Evidence map›Paper›PMID 41068705›Full record

ArticleBMC public health2025

Association between electronic screen time and childhood asthma: a cross-sectional study using NHANES 1999-2014 data.

Ruixue Xiao, Huiguo Zhang, Yuxiang Ye, Xiaomo Yang, Wei Ju

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

5 authors.

Ruixue XiaoHenan Province Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450002, China. xiaoruixuepz@163.com.
Huiguo ZhangHenan Province Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450002, China.
Yuxiang YeThe First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, China.
Xiaomo YangFuwai Central China Cardiovascular Hospital, Zhengzhou, 451400, China.
Wei JuThe First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood asthma prevalence has risen globally, paralleling increased electronic screen exposure. This study investigated the association between electronic screen time (TV, computer, and total device use) and asthma risk in U.S. children.

methodsA cross-sectional analysis of 15,526 children (aged < 20 years) from NHANES (1999-2014) was conducted. Screen time (hours/day) was assessed via questionnaires. Asthma status was self-reported. Multivariable logistic regression, restricted cubic splines, and mediation analyses adjusted for demographics, obesity, income, and environmental factors.

resultsTotal screen time was positively associated with asthma risk (adjusted OR = 1.48 per hour increase, 95% CI:1.26-1.75, p < 0.001). Computer use ≥ 5 h/day conferred 30% higher asthma odds (OR = 1.30, 95% CI:1.06-1.60). Dose-response analysis showed elevated risk even at ≤ 2 h/day (OR = 1.18, 95% CI:1.04-1.34). Subgroup analyses (age, gender, body Mass Index) confirmed consistency (p < 0.05). No mediation by physical activity was observed.

conclusionsProlonged electronic screen time independently increased childhood asthma risk, emphasizing its role as a modifiable factor. Clinicians should integrate screen behavior assessments into asthma management. Future research should explore causal pathways, including circadian disruption and indoor pollutant interactions.

Indexed as

AsthmaScreen TimeAdolescentChildChild, PreschoolCross-Sectional StudiesExerciseFemaleHumansMaleNutrition SurveysPrevalenceRisk FactorsUnited StatesAsthmaChildrenElectronic screenNHANESRisk

Identifiers

PMID41068705
PMCPMC12512661

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.