Outdoor play can help prevent children becoming nearsighted

BEING nearsighted is far more common than it once was. 

The prevalence of myopia, the condition’s medical name, in Americans has soared by 66% since the early 1970s, according to a 2009 study by the National Eye Institute; in China and other East Asian countries, as many as 90% of recent high school graduates are thought to be nearsighted.

Myopia results when eyeballs are longer than normal, changing the angle at which light enters the eye and therefore the ability to focus on distant objects.

The disorder involves a complex interplay of genetics and environment and usually begins before adolescence, when the eye is growing, but it can worsen in early adulthood.

Some experts connect the elevated rates of myopia to the many hours young people stare at computers and other screens.

But a study published this month in JAMA Ophthalmology suggests that a greater factor may be a side effect of all that screen-watching — it’s keeping children inside.

This new study joins a growing body of research indicating that a lack of direct sunlight may reshape the human eye and impair vision.

Researchers at King’s College London, the London School of Hygiene and Tropical Medicine and other institutions gave vision exams to more than 3,100 older European men and women and interviewed them at length about their education, careers and how often they remembered being outside during various stages of their lives.

This biographical information was then cross-referenced with historical data about sunlight, originally compiled for research on skin cancer and other conditions.

Strong correlations were found between current eyesight and volunteers’ lifetime exposure to sunlight, above all UVB radiation (which is responsible for burning). 

Those who had gotten the most sun, particularly between the ages of 14 and 19, were about 25% less likely to have developed myopia by middle age. Exposure to sunlight up to the age of 30 also conferred a protective benefit.

This relationship held true even when the researchers controlled for education as a marker — primarily of time spent reading and gazing at screens.

Because this study was not an experiment, it could not determine whether too little sunlight actually causes nearsightedness — or otherwise explain the connection between the two.

“But people with myopia have long eyeballs,” says Katie Williams, a clinical research fellow at King’s College London and the study’s lead author, “so there must be something in sunlight that affects how the eye grows, especially in childhood.”

Sunlight is associated with harmful impacts too, of course. Exposure increases the risks of developing cataracts and skin cancer.

But Williams says that with appropriate cautions, including the use of sun-screen and the avoidance of midday sunlight, young people should be able to reduce those risks while potentially bolstering their vision.

“There is definitely something in modern-day childhood that is triggering a massive rise in the number of people with myopia,” she says.

“And a lack of time outdoors certainly appears to be contributing.”

Gretchen Reynolds