Factors affecting outdoor time and screentime in the context of preschool myopia prevention: a mixed-methods study - Report - MDSpire

Factors affecting outdoor time and screentime in the context of preschool myopia prevention: a mixed-methods study

  • By

  • Simran Khutan

  • Rebecca J. McLean

  • Mervyn G. Thomas

  • Sohaib R. Rufai

  • June 10, 2026

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Influences on Outdoor Activity and Screen Exposure in Preschoolers for Myopia Prevention

Overview

This study investigates outdoor activity and screen exposure in preschoolers to understand their implications for myopia prevention. Findings indicate low adherence to outdoor activity guidelines, while screentime guidelines are more frequently met among children.

Background

The increasing prevalence of myopia poses a significant public health challenge, with projections suggesting that 52% of the global population may be affected by 2050. Early onset of myopia is linked to a higher risk of severe complications in adulthood. Understanding outdoor activity and screen exposure behaviors in preschool children is crucial for developing effective myopia prevention strategies.

Data Highlights

Of 153 parents invited, 52 responded (34% response rate). Only 9.6% of children met outdoor recommendations, while 78.3% adhered to screentime guidelines. Statistical analysis showed no significant association between outdoor time and screentime (p = 0.30).

Key Findings

  • Only 5 children (9.6%) met the recommended outdoor activity of 2 hours per day.
  • 36 children (78.3%) adhered to screentime guidelines.
  • Parents generally perceived outdoor time as important, with 67.3% considering the guidelines realistic.
  • There was no significant association between outdoor time and screentime (p = 0.30).
  • Limited parental awareness of outdoor time's protective effects against myopia was identified.

Clinical Implications

Healthcare professionals should emphasize the importance of outdoor activity in myopia prevention to parents of preschoolers. Increasing awareness about the protective effects of outdoor time may help improve adherence to recommended guidelines.

Conclusion

This study highlights the need for targeted interventions to increase outdoor activity among preschool children as a strategy for myopia prevention.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. Development of Myopia Among Children in China, JAMA, 2015 -- Digital Screen Time and Myopia: A Systematic Review and Dose-Response Meta-Analysis
  3. Optometric Management, 2025 -- Myopia: Screen and Outdoor Time
  4. Contact Lens Spectrum — Refractive Focus
  5. Optometric Management — Myopia: Screen and Outdoor Time
  6. Optometric Management — Myopia: Screen and Outdoor Time
  7. Myopia: Screen and Outdoor Time
  8. https://www.iapb.org/wp-content/uploads/2023/04/WSPOS-Myopia-Consensus-Statement-2023.pdf
  9. Development of Myopia Among Children in China
  10. Digital Screen Time and Myopia: A Systematic Review and Dose-Response Meta-Analysis - PMC

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