The measurement of time spent outdoors in child myopia research: a systematic review
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Xian-Gui He. 4th Floor, Kangning Building, No. 509 Jiangning Road, Shanghai 200040, China. xianhezi@163.com

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Supported by the National Natural Science Foundation of China for Young Staff (No.81402695); the Key Discipline of Public Health-Eye Health in Shanghai (No.15GWZK0601).

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    Abstract:

    The purpose of this article is to summarize the methods most commonly used to measure time spent outdoors and provide a comprehensive review of time and activity recording methods with the aim of encouraging the development of new methods. PubMed, Embase and the Cochrane Library were searched from Jan. 1st, 1990 to Aug. 31th, 2017. Studies including the following specific terms: “outdoor”, “outside”, “outdoor activity”, “outside activity”, “outdoor time”, “outside time”, and “outdoor AND measurement of time spent outdoors” were considered for this review. In total, three kinds of outdoor time measurements were discussed. Questionnaires have the longest history and are the most thoroughly revised instruments for assessing time spent outdoors, but recall bias is their most substantial drawback. Global positioning system (GPS) tracking can distinguish between indoor and outdoor locations, but its utility is limited due to several factors such as subject compatibility. Light exposure measurement devices are newly emerging, but all of these devices require good subject cooperation. Further efforts and exploration are needed to develop better methods and new tools to record exposure to the outdoors in real time. Moreover, inventing a new device by combining two or more types of devices mentioned above and using the latest technology of en ergy supplementation and autoswitching may make the best use of the advantages and bypass the disadvantages of each tool.

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Jing Wang, Xian-Gui He, Xun Xu. The measurement of time spent outdoors in child myopia research: a systematic review. Int J Ophthalmol, 2018,11(6):1045-1052

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Publication History
  • Received:May 15,2017
  • Revised:March 21,2018
  • Adopted:
  • Online: June 12,2018
  • Published: