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Systematic review and meta-analysis on the impact of COVID-19 pandemic-related lifestyle on myopia

2022-09Journal article Open access
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dc.contributor.authorLi, Mijie
dc.contributor.authorXu, Lingqian
dc.contributor.authorTan, Chuen-Seng
dc.contributor.authorLança, Carla
dc.contributor.authorFoo, Li-Lian
dc.contributor.authorSabanayagam, Charumathi
dc.contributor.authorSaw, Seang-Mei
dc.date.accessioned2022-09-29T11:28:07Z
dc.date.available2022-09-29T11:28:07Z
dc.date.issued2022-09
dc.description.abstractPurpose: To conduct a systematic review and meta-analysis to assess the effects of coronavirus disease 2019 (COVID-19) pandemic–related lifestyle on myopia outcomes in children to young adults. Methods: A systematic search was conducted on PubMed, Embase, and the Cochrane Central Register of Controlled Trials databases (with manual searching of reference lists of reviews). Studies included assessed changes in myopia-related outcomes (cycloplegic refraction) during COVID and pre-COVID. Of 367 articles identified, 7 (6 prospective cohorts; 1 repeated cross-sectional study) comprising 6327 participants aged 6 to 17 were included. Quality appraisals were performed with Joanna Briggs Institute Critical Appraisal Checklists. Pooled differences in annualized myopic shifts or mean spherical equivalent (SE) during COVID and pre-COVID were obtained from random-effects models. Results: In all 7 studies, SE moved toward a myopic direction during COVID (vs pre-COVID), where 5 reported significantly faster myopic shifts [difference in means of changes: −1.20 to −0.35 diopters per year, [D/y]; pooled estimate: −0.73 D/y; 95% confidence interval (CI): −0.96, −0.50; P<0.001], and 2 reported significantly more myopic SE (difference in means: −0.72 to −0.44 D/y; pooled estimate: −0.54 D/y; 95% CI: −0.80, −0.28; P<0.001). Three studies reported higher myopia (SE ≤−0.50 D) incidence (2.0- to 2.6-fold increase) during COVID versus pre-COVID. Of studies assessing lifestyle changes, all 4 reported lower time outdoors (pre-COVID vs during COVID: 1.1–1.8 vs 0.4–1.0 hours per day, [h/d]), and 3 reported higher screen time (pre-COVID vs during COVID: 0.7–2.8 vs 2.4–6.9 h/d). Conclusions: This review suggests more myopic SE shifts during COVID (vs pre-COVID) in participants aged 6 to 17. COVID-19 restrictions may have worsened SE shifts, and lifting restrictions may lessen this effect. Evaluations of the long-term effects of the pandemic lifestyle on myopia onset and progression in large studies are warranted to confirm these findings.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLi M, Xu L, Tan CS, Lança C, Foo LL, Sabanayagam C, et al. Systematic review and meta-analysis on the impact of COVID-19 pandemic-related lifestyle on myopia. Asia Pac J Ophthalmol. 2022;11(5):470-80.pt_PT
dc.identifier.doi10.1097/APO.0000000000000559pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/14991
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherLippincott Williams & Wilkinspt_PT
dc.relation.publisherversionhttps://journals.lww.com/apjoo/Fulltext/2022/09000/Systematic_Review_and_Meta_Analysis_on_the_Impact.10.aspxpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectOrthopticspt_PT
dc.subjectMyopiapt_PT
dc.subjectCOVID-19pt_PT
dc.subjectSpherical equivalentpt_PT
dc.subjectAxial lengthpt_PT
dc.subjectReview articlept_PT
dc.subjectSystematic reviewpt_PT
dc.subjectMeta-analysispt_PT
dc.titleSystematic review and meta-analysis on the impact of COVID-19 pandemic-related lifestyle on myopiapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage480pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage470pt_PT
oaire.citation.titleAsia-Pacific Journal of Ophthalmologypt_PT
oaire.citation.volume11pt_PT
person.familyNameLança
person.givenNameCarla
person.identifier.ciencia-id601A-6412-BF2F
person.identifier.orcid0000-0001-9918-787X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication0320b455-ee19-4670-8bf2-10dce9de1bec
relation.isAuthorOfPublication.latestForDiscovery0320b455-ee19-4670-8bf2-10dce9de1bec

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