ArticleBMC public health2019
Screen viewing behavior and sleep duration among children aged 2 and below.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Problematic Use of Electronic Devices in Preschool Children: A Parent Coaching Program for the Prevention of Screen Addiction.Child psychiatry and human development · 2026Article
- Screen exposure in early childhood and maternal behaviors: a cross-sectional study from Turkey.Irish journal of medical science · 2026Article
- Association between screen exposure and language development delay during the COVID-19 pandemic for 18-72 months children in China: evidence from a cross-sectional study.BMC public health · 2025Article
- Adherence to 24-hour integrated activity guidelines among infants, toddlers and preschool children in Singapore.PloS one · 2024Article
- Article
- May family routines impact oral health in American children?Frontiers in oral health · 2024Article
- Paediatricians' awareness of Canadian screen time guidelines, perception of screen time use, and counselling during the COVID-19 pandemic.Paediatrics & child health · 2023Article
- Reducing harm and promoting positive media use strategies: new perspectives in understanding the impact of preschooler media use on health and development.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2023Review
- 24 h Activity Guidelines in Children and Adolescents: A Prevalence Survey in Asia-Pacific Cities.International journal of environmental research and public health · 2023Article
- Association between maternal and infant screen time with child growth and development: A longitudinal study.Pediatric obesity · 2023Article
- Measuring effects of screen time on the development of children in the Philippines: a cross-sectional study.BMC public health · 2023Article
- Associations between screen use, outdoor time/daylight exposure and sleep changes during the first COVID-19 lockdown in French children from the ELFE and EPIPAGE2 birth cohorts.CNS neuroscience & therapeutics · 2023Article
- Screen time and preschool children: Promoting health and development in a digital world.Paediatrics & child health · 2023Review
- Asia-Pacific consensus statement on integrated 24-hour activity guidelines for the early years.The Lancet regional health. Western Pacific · 2023Review
- Associations of excessive screen time and early screen exposure with health-related quality of life and behavioral problems among children attending preschools.BMC public health · 2022Article
- Machine Learning Models for Predicting Breast Cancer Risk in Women Exposed to Blue Light from Digital Screens.Journal of biomedical physics & engineering · 2022Article
- New insights in pediatrics in 2021: choices in allergy and immunology, critical care, endocrinology, gastroenterology, genetics, haematology, infectious diseases, neonatology, neurology, nutrition, palliative care, respiratory tract illnesses and telemedicine.Italian journal of pediatrics · 2022Review
- Infant sleep as a topic in healthcare guidance of parents, prenatally and the first 6 months after birth: a scoping review.BMC health services research · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew studies have investigated the association between screen viewing (SV) and sleep duration among young children. This study aims to examine the association between total and device-specific SV and sleep duration among children aged 2 and below.
methodsWe conducted a cross-sectional study of 714 Singaporean children aged 2 years and below. Parents were recruited during routine well-child clinic visits from two national polyclinics. In Singapore, all parents visit well-child clinics with their children at regular intervals for routine check-ups and vaccinations. Socio-demographic characteristics, duration of total and device-specific SV, and sleep duration were reported by parents via interviewer-administered questionnaires. Multiple linear regression analysis was used to assess associations between various types of SV and sleep duration, adjusted for socio-demographic variables. Due to significant interaction between SV and age, stratified analyses for children aged less than 6 months and those aged 7-24 months were performed.
resultsThe prevalence of daily SV among children was 53.1%; 28.3% in children up to 6 months and 73.8% in children aged 7 to 24 months. TV viewing was reported for 44.3% of all children and mobile device SV for 30.1%. Children's average sleep duration was 13.9 (SD = 3.5) hours daily and younger children had longer sleep duration than older ones (up to 6 months: mean = 15.6 h, SD = 3.9; 7-24 months: mean = 12.4 h, SD = 2.2; P < 0.01). In the regression analysis among all children, each 1 h per day increment in total SV was significantly associated with 0.26 h shorter sleep duration with similar significant associations for TV (β = - 0.28 h, 95%CI: -0.50, - 0.06) and mobile devices (β = - 0.35 h, 95%CI: -0.61, - 0.09). Stratified analysis revealed significantly greater reductions in sleep with higher SV among children aged 6 months and below (β = - 0.73 h, 95%CI: -1.12, - 0.34), while associations were weaker in older children (β = - 0.13 h, 95% CI: -0.24, - 0.01).
conclusionsThis study provides evidence for a substantial association between longer SV and shorter sleep duration among very young children. These associations appeared stronger among children aged 6 months and below as compared with those aged 7 to 24 months. Further studies are warranted to confirm our findings.
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