Evidence map›Paper›PMID 42865482›Full record

SynthesisFrontiers in pediatrics2026

Screen time and attention-deficit/hyperactivity disorder in children: a systematic review and meta-analysis.

Caihong Zhao, Jing Xu, Xirui Wu, Yufen Li

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Caihong ZhaoDepartment of Child Health Care, Qingdao Maternal and Child Health and Family Planning Service Center, Qingdao, China.
Jing XuDepartment of Neurology, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Xirui WuQuality Control Department, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Yufen LiDepartment of Child Health Care, Qingdao Maternal and Child Health and Family Planning Service Center, Qingdao, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Children's exposure to electronic screens has risen sharply. This study quantitatively evaluated the association between excessive screen time and childhood attention-deficit/hyperactivity disorder (ADHD) risk through a systematic review and meta-analysis, exploring the moderating roles of age and media type. Methods: Following PRISMA guidelines, we systematically searched observational studies assessing children's screen time and ADHD, and finally included 10 observational studies with overall low-to-moderate risk of bias. Risk of bias was evaluated using the ROBINS-I tool. Continuous data were unified using the Chinn conversion rule. A DerSimonian-Laird random-effects model calculated pooled odds ratios (OR) and 95% confidence intervals (CI). Subgroup analyses, leave-one-out sensitivity analyses, and Begg's and Egger's tests were also conducted. Results: Excessive screen time was significantly associated with elevated childhood ADHD risk (pooled OR = 1.56, 95% CI: 1.31-1.87, Conclusions: Excessive screen exposure is significantly associated with elevated ADHD risk in children, with distinct age-specific and media type-specific patterns. The preschool period appears to be a high-risk window for screen-related neurodevelopmental effects, with a trend toward stronger association for passive screen exposure. Public health and clinical interventions should prioritize restricting early screen exposure, particularly passive, fast-paced videos without substantial interaction.

Indexed as

attention-deficit/hyperactivity disorder (ADHD)childrenmeta-analysisneurodevelopmentpreschoolersscreen time

Identifiers

PMID42865482
PMCPMC13655039

What OpenQuestion holds

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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.