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The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review

Author

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  • Chao Li

    (Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China)

  • Gang Cheng

    (Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China)

  • Tingting Sha

    (Hunan Key Laboratory of Joint Degeneration and Injury, Xiangya Hospital, Central South University, Changsha 410008, China)

  • Wenwei Cheng

    (Third Xiangya Hospital of Central South University, Changsha 410000, China)

  • Yan Yan

    (Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China)

Abstract

Evidence suggests that excessive screen time in early childhood is related to children’s physical and mental health. This study aimed to review the relationships between screen media use and several health indicators in infants, toddlers, and preschoolers. A systematic search was conducted by two independent reviewers on PubMed, Web of Science, Embase, and Cochrane Library to identify the eligible studies, with an end date of 13 August 2019. Included studies (published in English) were peer-reviewed and met the determinate population (children aged 0–7 years with screen media exposure and related health outcomes). The AHRQ, NOS, and the Cochrane Handbook were used to evaluate the cross-sectional study, cohort study, and RCT, respectively. A meta-analysis and narrative syntheses were employed separately. Eighty studies (23 studies for meta-analysis) met the inclusion criteria for the systematic review. Strong evidence of the meta-analysis suggested that excessive screen time was associated with overweight/obesity and shorter sleep duration among toddlers and preschoolers. Excessive screen use was associated with various health indicators in physical, behavioral, and psychosocial aspects. Better-quality research on newer media devices, on various kinds of contents in young children, and on dose–response relationships between excessive screen use and health indicators are needed to update recommendations of screen use.

Suggested Citation

  • Chao Li & Gang Cheng & Tingting Sha & Wenwei Cheng & Yan Yan, 2020. "The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review," IJERPH, MDPI, vol. 17(19), pages 1-19, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7324-:d:424649
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    References listed on IDEAS

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    1. Meimei Ji & Amber Tang & Yefu Zhang & Jiaojiao Zou & Guangyu Zhou & Jing Deng & Lina Yang & Mingzhi Li & Jihua Chen & Hong Qin & Qian Lin, 2018. "The Relationship between Obesity, Sleep and Physical Activity in Chinese Preschool Children," IJERPH, MDPI, vol. 15(3), pages 1-10, March.
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    Cited by:

    1. Takafumi Nishioka & Hideki Hasunuma & Masumi Okuda & Naoko Taniguchi & Tetsuro Fujino & Hideki Shimomura & Yasuhiko Tanaka & Masayuki Shima & Yasuhiro Takeshima & Japan Environment and Children’s Stud, 2022. "Effects of Screen Viewing Time on Sleep Duration and Bedtime in Children Aged 1 and 3 Years: Japan Environment and Children’s Study," IJERPH, MDPI, vol. 19(7), pages 1-13, March.
    2. Reem. M. Alwhaibi & Asma B. Omer & Ruqaiyah Khan & Felwa Albashir & Noura Alkuait & Rawan Alhazmi, 2022. "Assessment of the Correlation between the Levels of Physical Activity and Technology Usage among Children with Down Syndrome in the Riyadh Region," IJERPH, MDPI, vol. 19(17), pages 1-13, September.

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