Behavioral factors contribute to the development of myopia
the verdict
SUPPORTED
the evidence backs this
confidence 89/100
Extensive empirical research, including longitudinal and systematic reviews, consistently demonstrates that behavioral factors such as prolonged near work, high screen time, and limited outdoor activity significantly contribute to the development and progression of myopia in children.
Evidence for · 8
Incidence and progression of myopia and associated factors in urban school children in Delhi: The North India Myopia Study (NIM Study)
2017 · cited by 173
Paper [0] found that hours of reading-writing and screen time are significant risk factors for myopia progression.
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More for · 7
Prevalence of Myopia and Associated Risk Factors in Schoolchildren in North India.
2019 · cited by 78
Paper [1] showed a positive association between myopia and excessive study hours and video game usage.
Physical activity, time spent outdoors, and near work in relation to myopia prevalence, incidence, and progression: An overview of systematic reviews and meta-analyses
2022 · cited by 78
Paper [2] concluded from systematic reviews that near work is related to the risk of myopia and outdoor time is protective.
Near work, screen time, outdoor time and myopia in schoolchildren in the Sunflower Myopia AEEC Consortium
2021 · cited by 58
Paper [3] demonstrated that increased reading, writing, and less outdoor time are associated with myopia in schoolchildren.
Myopia and Its Association with Near Work, Outdoor Time, and Housing Type among Schoolchildren in South India
2023 · cited by 22
Paper [5] highlighted that the near-work to outdoor time ratio and outdoor time are strongly associated with myopia development.
Interventions to Reduce Incidence and Progression of Myopia in Children and Adults.
2025 · cited by 19
Paper [7] noted that a high-risk lifestyle and less outdoor time require rigorous interventions against myopia progression.
Factors associated with the high prevalence of myopia and its decrease-A historical review.
2025 · cited by 4
Paper [8] discussed historical and recent studies linking close-up strain from schooling and near work to high myopia prevalence.
Lifestyle and environmental risk factors for myopia in children: Evidence from a large-scale cross-sectional study in Shandong, China
2026 · cited by 1
Paper [10] identified behavioral risk factors such as prolonged screen exposure, heavy homework burdens, and improper reading habits as significant contributors to myopia.