Associations of screen time, sedentary time and physical activity with sleep in under 5s: A systematic review and meta-analysis
Janssen X, Martin A, Hughes AR, Hill CM, Kotronoulas G, Hesketh KR
Sleep medicine reviews · 175 citas
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Organización sin fines de lucro
- Wellcome Trust
- Gobierno
- United Kingdom Clinical Research Collaboration
- Gobierno
- Scottish Government Health and Social Care Directorate
- Gobierno
- National Institute for Health and Care Research
- Organización sin fines de lucro
- British Heart Foundation
- Universidad u hospital
- Centre for Diet and Activity Research
- Gobierno
- Chief Scientist Office, Scottish Government Health and Social Care Directorate
- Gobierno
- Medical Research Council
- Gobierno
- Economic and Social Research Council
- Gobierno
- Chief Scientist Office
- Gobierno
- National Institute for Health Research (NIHR)
- Subvenciones
- Wellcome Trust (RES‐590‐28‐0002); Wellcome Trust ((107337/Z/15/Z)); Economic and Social Research Council (RES-590-28-0002); United Kingdom Clinical Research Collaboration (RES-590-28-0002); Medical Research Council (MC_UU_12017); Wellcome Trust (107337); Medical Research Council (MC_UU_12017/14); Medical Research Council (MC_UU_12017/14); Scottish Government Health and Social Care Directorate (SPHSU14); Wellcome Trust (/Z/15/Z); Centre for Diet and Activity Research (RES-590-28-0002); Medical Research Council (SPHSU14)
Según 11 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2019-11-03 · Sleep Med Rev · vol. 49 · pág. 101226
- Editorial
- Elsevier BV
- Citado
- 291 citas · más que el 97% de estudios similares · 5.3× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 74 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Children's Physical and Motor Development · Obesity, Physical Activity, Diet · Child Development and Digital Technology
- Palabras clave
- screen time, sedentary behavior, physical activity, sleep, children under five, infants, toddlers, preschool children, outdoor play
- MeSH
- humans, exercise, sleep, age factors, child, preschool, infant, infant, newborn, screen time, sedentary behavior
6 autores
- Xanne Janssen🇬🇧 · autor de correspondenciaUniversity of Strathclyde
- Anne Martin🇬🇧MRC/CSO Social and Public Health Sciences Unit; University of Glasgow
- Adrienne R. Hughes🇬🇧University of Strathclyde
- Catherine Mary Hill🇬🇧Southampton Children's Hospital; University of Southampton; University College London
- Grigorios Kotronoulas🇬🇧University of Glasgow
- Kathryn R. Hesketh🇬🇧University of Cambridge; MRC Epidemiology Unit; Communicating Diet and Activity Research
Resumen
El texto original del estudio, en el idioma en que se publicó.
Sleep is crucial to children's health and development. Reduced physical activity and increased screen time adversely impact older children's sleep, but little is known about these associations in children under 5 y. This systematic review examined the association between screen time/movement behaviors (sedentary behavior, physical activity) and sleep outcomes in infants (0-1 y); toddlers (1-2 y); and preschoolers (3-4 y). Evidence was selected according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and synthesized using vote counting based on the direction of association. Quality assessment and a Grading of Recommendations, Assessment, Development and Evaluation was performed, stratified according to child age, exposure and outcome measure. Thirty-one papers were included. Results indicate that screen time is associated with poorer sleep outcomes in infants, toddlers and preschoolers. Meta-analysis confirmed these unfavorable associations in infants and toddlers but not preschoolers. For movement behaviors results were mixed, though physical activity and outdoor play in particular were favorably associated with most sleep outcomes in toddlers and preschoolers. Overall, quality of evidence was very low, with strongest evidence for daily/evening screen time use in toddlers and preschoolers. Although high-quality experimental evidence is required, our findings should prompt parents, clinicians and educators to encourage sleep-promoting behaviors (e.g., less evening screen time) in the under 5s.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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