Screen time and sleep quality in school-age children
DOI:
https://doi.org/10.48492/servir0208.34205Keywords:
Child, Digital Technology, Sleep, FamilyAbstract
Introduction: Technological advances in recent decades have significantly increased the use of electronic devices with screens for leisure activities at all ages, and excessive screen time is problematic for children's health, especially their quality of sleep.
Objective/s: To identify the scientific evidence on the relationship between screen time and sleep quality in school-age children. (6/12 years).
Methods: This is an integrative literature review, using the online bibliographic database PubMed, CINAHL Complete, with the Mesh descriptors: screen time, sleep quality and child. The PRISMA model flowchart was followed, respecting the inclusion criteria: scientific articles, available in full text, in Portuguese, English or Spanish, relating to primary, empirical studies, with a quantitative approach, published between 2017 and 2023.
Results: Screen time varied according to the size of the sample and the age of the children, but in all the studies, the average duration of screen time exceeded what is recommended for age. In each of the studies included, children who were exposed to greater use of digital devices showed changes in their sleep cycles, particularly in the REM (rapid eye movement sleep) phase and sleep latency.
Conclusion: The results of the studies show that the duration of screen time is related to a decrease in sleep quality, leading to more night-time awakenings, parasomnias, resistance to going to bed and later sleep onset.
Downloads
References
Amelia, V. L., & Ramdani, M. L. (2019). Screen time activity and its impact to sleep duration of school-aged. Medisains, 17(1), 3-7. http://dx.doi.org/10.30595/medisains.v17i1.4823.
American Academy of Pediatrics. (2016, October 21). American Academy of Pediatrics announces new recommendations for children’s media use. Newswise. https://www.newswise.com/articles/american-academy-of-pediatrics-announces-new-recommendations-for-children-s-media-use#:~:text=Among%20the%20AAP%20recommendations%3A&text=For%20children%20younger%20than%2018,understand%20what%20they're%20seeing
Bagley, E. J., Kelly, R. J., Buckhalt, J. A., & El-Sheikh, M. (2015). What keeps low-SES children from sleeping well: The role of presleep worries and sleep environment. Sleep Medicine, 16(4), 496–502. https://doi.org/10.1016/j.sleep.2014.10.008
Buabbas, A. J., Al-Mass, M. A., Al-Tawari, B. A., & Buabbas, M. A. (2020). The detrimental impacts of smart technology device overuse among school students in Kuwait: a cross-sectional survey. BMC Pediatrics, 20(1). doi:10.1186/s12887-020-02417-x
Canadian Paediatric Society (2017, October 9). Screen time and young children: Promoting health and development in a digital world. Paediatrics & Child Health, 22 (8), 461–468, https://doi.org/10.1093/pch/pxx123
Carrasco-Marín, F., Petermann-Rocha, F., Martorell, M., Concha-Cisternas, Y., Parra-Soto, S., Zapata-Lamana, R., Albornoz-Guerrero, J., García-Pérez-de-Sevilla G, Parra-Rizo M. A., & Cigarroa, I. (2022). Physical fitness, screen time and sleep habits according to obesity levels in schoolchildren: Findings from the health survey of the extreme south of Chile. International Journal of Environmental Research and Public Health, 19(20), 13690. http://dx.doi.org/10.3390/ijerph192013690
Cartanyà‐Hueso, À., Lidón‐Moyano, C., Martín‐Sánchez, J. C., González‐Marrón, A., Matilla‐Santander, N., Miró, Q., & Martínez‐Sánchez, J. M. (2020). Association of screen time and sleep duration among spanish 1‐14 years old children. Paediatric and Perinatal Epidemiology, 35(1),120-129. https://doi.org/10.1111/ppe.12695
Cerca, F., & Prior, C. (2018). Sleep and Media Screens in Pediatric Ages. Nascer e Crescer Birth And Growth Medical Journal; Vol XXVII, 1, 33-38.
Crivello, A., Barsocchi, P., Girolami, M., & Palumbo, F. (2019). The meaning of sleep quality: A survey of available technologies. IEEE Access, 7, 167374-167390. https://doi.org/10.1109/ACCESS.2019.2953835
Cunha, M., & Santos, E. (2021). Revisão sistemática da literatura com meta-análise: Um guia prático para iniciantes. Edições Esgotadas.
Fadzil, A. (2021). Factors affecting the quality of sleep in children. Children, 8(122), 2-8. https://doi.org/10.3390/children8020122
Ferrito, C. (2007). Enfermagem baseada na evidência: Estudo piloto sobre necessidades de informação científica para a prática de enfermagem. Revista Percursos, 3, 36-40. http://hdl.handle.net/10400.26/9019
Hale, L., Kirschen, G. W., LeBourgeois, M. K., Gradisar, M., Garrison, M. M., Montgomery-Downs, H., Kirschen, H., McHale, S. M., Chang, A. M., & Buxton, O. M. (2018). Youth screen media habits and sleep: Sleep-friendly screen behavior recommendations for clinicians, educators, and parents. Child and Adolescent Psychiatric Clinics of North America, 27(2), 229-245. https://doi.org/10.1016/j.chc.2017.11.014
Hisler, G. C., Hasler, B. P., Franzen, P. L., Clark, D. B., Twenge, J. M. (2020). Screen media use and sleep disturbance symptom severity in children. Sleep Health. Dec; 6 (6):731-742. doi: 10.1016/j.sleh.2020.07.002.
Inci, F. H., Koştu, N., Çinar, I. Ö., Aslan, G. K., & Kartal, A. (2020). Sleeping habits of primary school children and affecting factors. Journal of Turkish Sleep Medicine, 7(2), 91-95. http://dx.doi.org/10.4274/jtsm.galenos.2020.19483
Joanna Briggs Institute - JBI (2017). Joannabriggs.org. https://joannabriggs.org/ebp/critical_appraisal_tools
Karani, N. F., Sher, J., & Mophosho, M. (2022). The influence of screen time on children's language development: A scoping review. The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings, 69(1), e1–e7. https://doi.org/10.4102/sajcd.v69i1.825
Lubbe, W., Ham-Baloyi, W., & Smit, K. (2020). The integrative literature review as a research method: A demonstration review of research on neurodevelopmental supportive care in preterm infants. Journal of Neonatal Nursing, 26(6), 308-315. https://doi.org/10.1016/j.jnn.2020.04.006
Lund, L., Sølvhøj, I. N., Danielsen, D., & Andersen, S. (2021). Electronic media use and sleep in children and adolescents in western countries: A systematic review. BMC Public Health 21, 1598. https://doi.org/10.1186/s12889-021-11640-9
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097
National Sleep Foundation (2015). Recommends New Sleep Times | Sleep Foundation. https://www.sleepfoundation.org/press-release/national-sleep-foundation-recommends-new-sleep-times.
Paruthi, S., Brooks, L. J., D'Ambrosio, C., Hall, W. A., Kotagal, S., Lloyd, R. M., Malow, B. A., Maski, K., Nichols, C., Quan, S. F., Rosen, C. L., Troester, M. M., & Wise, M. S. (2016). Recommended amount of sleep for pediatric populations: A consensus statement of the American Academy of sleep medicine. Journal of Clinical Sleep Medicine, 12(6), 785-786. https://doi.org/10.5664/jcsm.5866
Qin, Z., Wang, N., Ware, R. S., Sha, Y., & Xu, F. (2021). Lifestyle-related behaviors and health-related quality of life among children and adolescents in China. Health and Quality of Life Outcomes, 19(8). https://doi.org/10.1186/s12955-020-01657-w
Ranum, B. M., Wichstrøm, L., Pallesen, S., Falch-Madsen, J., & Steinsbekk, S. (2021). Persistent short sleep from childhood to adolescence: Child, parent and peer predictors. Nature and Science of Sleep, 13, 163-175. https://doi.org/10.2147/NSS.S290586
Reid Chassiakos, Y. L., Radesky, J., Christakis, D., Moreno, M. A., Cross, C., & Council on Communications and Media (2016). Children and adolescents and digital media. Pediatrics, 138(5), e20162593. https://doi.org/10.1542/peds.2016-2593
Rodrigues, D., Gama, A., Machado-Rodrigues, A. M., Nogueira, H., Silva, M. R. G., Rosado-Marques, V., & Padez, C. (2020). Social inequalities in traditional and emerging screen devices among portuguese children: A cross-sectional study. BMC Public Health, 20, 902, 2-10. https://doi.org/10.1186/s12889-020-09026-4
Sigman, A. (2012). Time for a view on screen time. Archives of Disease in Childhood, 97(11), 935–942. https://doi.org/10.1136/archdischild-2012-302196
Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Integrative review: What it is and how to do. Einstein, 8(1), 102-6. https://doi.org/10.1590/S1679-45082010RW1134
World Health Organization (2019). Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age. WHO https://apps.who.int/iris/handle/10665/311664
Yalçin, S. S., Tezol, Ö., Çaylan, N., Erat Nergiz, M., Yildiz, D., Çiçek, Ş., & Oflu, A. (2021). Evaluation of problematic screen exposure in pre-schoolers using a unique tool called “seven-in-seven screen exposure questionnaire”: Cross-sectional study. BMC Pediatr; 21, 472. https://doi.org/10.1186/s12887-021-02939-y
Ohayon, M., Wickwire, E. M., Hirshkowitz, M., Albert, S. M., Avidan, A., Daly, F. J., Dauvilliers, Y., Ferri, R., Fung, C., Gozal, D., Hazen, N., Krystal, A., Lichstein, K., Mallampalli, M., Plazzi, G., Rawding, R., Scheer, F. A., Somers, V., & Vitiello, M. V. (2017). National sleep foundation’s sleep quality recommendations: First report. Sleep Health, 3(1), 6–19. https://doi.org/10.1016/j.sleh.2016.11.006
Zhao, J., Zhang, Y., Jiang, F., Ip, P., Ho, F. K. W., Zhang, Y., & Huang, H. (2018). Excessive screen time and psychosocial well-being: The mediating role of body mass index, sleep duration, and parent-child interaction. The Journal of pediatrics, 202, 157-162.e1. https://doi.org/10.1016/j.jpeds.2018.06.029
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Maria Isabel Bica de Carvalho, Jéssica Santos, José Cabra, Mariana Santos, Rodrigo Amaral, Sónia Santos, Valter Andrade, Luís Condeço, Manuel Cordeiro

This work is licensed under a Creative Commons Attribution 4.0 International License.
In order to promote the free circulation of knowledge, Servir is open access journal. All its content is available and protected under the Creative Commons license (CC BY 4.0).
The journal allows self-archiving in institutional repositories of all versions, which may become immediately available