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More Time Outside Tied To Less Nearsightedness In Children

Bookworm09 writes: For primary school children in China, spending an extra 45 minutes per day outside in a school activity class may reduce the risk of myopia, according to a new study. In some parts of China, 90% of high school graduates have nearsightedness, and rates are lower but increasing in Europe and the Middle East, the authors write. "There were some studies suggesting the protective effect of outdoor time in the development of myopia, but most of this evidence is from cross-sectional studies (survey) data that suggest 'association' instead of causality," said lead author Dr. Mingguang He of Sun Yat-sen University in Guangzhou. "Our study, as a randomized trial, is able to prove causality and also provide the high level of evidence to inform public policy."

37 of 60 comments (clear)

  1. Re:Makes sense by Anonymous Coward · · Score: 1

    Since it's so obvious to you, which part of the eye is being strengthened by exposure to varying focal ranges?

  2. Makes sense by dejitaru · · Score: 1

    My eye sight (and weight) starting going bad after college. I figure it was because I was spending more time sitting down and staring at a computer when I got my first desk job than before (where I used to usually sit at the computer only at home or at a class per semester).

  3. Re:yep by bob_super · · Score: 3, Insightful

    The "always look at the thing in your hand" generation is completely screwed...

    Excuse me while I go buy stock in glasses retailers and Lasik providers.

  4. Not so much outdoors by Spy+Handler · · Score: 2, Insightful

    This article basically confirms it, but the topic was covered extensively in the health media last year. I don't remember the study but they noted that white anglo population in England had a much higher rate of myopia than the white anglo population in Australia. Australians get a lot of sunshine, England is cursed with a lot of fog and rain. Genetics is not a factor since the two populations are virtually identical with only ~100 years separating them.

    Anyways the key factors are light and focus. Bright lights (such as sunlight) = healthy eyes. Time spent with eyes focused on close objects (such as reading or computering) = myopia. Of course spending time outdoors on a sunny day leads to eyes exposed to high levels of light and focused on distant objects, while playing Gameboy indoors will lead to the opposite.

    Note that this effect concerns growing children. Adults already have their eyeball shape pretty much fixed and it's rare to develop myopia in adulthood.

    Anyways my point was that it's not necessarily outdoors that prevents myopia in children, it's light and focal distance. So if a child were to spend all their time indoors but the house was brightly lit and a lot of that time was spent watching a TV far away (like 6 meters or more), they won't develop myopia. Of course that's hard to do since most house lights are nowhere near bright enough to match sunlight levels, and if you're indoors it's hard to keep your eyes focused far away for extended periods.

    1. Re:Not so much outdoors by viperidaenz · · Score: 1

      or.... lots of sunshine means kids spend more time outdoors, lots of rain and fog mean kids spend more time inside. So it could still be outdoor activity that helps prevent myopia and good weather increases outdoor activity.

    2. Re:Not so much outdoors by Solandri · · Score: 1

      Of course that's hard to do since most house lights are nowhere near bright enough to match sunlight levels,

      Skylights. If your ceiling is too far from the roof, use a light tube. I'm opposed to widespread adoption of PV solar because its levelized cost is still several times higher than other electricity sources. But skylights are obvious. It makes no sense to deliberately create shade with a roof, then use artificial lighting to get rid of the shade.

      and if you're indoors it's hard to keep your eyes focused far away for extended periods.

      Some arcade games (Battlezone and some sub hunt game are the ones I remember) used a lens in front of the screen to give the illusion of objects on the screen being very far away. I've often wondered why a lens like that never became standard desktop computing equipment. Seems like it would help reduce eyestrain as well.

    3. Re:Not so much outdoors by jrvz · · Score: 1

      "Time spent with eyes focused on close objects (such as reading or computering) = myopia." RIGHT.

      How it's supposed to work: Child is born farsighted -> much time spent outside looking at distant objects, but focusing muscles in the eye can still bring those objects into focus -> muscles get tired -> brain concludes "I'm still farsighted" -> eyes grow -> eyes can relax most of the time - i.e. while looking at distant objects = perfect vision.

      How it's working in industrialized countries: Much time spent with eyes focused on close objects -> focusing muscles in the eyes get tired -> brain concludes "I'm still farsighted" -> eyes grow -> eyes can relax most of the time - i.e. while looking at CLOSE objects = myopia. If you get glasses that "correct" for myopia, and wear them while reading, then you go around the loop again and the myopia gets worse. That's what happened to me - I need a correction of -4 diopters or so.

      Lesson #1: if you have myopia, so you need glasses for distant work, then take those glasses off if you're doing a lot of close work. Or else get bifocals.

      Lesson #2: To prevent myopia in the first place, get kids to wear READING GLASSES (+1.5 or +2 diopters) while doing a lot of close work. That way their eyes are focused at infinity (therefore relaxed) even though they're doing close work. My daughter was willing to do this, because it was only while she was at home working on the computer or reading, and not when she was out with other kids. She graduated as an engineer, and still doesn't need glasses.

  5. Re:yep by rwa2 · · Score: 4, Funny

    As someone with a glasses fetish, I'm OK with this.

    Still bitter that my wife got herself Lasik correction way back when, though. Even moreso that she did it without using pretax HSA dollars.

  6. so what my mother told me was wrong by ozduo · · Score: 1

    and I could have kept up the self abuse without going blind

    --
    I got to the chocolate box before you, that's why the hard ones have teeth marks.
    1. Re:so what my mother told me was wrong by gstoddart · · Score: 1

      You expect us to believe you didn't?

      Right. Sure.

      --
      Lost at C:>. Found at C.
  7. Re:The cause is over-focus. by sims+2 · · Score: 1

    Don't mind me this is just a note so I can find this later.

    --
    Minimum threshold fixed. Thanks!
  8. Re:yep by mwehle · · Score: 4, Funny

    Came to this conclusion myself a while back due to how much time I spent in front of a computer compared to my sisters. Definitely has an effect on you.

    I think the idea is to spend more time outside rather than in front of your sisters.

    --
    Wir sind geboren, um frei zu sein - Rio Reiser
  9. Re:Makes sense by ChrisMaple · · Score: 4, Interesting

    It isn't a question of strengthening. It's a question of the shape of the eye's lens and the distance from the lens to the retina.

    It's a matter of controversy (although it shouldn't be) which of the two is usually misshaped in myopia.

    Being outside means that most of the time the eye will be focused near infinity, and that habitual condition is what helps prevent myopia.

    There are other factors involved with being outdoors in sunshine.
    ____Sunshine causes the generation of vitamin D. So far as I know, this does not affect myopia.
    ____There's proportionally more blue light outdoors. Blue is refracted more strongly (the eye is not an achromat), so to get overall better focus when there's a strong blue component in the light, the eye must focus less strongly, i.e. farther away. This improves the habitual state of the eye.

    There is a claim (among the advocates of the Bates system) that muscles can be used both to focus nearer and farther away, but conventional understanding of the eye's focus mechanism is that muscles are used only to swivel the eyes and to make them focus near. Far focus is the relaxed condition.

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  10. Re:Makes sense by Citizen+of+Earth · · Score: 1, Funny

    Nearsightedness is caused by the eyeball being too long which is genetic. I'm not sure how looking at things far away as a kid is supposed to prevent a genetic condition from asserting itself. Does it prevent male pattern baldness too?

  11. Re:Genetics by ChrisMaple · · Score: 1

    I've read the claim that high levels of male hormones encourages myopia. It's a conjecture worth investigating. Hormones surge at puberty.

    --
    Contribute to civilization: ari.aynrand.org/donate
  12. It's always seemed intuitively obvious to me... by Chris+Mattern · · Score: 1

    ...that if you spend all your time as a kid never focussing on anything more than six feet away, you'll most likely wind up near sighted.

    1. Re:It's always seemed intuitively obvious to me... by Pinky's+Brain · · Score: 1

      Will only work with very well behaved kids, but you could make them wear reading glasses while reading and using a computer.

      Problem solved.

  13. Re:Makes sense by Chris+Mattern · · Score: 1

    When you're a kid, your eye is still growing. Myopic people suffer from an eye that is basically too long--the retina is too far from the lens and the lens will focus in front of it when the target is any distance away. It makes sense that never focussing on the distance encourages the eye to grow this way. It adapts to short focussing distaces.

  14. Re:yep by PopeRatzo · · Score: 1

    As someone with a glasses fetish, I'm OK with this.

    Still bitter that my wife got herself Lasik correction way back when, though.

    I respect your priorities.

    --
    You are welcome on my lawn.
  15. Mr Magoo by PopeRatzo · · Score: 4, Funny

    Are you telling me that all those times my mom yelled, "Don't sit so close to the TV, you'll ruin your eyes!" she was right?

    --
    You are welcome on my lawn.
    1. Re:Mr Magoo by AmiMoJo · · Score: 1

      This is my biggest regret about childhood. Didn't look after my eyes or ears. The damage isn't too bad, fortunately.

      --
      const int one = 65536; (Silvermoon, Texture.cs)
      SJW, n: "Someone I don't like, and by the way I'm a fuckwit" - AC
  16. Re:Makes sense by viperidaenz · · Score: 2

    Your eyes keep growing until you're a teenager. Most of it happens in the first few years.
    There seems to be some incorrect information around that says the opposite though, that you're born with adult sized eyes.

    Things grow in response to usage. If you never try to touch your toes are you grow, you'll find that you don't have the flexibility to do it later in life, and it's extremely difficult to regain that flexibility.
    Why would the muscles and structures in your eyes be any different?

  17. Light/Dopamine hypothesis by TheSync · · Score: 3, Informative

    From here:

    In 2009, Regan Ashby, Arne Ohlendorf and Frank Schaeffel from the University of Tubingen's Institute for Ophthalmic Research in Germany showed that high illumination levels - comparable to those encountered outside - slowed the development of experimentally induced myopia in chicks by about 60% compared with normal indoor lighting conditions

    The leading hypothesis is that light stimulates the release of dopamine in the retina, and this neurotransmitter in turn blocks the elongation of the eye during development. The best evidence for the 'light-dopamine' hypothesis comes - again - from chicks. In 2010, Ashby and Schaeffel showed that injecting a dopamine-inhibiting drug called spiperone into chicks' eyes could abolish the protective effect of bright light

  18. Laugh by koan · · Score: 1

    And more likely to get cataracts later in life.

    --
    "If any question why we died, Tell them because our fathers lied."
  19. Re:yep by ShanghaiBill · · Score: 1

    As someone with a glasses fetish, I'm OK with this.

    Still bitter that my wife got herself Lasik correction way back when, though.

    You could get her a pair of empty frames, just for the bedroom.

  20. Re:yep by Ol+Olsoc · · Score: 2

    The "always look at the thing in your hand" generation is completely screwed...

    Well in slashdot users case, they at least know what their pecker looks like.

    they know it on a ....... first hand basis.

    --
    The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
  21. Re:yep by Ol+Olsoc · · Score: 1

    As someone with a glasses fetish, I'm OK with this.

    Still bitter that my wife got herself Lasik correction way back when, though.

    I respect your priorities.

    As all television, movies and porn show, she automatically lost 50 IQ points when she threw away the glasses.

    --
    The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
  22. Re:yep by Ol+Olsoc · · Score: 1

    Came to this conclusion myself a while back due to how much time I spent in front of a computer compared to my sisters. Definitely has an effect on you.

    I think the idea is to spend more time outside rather than in front of your sisters.

    Josh Duggar disagrees.

    http://www.people.com/article/...

    --
    The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
  23. I first went to an ophthalmological exam... by MEK · · Score: 1

    ... when I was one or so -- because my mother war a bit paranoid, as she had had lots of eye trouble as an infant and I was child no. 1/ The doctor looked at my eyes and told her I had almost perfect vision -- which was actually bad, because it is normal for young children to be far-sighted. One's eyeball gets longer as one gets older, so while "normal" kids eyes would go from far-sighted to normal, my eyesight was fated to go from normal to VERY near-sighted. He was right.

    --
    Credo quia impossibilis -- Tertullian
  24. Re:Makes sense by Ol+Olsoc · · Score: 1

    My eye sight (and weight) starting going bad after college. I figure it was because I was spending more time sitting down and staring at a computer when I got my first desk job than before (where I used to usually sit at the computer only at home or at a class per semester).

    Weird thing is, in the last 5 years, my eyes have become radically better. TO the point where my wife insisted I get them checked, in case of some inknown problem. But I can now drive without glasses, and my close vision is much better since I don't have to wear glasses that correct the far vision much at all any more.

    --
    The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
  25. Re:Makes sense by dejitaru · · Score: 1

    What did you change? i'd like to know.... can I buy some of your snake oil? :)

  26. Re:Ipads cause myopia by Pinky's+Brain · · Score: 1

    Did your daughter's optometrist add that wearing negative power glasses while using that ipad makes it incredibly much worse? It's a foot away without the glasses, it's virtual image is much closer with them.

    Kids glasses should come with health warnings ... they destroy so many eyes.

  27. Re:yep by rwa2 · · Score: 1

    You could get her a pair of empty frames, just for the bedroom.

    The weird thing is... I can suspend my disbelief with all kinds of fake stuff in porn, but for some reason seeing frames without lenses just kill it for me. Yeah, I know lighting glare is a problem. Use polarizing filters or just roll with the (Z)_(Z) look.

  28. Well there you go by slashmydots · · Score: 1

    Every single person on both sides of my family wears glasses. Both my parents, my brother, 20 or so cousins, and all aunts and uncles and grandparents wear glasses. I have 20/15+ vision that far exceeds normal vision. For example I can read a Burger King menu from the play center. How do I explain it? I was always focused at a static depth so how could my lenses or whatever have warped? I did go outside a lot but percentage-wise, it was TV and computers.

  29. I got plenty of outside time, but it didn't help. by sabbede · · Score: 1

    Though I'm told staying up half the night reading Analog and not having my eyes equidistant from the pages is what doomed them.

  30. Re:Makes sense by Keith_Beef · · Score: 1

    I seem to remember from a while back (maybe a couple of years) some research that addressed this.

    Researchers in Australia looked at ethnically Chinese kids in Australia and in Singapore, so genetically almost identical populations. The kids in Singapore spent much more time indoors, whereas the kids in Australia spent at least two (IIRR) hours per day at school outdoors.

    It seems that exposure to natural light, most likely to UV spectrum, signals to the eye when to stop growing. In the absence of this signal, a kid's eyes continue to grow after the skull has stopped growing. The result is that the eye bulges, increasing the distance between the lens and the retina, giving rise to myopia.

    The eyes of the kids in Australia were getting enough light to stop growing, the eyes of the kids in Singapore were not getting enough light and continue to grow.

  31. Re:Makes sense by Ol+Olsoc · · Score: 1

    What did you change? i'd like to know.... can I buy some of your snake oil? :)

    Its the craziest damn thing. No one knows, but after mulltiple checks, there's no problem, just that anomaly.

    --
    The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.