center in Kfar Saba, Israel
  • Dr. Ahlam Mahmoud Bsoul Doctor or Medicine, Hilel Yeffe Medical Center, Affiliated to the Technion Faculty of Medicine, Haifa, Israel
  • Fedaa N. EL erow Pharmay manager Hadar Health Pharmecy, Israel

DOI:

https://doi.org/10.55677/IJCSMR/V4I12-02/2024

Keywords:

Myopia, screen time, children

Abstract

Background: There are concerns that children are increasingly spending time on media screens like smartphones, TVs, and computers, and at the same time, the incidence and prevalence of myopia are also on an upward trend among children.
Aim: This review investigated the relationship between screen time (ST) and myopia in children.
Methods: PubMed, Web of Science, Cochrane Library, and Google Scholar were searched on November 30, 2024. Studies were considered eligible if they were longitudinal, experimental, or case-controlled. Studies published between 2000-2024 in the English language only were considered eligible.
Results: Seven longitudinal studies conducted in various countries met the eligibility criteria. Four studies investigated the prevalence, incidence, and progression of myopia before and after the COVID-19 pandemic. Before the pandemic, it was considered a non-exposure period. In contrast, during the pandemic, it was considered an exposure period because students were learning using digital devices, and due to home confinement, they spent more time on screen. The four studies found that the prevalence, incidence, and myopia progression increased significantly during the pandemic compared to before the pandemic. The other three studies were conducted long before the pandemic. They also revealed that ST was a significant predictor of myopia in children.
Conclusion: All seven longitudinal studies revealed a significant association between ST and myopia development among children. Therefore, policies should be formulated to increase public awareness amongst parents regarding ST regulation for children

References

AACAP. (2024). Screen time and children. https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Children-And-Watching-TV-054.aspx

Chen, W., & Adler, J. L. (2019). Assessment of screen exposure in young children, 1997 to 2014. JAMA Pediatrics, 173(4), 391. https://doi.org/10.1001/jamapediatrics.2018.5546

Enthoven, C. A., Tideman, J. W. L., Polling, J. R., Yang-Huang, J., Raat, H., & Klaver, C. C. W. (2020). The impact of computer use on myopia development in childhood: The Generation R study. Preventive Medicine, 132, 105988.

https://doi.org/10.1016/j.ypmed.2020.105988

Hu, Y., Zhao, F., Ding, X., Zhang, S., Li, Z., Guo, Y., Feng, Z., Tang, X., Li, Q., Guo, L., Lu, C., Yang, X., & He, M. (2021). Rates of myopia development in young Chinese schoolchildren during the outbreak of COVID-19. JAMA Ophthalmology, 139(10), 1115. https://doi.org/10.1001/jamaophthalmol.2021.3563

Khalaf, A. M., Alhazimi, A. Y., Almaymuni, K. K., & Alsubaie, N. A. (2024). Prevalence of myopia among schoolchildren and the impact of increased screen time: A systematic review. Cureus. https://doi.org/10.7759/cureus.66815

Lanca, C., & Saw, S. (2020). The association between digital screen time and myopia: A systematic review. Ophthalmic and Physiological Optics, 40(2), 216–229.

https://doi.org/10.1111/opo.12657

Lanca, C., Yam, J. C., Jiang, W., Tham, Y., Hassan Emamian, M., Tan, C., Guo, Y., Liu, H., Zhong, H., Zhu, D., Hu, Y., Saxena, R., Hashemi, H., Chen, L., Wong, T., Cheng, C., Pang, C., Zhu, H., Pan, C., … The Asian Eye Epidemiology Consortium (AEEC). (2022). Near work, screen time, outdoor time and myopia in schoolchildren in the Sunflower Myopia AEEC Consortium. Acta Ophthalmologica, 100(3), 302–311. https://doi.org/10.1111/aos.14942

Ma, M., Xiong, S., Zhao, S., Zheng, Z., Sun, T., & Li, C. (2021). COVID-19 home quarantine accelerated the progression of myopia in children aged 7 to 12 years in China. Investigative Opthalmology & Visual Science, 62(10), 37. https://doi.org/10.1167/iovs.62.10.37

Madigan, S., Browne, D., Racine, N., Mori, C., & Tough, S. (2019). Association between screen time and children’s performance on a developmental screening test. JAMA Pediatrics, 173(3), 244. https://doi.org/10.1001/jamapediatrics.2018.5056

Mu, J., Zeng, D., Fan, J., Liu, M., Jiang, M., Shuai, X., Wang, J., & Zhang, S. (2023). Epidemiological characteristics and influencing factors of myopia among primary school students in southern China: A longitudinal study. International Journal of Public Health, 68, 1605424.

https://doi.org/10.3389/ijph.2023.1605424

Saxena, R., Vashist, P., Tandon, R., Pandey, R. M., Bhardawaj, A., Gupta, V., & Menon, V. (2017). Incidence and progression of myopia and associated factors in urban school children in Delhi: The North India Myopia Study (NIM Study). PLOS ONE, 12(12), e0189774.

https://doi.org/10.1371/journal.pone.0189774

Trinh, M.-H., Sundaram, R., Robinson, S. L., Lin, T.-C., Bell, E. M., Ghassabian, A., & Yeung, E. H. (2020). Association of trajectory and covariates of children’s screen media time. JAMA Pediatrics, 174(1), 71.

https://doi.org/10.1001/jamapediatrics.2019.4488

Wang, J., Li, M., Zhu, D., & Cao, Y. (2020). Smartphone overuse and visual impairment in children and young adults: Systematic review and meta-analysis. Journal of Medical Internet Research, 22(12), e21923.

https://doi.org/10.2196/21923

Wang, J., Li, Y., Musch, D. C., Wei, N., Qi, X., Ding, G., Li, X., Li, J., Song, L., Zhang, Y., Ning, Y., Zeng, X., Hua, N., Li, S., & Qian, X. (2021). Progression of myopia in school-aged children after COVID-19 home confinement. JAMA Ophthalmology, 139(3), 293. https://doi.org/10.1001/jamaophthalmol.2020.6239

Williams, K. M., Kraphol, E., Yonova-Doing, E., Hysi, P. G., Plomin, R., & Hammond, C. J. (2019). Early life factors for myopia in the British Twins Early Development Study. British Journal of Ophthalmology, 103(8), 1078–1084. https://doi.org/10.1136/bjophthalmol-2018-312439

Yang, G.-Y., Huang, L.-H., Schmid, K. L., Li, C.-G., Chen, J.-Y., He, G.-H., Liu, L., Ruan, Z.-L., & Chen, W.-Q. (2020). Associations between screen exposure in early life and myopia amongst Chinese preschoolers. International Journal of Environmental Research and Public Health, 17(3), 1056. https://doi.org/10.3390/ijerph17031056

Zadnik, K., & Mutti, D. O. (2019). Outdoor activity protects against childhood myopia—Let the sun shine in. JAMA Pediatrics, 173(5), 415. https://doi.org/10.1001/jamapediatrics.2019.0278

Zhang, X., Cheung, S. S. L., Chan, H.-N., Zhang, Y., Wang, Y. M., Yip, B. H., Kam, K. W., Yu, M., Cheng, C.-Y., Young, A. L., Kwan, M. Y. W., Ip, P., Chong, K. K.-L., Tham, C. C., Chen, L. J., Pang, C.-P., & Yam, J. C. S. (2022). Myopia incidence and lifestyle changes among school children during the COVID-19 pandemic: A population-based prospective study. British Journal of Ophthalmology, 106(12), 1772–1778. https://doi.org/10.1136/bjophthalmol-2021-319307

Zong, Z., Zhang, Y., Qiao, J., Tian, Y., & Xu, S. (2024). The association between screen time exposure and myopia in children and adolescents: A meta-analysis. BMC Public Health, 24(1), 1625. https://doi.org/10.1186/s12889-024-19113-5

Downloads

Published

2024-12-11

How to Cite

Sharkiya, D. S. H. S., erow, D. M. N. E., Bsoul, D. A. M., & erow, F. N. E. (2024). The Relationship between Screen Time and Myopia in Children: A Narrative Review. International Journal of Clinical Science and Medical Research, 4(12), 425–428. https://doi.org/10.55677/IJCSMR/V4I12-02/2024