Effects of Frequent Smartphone Use on Sleep Problems in Children under 7 Years of Age in Korea: A 4-Year Longitudinal Study

Lee, Sangha; Kim, Seong-Ju; Yang, Sujin; Shin, Yunmi

doi:10.3390/ijerph191610252

Cited by 4 publications

(2 citation statements)

References 42 publications

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“…There is a strong link between media use and sleep in school-age children and adolescents, especially with delayed bedtime and/or lower total sleep time [51]. Technological devices are significant contributors to the emergence of sleep issues in children [52][53][54]. Engaging in both active (playing games) and passive (sitting in the room with the television on) television viewing between the ages of five and six can lead to sleepwake transition difficulties, difficulty sleeping, and overall sleep disorders [54].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Screen Time in Children Under Five Years Old

Mutlu,

Dinleyici

2024

Cureus

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Introduction: Due to the rapid advancement of technology, there has been a noteworthy increase in the diversity and abundance of activities involving children. The most effective methods to enhance and facilitate children's media interactions are to minimize, reduce, use with caution, and establish healthy patterns. We aimed to evaluate media exposure of children below five years of age. Material and methods: This is a prospective, observational, cross-sectional study that was conducted between December 2017 and September 2019 in Eskişehir, Türkiye. To assess the frequency of electronic device usage among children under the age of five, including televisions, laptops, tablets, and mobile phones, as well as its impact on their sleep patterns and physical measurements, and to evaluate families' understanding of the terms "screen time" and "back screen time," we developed a questionnaire. Results: We analyzed a total of 731 questionnaires: 334 (45.7%) were girls, 397 (54.3%) were boys, and the mean age was 33.55±16.37 months. Upon examining the technical equipment accessible to the children in our study, we found that 98.6% possessed a television, 96.9% owned a mobile phone, 54% had a laptop, 49.5% had a tablet, and 34.1% possessed a gaming console. The study revealed the following proportions of electronic devices in children's rooms: 13% televisions, 11.9% tablets, 7.4% laptops, and 7% mobile phones. There has been a substantial increase in the amount of time they spend watching television and playing computer games among children who have at least one sibling. There was a statistically significant disparity between the television viewing periods and the body mass index of children older than two years old. Additionally, we have seen a significant disparity in the presence of media devices in children's bedrooms and the subsequent impact on their sleep duration and patterns throughout both nighttime and daytime. Around 65.8% of parents did not know of the concept of screen time, while 88.4% of parents did not know of the concept of back screen time. Discussion: Parental compliance with the current guidelines for screen time is insufficient, among parents with children under the age of five, even though exposure to screens begins in the first months of life. Our analysis highlighted the necessity for parents to establish and enforce a unified and logical media usage policy for all children residing in the household. It is crucial to allocate sufficient time during the routine healthcare visit to discuss these recommendations.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Screen Time in Children Under Five Years Old

Mutlu,

Dinleyici

2024

Cureus

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“…A partir da comparação entre os 2 grupos, o grupo de crianças que usavam smartphones de maneira excessiva apresentou uma redução na duração do sono e aumento dos despertares noturnos em comparação com as crianças que não usam telas por mais de 2 horas/dia. Além disso, os resultados apresentados por Lee (2022) Segundo Vargas (2022), existem associações entre hábitos de sono, tempo de tela e excesso de peso em crianças préescolares. O risco associado de um menor tempo de sono noturno com sobrepeso/obesidade em crianças pré-escolares é atenuado pela hora de dormir mais cedo ou menor tempo de tela.…”

Section: Geng S Et Al 2023unclassified

Exposição às telas e impactos na qualidade do sono do público infantil: Uma revisão sistemática

Curvelo,

Dias,

Costa

et al. 2024

RSD

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Objetivo: Analisar as possíveis interferências do uso das telas na qualidade do sono do público infantil. Métodos: Trata-se de uma revisão sistemática de literatura. As buscas por artigos científicos foram realizadas nos sites PubMed, SciELO e Lilacs, através dos descritores “dispositivos eletrônicos", "crianças", “infantil”, "sono”, “desenvolvimento infantil" e “tempo de tela”, disponíveis no Descritores em Ciências da Saúde (DeCS), combinados pelos operadores booleanos “AND” e “OR”. A partir da busca, foram encontrados 944 artigos, dentre os quais 11 fizeram parte da amostra final após aplicação do PRISMA. Resultados: A utilização excessiva de telas, definida como tempo de tela (TT) superior a 2 horas/dia, promove uma inadaptação no estabelecimento do ciclo sono-vigília, aumentando a liberação de hormônios que condicionam o atraso e a má qualidade do sono. Dos 11 artigos selecionados, 6 relacionaram o sono insatisfatório, dificuldade para adormecer e despertares noturnos ao uso de ecrãs. Além destes, obesidade, sedentarismo, desatenção, instabilidade postural e problemas afetivos também se correlacionam às telas. Conclusão: A partir da análise dos estudos supracitados, foi possível inferir que a utilização dos aparelhos digitais entre o público infantil configura-se como um fator de risco para alterações na qualidade e quantidade do sono e em outras esferas do desenvolvimento infantil.

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Lifestyle Behaviors of Childhood and Adolescence: Contributing Factors, Health Consequences, and Potential Interventions

Arafa,

Yasui,

Kokubo

et al. 2024

American Journal of Lifestyle Medicine

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In this narrative review, we summarized evidence from peer-reviewed articles, published before February 2024, that investigated lifestyle behaviors among children (≤12 years) and adolescents (13-18 years) representing different geographic descents. These behaviors included dietary patterns, screen time, physical activity, smoking, alcohol consumption, oral hygiene, unsafe sex, and sleep duration and quality. We documented the significant impacts of parental, school, and sociodemographic factors on the adoption of numerous lifestyle behaviors in this age category. Several health consequences could be attributed to unhealthy lifestyle behaviors during childhood and adolescence. For example, poor dietary habits can lead to a higher risk of obesity and cardiovascular disease. Physical inactivity contributes to the development of musculoskeletal and psychological disorders. Excessive screen time is associated with visual acuity problems, poor sleep, and psychological and behavioral problems. Tobacco use poses a significant risk for severe respiratory and cardiovascular diseases. Risky sexual behaviors are related to sexually transmitted infections and exposure to violence. Short sleep duration is associated with a lack of physical fitness and poor cognitive function. However, potential interventions, such as school-based health programs, community outreach initiatives, and national health policies and regulations, can improve lifestyle behaviors among children and adolescents.

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Effects of Frequent Smartphone Use on Sleep Problems in Children under 7 Years of Age in Korea: A 4-Year Longitudinal Study

Cited by 4 publications

References 42 publications

Evaluation of Screen Time in Children Under Five Years Old

Evaluation of Screen Time in Children Under Five Years Old

Exposição às telas e impactos na qualidade do sono do público infantil: Uma revisão sistemática

Lifestyle Behaviors of Childhood and Adolescence: Contributing Factors, Health Consequences, and Potential Interventions

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