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Published on: October 2, 2019
Sleep duration in preschool children and impact of screen time
Qiu-Ye Lan1, Kate C Chan1, Kwan N Yu1
1Department of Paediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
Insights
Many preschoolers lack adequate sleep, with screen time negatively impacting sleep duration and circadian rhythm. Limiting electronic device use is crucial for healthy childhood sleep patterns.
Area of Science:
- Pediatric Sleep Medicine
- Child Development
- Public Health
Background:
- Adequate sleep is vital for preschooler development.
- Excessive screen time is a growing concern in early childhood.
- Understanding the impact of electronic media on sleep is crucial.
Purpose of the Study:
- To assess sleep duration in a representative preschooler sample.
- To investigate the link between screen time and sleep duration.
- To examine the effects of electronic devices on social jetlag.
Main Methods:
- A large cohort of 2903 preschoolers was analyzed.
- Parental questionnaires gathered data on socioeconomic status, media use, and sleep.
- Children were categorized based on adherence to screen time recommendations.
Main Results:
- 40% of preschoolers did not meet recommended sleep durations.
- Increased portable device use correlated with reduced sleep duration in both genders.
- Non-portable device use and in-bedroom/bedtime use were linked to increased social jetlag in boys.
Conclusions:
- A significant number of preschoolers experience insufficient sleep.
- Screen time negatively influences both sleep duration and circadian rhythm in young children.
- Recommendations for screen time and device placement are needed to promote healthy sleep.
Objectives:
To evaluate sleep duration in a representative sample of preschoolers and examine the relationships between screen time and use of different electronic media devices with sleep duration and social jetlag.
Methods:
2903 preschoolers were included. Parent-completed questionnaire provided information on socioeconomic status, electronic media use of the children and sleep patterns of both parents and children. Preschoolers were divided according to whether they met the international screen time recommendations for their age. Comparisons between the two groups in various sleep measures and effects of different devices on sleep were evaluated.
Results:
40% of preschoolers in our cohort did not achieve the recommended sleep duration. Subjects who adhered to the screen time recommendations were from families of higher socioeconomic status, had longer sleep duration and better sleep habits. Each hour increase on portable electronic device use was associated with 11 (95%CI: -15 to -6) and 6 (95%CI: -10 to -2) minutes less of average daily sleep duration in boys and girls, respectively. Every additional hour of non-portable electronic devices use was associated with 3 min shift in social jetlag in boys. Presence of electronic devices in bedroom and their use at bedtime increased risk of social jetlag in boys with an OR of 1.40 (95%CI: 1.01 to 1.92) and 1.39 (95%CI: 1.00 to 1.95) respectively.
Conclusion:
A significant proportion of preschoolers does not obtain the recommended amount of sleep. Screen time in preschoolers affects not only sleep duration but also leads to circadian discrepancy.
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