Association of anthropometric parameter with myopia in children and adolescents: A systematic review and meta-analysis

Int J Obes (Lond)Published Systematic review and meta-analysis of cross-sectional studies

Authors' conclusion

Our findings support that anthropometric parameter was significantly associated with myopia in children and adolescents. However, given the limitations of the included cross-sectional studies, prospective studies are warranted to further investigate this issue.

Study context

Population
Children and adolescents aged 0–25 years; databases searched from inception to June, 2025
Participants
1,505,099 children18 cross-sectional studies
Comparison
Overweight, obesity and body mass index (BMI)/WWI vs reference
Outcome
Myopia

Pooled result

As reported in the abstract

Pooled odds ratio (95% CI)P value
OverweightI2 = 81.6%
1.27(1.08 ≈1.51)
P < 0.001
ObesityI2 = 88.3%
1.25(1.12 ≈1.39)
P < 0.001

Further pooled results

Myopia, overweight, after excluding outliers

Pooled OR (95% CI)P value
OverweightI2 = 0.0%1.14 (1.13 ≈1.15)P = 0.444
OutcomePooled value (95% CI)P value
Myopia, BMI in BMI/WWI groupI2 = 88.9%1.08 (1.00 ≈1.18)P < 0.001

Subgroup analyses (age, region, visual acuity method, sample, covariate adjustment, confounder control)

Results inconsistent across subgroups

Heterogeneity and publication bias

Publication year not a source of heterogeneity (meta-regression)
No significant publication bias by Egger's test in overweight, obesity and BMI/WWI groups

Original publication

Association of anthropometric parameter with myopia in children and adolescents: A systematic review and meta-analysis. Int J Obes (Lond). Published 6 September 2025. doi:10.1038/s41366-025-01900-8

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