The Multidimensional Impact of Myopia on Quality of Life Among Chinese Children and Adolescents: A Scoping Review.

IF 1.6 4区医学 Q3 OPHTHALMOLOGY

Ophthalmic epidemiology Pub Date : 2026-10-01 Epub Date: 2026-05-10 DOI:10.1080/09286586.2026.2665377

Kunrong Li, Wen Sun, Liyang Zhang, Guannan Bai, Pei Wang

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引用次数: 0

Abstract

Objective: To synthesise current evidence on how myopia affects the quality of life (QoL) of Chinese children and adolescents, with a focus on multidimensional health outcomes, contextual determinants, and intervention strategies.

Methods: A scoping review was conducted in accordance with PRISMA-ScR guidelines. PubMed, Web of Science, Embase, CNKI, and Wanfang Data were searched from inception to 1 January 2025. Eligible studies included myopic Chinese children and adolescents (≤18 years), used validated QoL instruments, and were published in peer-reviewed journals. Two reviewers independently extracted and verified data, and methodological characteristics were summarised narratively.

Results: Twenty-one studies involving 157,441 participants across 14 provinces were included. Myopia was consistently associated with reduced QoL across physical, psychological, and social domains, including limitations in vision-dependent activities, visual symptoms, anxiety, and impaired peer and academic functioning. Key determinants included refractive severity, myopia progression, outdoor activity, screen time, socioeconomic status, and parental education. Interventions including orthokeratology and peripheral defocus lenses, as well as increased outdoor time, show potential to improve functional vision and well-being. However, most evidence comes from cross-sectional studies with heterogeneous QoL measures.

Conclusions: Myopia, particularly high myopia, is consistently associated with a significant reduction in the multidimensional QoL of Chinese children and adolescents across diverse regions. This impact reflects a complex bio-environmental interaction involving both physiological progression and lifestyle constraints, such as prolonged screen time and reduced outdoor activity. Future myopia management should transition from a purely refractive focus to holistic strategies that incorporate lifestyle interventions, psychological support, and enhanced patient adaptation to advanced optical treatments.

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中国儿童和青少年近视对生活质量的多维影响：一项范围综述。

目的：综合目前关于近视如何影响中国儿童和青少年生活质量（QoL）的证据，重点关注多维健康结果、环境决定因素和干预策略。方法：根据PRISMA-ScR指南进行范围审查。检索自建校至2025年1月1日的PubMed、Web of Science、Embase、CNKI和万方数据。符合条件的研究包括近视的中国儿童和青少年（≤18岁），使用经过验证的生活质量工具，并发表在同行评审的期刊上。两名审稿人独立提取和验证数据，并对方法学特征进行叙述总结。结果：共纳入21项研究，涉及14个省份的157,441名受试者。近视一直与身体、心理和社会领域的生活质量下降有关，包括视力依赖活动的限制、视觉症状、焦虑、同伴和学术功能受损。主要决定因素包括屈光严重程度、近视进展、户外活动、屏幕时间、社会经济地位和父母教育程度。包括角膜塑形术和周边离焦镜片在内的干预措施，以及增加户外时间，显示出改善功能性视力和健康的潜力。然而，大多数证据来自采用异质生活质量测量的横断面研究。结论：近视，特别是高度近视，与中国不同地区儿童和青少年多维生活质量的显著降低一致相关。这种影响反映了复杂的生物环境相互作用，涉及生理进程和生活方式限制，如屏幕时间延长和户外活动减少。未来的近视治疗应该从单纯的屈光聚焦转向综合生活方式干预、心理支持和增强患者对先进光学治疗的适应的整体策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ophthalmic epidemiology 医学-眼科学

CiteScore

3.70

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： Ophthalmic Epidemiology is dedicated to the publication of original research into eye and vision health in the fields of epidemiology, public health and the prevention of blindness. Ophthalmic Epidemiology publishes editorials, original research reports, systematic reviews and meta-analysis articles, brief communications and letters to the editor on all subjects related to ophthalmic epidemiology. A broad range of topics is suitable, such as: evaluating the risk of ocular diseases, general and specific study designs, screening program implementation and evaluation, eye health care access, delivery and outcomes, therapeutic efficacy or effectiveness, disease prognosis and quality of life, cost-benefit analysis, biostatistical theory and risk factor analysis. We are looking to expand our engagement with reports of international interest, including those regarding problems affecting developing countries, although reports from all over the world potentially are suitable. Clinical case reports, small case series (not enough for a cohort analysis) articles and animal research reports are not appropriate for this journal.