Evidence map›Paper›PMID 39584889›Full record

ReviewJournal of functional morphology and kinesiology2024

The Impact of Digital Devices on Children's Health: A Systematic Literature Review.

Valentina Presta, Alessandro Guarnieri, Fabiana Laurenti, Salvatore Mazzei, Maria Luisa Arcari, Prisco Mirandola, Marco Vitale, Michael Yong Hwa Chia, Giancarlo Condello, Giuliana Gobbi

Abstract readReview
In one paragraph

Review in Journal of functional morphology and kinesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Characterization of Internet Gaming Addiction among School Children: A Cross-Sectional Study.Clinical practice and epidemiology in mental health : CP & EMH · 2026
    Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Valentina PrestaDepartment of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy.ORCID 0000-0003-0820-9135
Alessandro GuarnieriDepartment of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy.ORCID 0000-0003-1238-8172
Fabiana LaurentiDepartment of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy.
Salvatore MazzeiDepartment of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy.ORCID 0009-0001-3021-4718
Maria Luisa ArcariDepartment of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy.
Prisco MirandolaDepartment of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy.
Marco VitaleFaculty of Medicine and Surgery, University Vita-Salute San Raffaele, Via Olgettina 58, 20132 Milan, Italy.
Michael Yong Hwa ChiaPhysical Education and Sports Science Academic Department, National Institute of Education, Nanyang Technological University, 1 Nanyang Walk, Singapore 637616, Singapore.ORCID 0000-0002-1289-0552
Giancarlo CondelloDepartment of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy.ORCID 0000-0001-5092-3258
Giuliana GobbiDepartment of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy.ORCID 0000-0003-1197-3484

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of prolonged digital device exposure on physical and mental health in children has been widely investigated by the scientific community. Additionally, the lockdown periods due to the COVID-19 pandemic further exposed children to screen time for e-learning activities. The aim of this systematic review (PROSPERO Registration: CRD42022315596) was to evaluate the effect of digital device exposure on children's health. The impact of the COVID-19 pandemic was additionally explored to verify the further exposure of children due to the e-learning environment.

methodsAvailable online databases (PubMed, Google Scholar, Semantic Scholar, BASE, Scopus, Web of Science, and SPORTDiscus) were searched for study selection. The PICO model was followed by including a target population of children aged 2 to 12 years, exposed or not to any type of digital devices, while evaluating changes in both physical and mental health outcomes. The quality assessment was conducted by using the Joanna Briggs Institute (JBI) Critical Appraisal Tool. Synthesis without meta-analysis (SWiM) guidelines were followed to provide data synthesis.

resultsForty studies with a total sample of 75,540 children were included in this systematic review. The study design was mainly cross-sectional (n = 28) and of moderate quality (n = 33). Overall, the quality score was reduced due to recall, selection, and detection biases; blinding procedures influenced the quality score of controlled trials, and outcome validity reduced the quality score of cohort studies. Digital device exposure affected physical activity engagement and adiposity parameters; sleep and behavioral problems emerged in children overexposed to digital devices. Ocular conditions were also reported and associated with higher screen exposure. Home confinement during COVID-19 further increased digital device exposure with additional negative effects.

conclusionsThe prolonged use of digital devices has a significant negative impact on children aged 2 to 12, leading to decreased physical activity, sleep disturbances, behavioral issues, lower academic performance, socioemotional challenges, and eye strain, particularly following extended online learning during lockdowns.

Indexed as

body compositioncoronavirusphysical activityscreen timesleep disturbances

Identifiers

PMID39584889
PMCPMC11587142

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.