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Published on: August 3, 2021
Screen time and pulmonary function in hospitalized children with cystic fibrosis
Vanessa Dos Santos Rodrigues1, Caroline Schmidt2, Gleice Kelly Medeiros1
1. Programa de Saúde da Criança, Hospital de Clínicas de Porto Alegre - HCPA - Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS) Brasil.
Insights
Excessive screen time (ST) is linked to poorer lung function in hospitalized children with cystic fibrosis (CF). Older age and more TV time at home also correlated with worse outcomes.
Area of Science:
- Pediatric Pulmonology
- Cystic Fibrosis Research
- Digital Health Impact
Background:
- Cystic Fibrosis (CF) requires ongoing management, including monitoring lung function.
- Hospitalization in CF patients often involves limited activities, potentially increasing screen time.
- The impact of screen time on health outcomes in pediatric CF populations is not well-established.
Purpose of the Study:
- To investigate the association between screen time (ST) and lung function in hospitalized children and adolescents with CF.
- To identify factors associated with screen time during hospitalization for CF.
Main Methods:
- Cross-sectional study involving 45 pediatric CF patients (0-17 years) hospitalized in Brazil.
- Screen time assessed via recall diary; additional data collected through questionnaires and medical records.
- Lung function (FEV1 Z-score), nutrition, bacteriology, and clinical scores were analyzed.
Main Results:
- The majority of participants (95.5%) exceeded recommended screen time limits.
- Median screen time was 315 minutes, primarily due to boredom and lack of activities.
- Multivariate analysis revealed significant associations between screen time, age, home TV viewing, and FEV1 Z-score.
Conclusions:
- Elevated screen time is associated with diminished lung function in hospitalized CF children.
- Older age and greater time spent watching television at home are also linked to poorer lung function outcomes.
- Findings suggest a need to consider screen time management in pediatric CF care during hospitalization.
Objective:
To evaluate the relationship between screen time (ST) and lung function in hospitalized children and adolescents with cystic fibrosis (CF).
Methods:
This was a cross-sectional study of 45 children with CF in the 0- to 17-year age bracket admitted to a public hospital in southern Brazil. ST during hospitalization was measured by means of a recall diary. Questionnaires were used in order to collect data on screen use and personal data. Data on lung function, nutrition, bacteriology, and the Shwachman-Kulczycki clinical score were obtained from patient medical records.
Results:
Of the study participants, 51.1% were male, with a median age of 9 years, and 80% were White. The mean FEV1 (Z-score) was -2.9 ± 1.9, and FEV1 (in % of predicted) was 63.7 ± 22.3. The median ST was 315 min, and 95.5% of the study participants exceeded the recommended ST. The most prevalent reasons for using electronic devices during hospitalization were boredom and lack of other activities. In a multivariate analysis, ST (the dependent variable) was significantly associated with age (b = 26.591; 95% CI, 14.695-38.487), time spent watching television at home (b = 0.686; 95% CI, 0.304-1.069), and FEV1 Z-score (b = -60.631; 95% CI, -115.399 to -5.864).
Conclusions:
Excess ST appears to be associated with worse lung function in hospitalized children with CF, as do older age and longer periods of time spent watching television at home.
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