ArticleSleep health2020
Less screen time and more physical activity is associated with more stable sleep patterns among Icelandic adolescents.
Article in Sleep health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Shared Determinants of Poor Sleep, Obesity and Adiposity in Adolescents Aged 8-18-Years: A Systematic Review.Journal of sleep research · 2025Pooled it
- Heterogeneous Associations Between Objectively Measured Screen Time and Sleep in Early Adolescence.Technology, mind, and behavior · 2026Article
- Excessive screen time in relation to albuminuria in adolescents: a finding from the China Nutrition and Health Surveillance.Pediatric nephrology (Berlin, Germany) · 2026Article
- Enhancing Youth Mental Health Through Virtual Lifestyle Behavior Change Support: A Pilot Feasibility Trial.Children (Basel, Switzerland) · 2026Article
- Sleep Irregularity, Circadian Disruption, and Cardiometabolic Disease Risk.Circulation research · 2025Review
- Effects of Smartphone Use on Sleep and Mental Health in Young Adults: Going Beyond Self-Report.Depression and anxiety · 2025Article
- Interactive Screen-Based Activities Predict Worse Actigraphic Sleep Health That Night Among Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Sleep variability and regularity as contributors to obesity and cardiometabolic health in adolescence.Obesity (Silver Spring, Md.) · 2023Review
- Moderate-Vigorous Physical Activity, Screen Time and Sleep Time Profiles: A Cluster Analysis in Spanish Adolescents.International journal of environmental research and public health · 2023Article
- Modifiable behavioral risk factors for NCDs and sleep in Brazilian adolescents.Revista de saude publica · 2023Article
- The Relationships between Physical Activity, Screen Time and Sleep Time According to the Adolescents' Sex and the Day of the Week.Healthcare (Basel, Switzerland) · 2022Article
- An Explanatory Model of the Relationships between Physical Activity, Social Support and Screen Time among Adolescents.International journal of environmental research and public health · 2022Article
- Association between free-living sleep and memory and attention in healthy adolescents.Scientific reports · 2020Article
- Article
- A National Survey of U.S. Adolescent Sleep Duration, Timing, and Social Jetlag During the COVID-19 Pandemic.Behavioral sleep medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 3 countries.
Funding
Abstract
objectivesEmerging evidence suggests that inconsistent sleep may affect physical and psychological health. Thus, it is important to identify modifiable determinants of sleep variability. Screen time and physical activity are both thought to affect sleep, but studies of their relationship to sleep variability using objective measures are lacking. We examined cross-sectional associations between these variables in mid-teen adolescents using objectively measured sleep and activity.
methodsWrist-worn accelerometers were used to measure one week of sleep and activity in 315 tenth grade students (mean age 15.8y) from six Reykjavík compulsory schools. Participants reported their daily hours of screen time. Regression analysis was used to explore associations of screen time and physical activity with variability in duration, quality, and timing of sleep, adjusting for DXA-measured body fat percentage, parental education, and physical activity or screen time.
resultsScreen time, especially game playing, was associated with variability in duration, timing, and quality of sleep, most strongly with variation in bedtime. Physical activity was inversely associated with variability in duration, timing, and quality of sleep, most strongly with variation in the number of awakenings. Boys had less stable sleep patterns and higher screen time than girls, and sex-specific associations of screen time with sleep variability parameters were significant for boys only.
conclusionsLess screen time and more physical activity were independently associated with less sleep variability among mid-teen adolescents. Our results indicate that encouraging youngsters toward an active lifestyle with limited screen use may be important to achieve more consistent sleep.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.