电子屏幕暴露对儿童睡眠影响的研究进展

刘明霞; 花静

doi:10.11852/zgetbjzz2020-0378

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中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (2) : 176-180. DOI: 10.11852/zgetbjzz2020-0378

综述

电子屏幕暴露对儿童睡眠影响的研究进展

刘明霞, 花静

作者信息 +

Research advances on the effects of electronic screen exposure on sleep in children

LIU Ming-xia, HUA Jing

Author information +

文章历史 +

摘要

睡眠作为儿童身心状态的重要指标和影响因素,对儿童的健康发展起着至关重要的作用。另一方面,随着电子屏幕成为日常生活中传播信息的主要来源之一,不断有报道显示儿童期持续屏幕暴露可能对睡眠造成影响。本研究综述了儿童电子屏幕暴露对睡眠的具体影响及机制,总结相关原理和干预方法,以早期发现并干预电子屏幕暴露相关的睡眠问题。为进一步在中国儿童中开展电子屏幕对睡眠影响的临床和基础研究提供线索。

Abstract

As an important indicator and influencing factor of children's physical and mental state, sleep plays a crucial role in children's healthy development.With electronic screen becoming one of the main sources of information spread in daily life, there are constant reports of possible effects of excessive screen exposure on sleep during childhood.This study reviewed the specific effects and mechanisms of electronic screen exposure on sleep in children, summarized relevant principles and intervention methods, thereby identifying and intervening the sleep problems related to electronic screen exposure earlier, and providing clues for further clinical and basic researches on the effects of electronic screen on sleep in Chinese children.

导出引用

刘明霞, 花静. 电子屏幕暴露对儿童睡眠影响的研究进展[J]. 中国儿童保健杂志. 2021, 29(2): 176-180 https://doi.org/10.11852/zgetbjzz2020-0378

LIU Ming-xia, HUA Jing. Research advances on the effects of electronic screen exposure on sleep in children[J]. Chinese Journal of Child Health Care. 2021, 29(2): 176-180 https://doi.org/10.11852/zgetbjzz2020-0378

中图分类号： R179

参考文献

[1] Robinson TN,Banda JA, Hale L, et al .Screen media exposure and obesity in children and adolescents[J].Pediatrics, 2017,140, 97-101.
[2] 曹慧,谢亮亮,尹小刚,等.电视暴露和睡眠问题对18月龄儿童智能发育的影响[J].中国儿童保健杂志, 24(3):282-285.
[3] Zhao J, Zhang Y, Jiang F, et al.Excessive screen time and psychosocial well-being:the mediating role of body mass index, sleep duration, and parent-child interaction[J].J Pediatr,2018,202:157-162.
[4] Lissak G.Adverse physiological and psychological effects of screen time on children and adolescents:literature review and case study[J].Environ Res,2018,164:149-157.
[5] Stiglic N, Viner RM.Effects of screentime on the health and well-being of children and adolescents:a systematic review of reviews[J].BMJ Open,2019,9(1):e023191.
[6] Common Sense.The common sense census:media use by kids and age zero to eight 2019[R/OL] https://www.commonsensemedia.org/research/the-common-sense-census-media-use·by-kids-age-zero-to-eight.-2019
[7] Genuneit J, Brockmann PE, Schlarb AA,et al.Media consumption and sleep quality in early childhood:results from the Ulm SPATZ Health Study[J].Sleep Med,2018,45:7-10.
[8] Chen B, van Dam RM, Tan CS, et al.Screen viewing behavior and sleep duration among children aged 2 and below[J].BMC Public Health,2019, 19(1):59.
[9] 童淑梅,宋沅瑾,姜艳蕊,等.我国4岁以下儿童看电视行为对睡眠质量影响的多中心研究[J].中华儿科杂志,2015,53(12):907-912.
[10] 陈庆伟,汝涛涛,罗雪,等.电子媒体使用对睡眠的影响、机制及其干预[J].心理科学进展,2019, 27,(1):70-82.
[11] Chen B, Bernard JY, Padmapriya N,et al.Associations between early-life screen viewing and 24 hour movement behaviours:findings from a longitudinal birth cohort study[J].Lancet Child Adolesc Health,2020,4(3):201-209.
[12] Chindamo S, Buja A, DeBattisti E,et al.Sleep and new media usage in toddlers[J].Eur J Pediatr,2019,178(4):483-490.
[13] Tambalis KD, Panagiotakos DB, Psarra G,et al.Insufficient sleep duration is associated with dietary habits, screen time, and obesity in children[J].J Clin Sleep Med,2018,14(10):1689-1696.
[14] Mortazavi S, Motlagh M, Qorbani M, et al.Association of screen time with sleep duration in school-aged children; a nationwide propensity score matched analysis:The CASPIANV study[J].J Res Health Sci,2019,19(2):e00443.
[15] Cheung CHM,Bedford R, Saez De Urabain IR,et al.Daily touchscreen use in infants and toddlers is associated with reduced sleep and delayed sleep onset[J].Sci Rep,2017,7:46104.
[16] Fobian AD, Avis K, Schwebel DC.Impact of media use on adolescent sleep efficiency[J].J Dev Behav Pediatr,2016,37(1):9-14.
[17] Mazurek MO, Engelhardt CR, Hilgard J, et al.Bedtime electronic media use and sleep in children with autism spectrum disorder[J].J Dev Behav Pediatr,2016,37(7):525-531.
[18] Mireku MO, Barker MM, Mutz J,et al.Night-time screen-based media device use and adolescents' sleep and health-related quality of life[J].Environ Int,2019,124:66-78.
[19] Foerster M,Henneke A,Chetty-Mhlanga S, et al.Impact of Adolescents' screen time and nocturnal mobile phone-related awakenings on sleep and general health symptoms:a prospective cohort study[J].Int J Environ Res Public Health,2019 ,16(3):518.
[20] Chang AM,Aeschbach D, Duffy JF, et al.Evening use of light-emitting e Readers negatively affects sleep, circadian timing, and next-morning alertness[J].Proc Natl Acad Sci U S A,2015,112(4):1232-1237.
[21] Green A, Cohen-Zion,M,Haim A,et al.Comparing the response to acute and chronic exposure to short wavelength lighting emitted from computer screens[J].Chronobiology Intl, 2018,35(1), 90-100.
[22] Hale L,Kirschen GW, LeBourgeois MK, et al.Youth screen media habits and sleep:sleep-friendly screen behavior.recommendations for clinicians, educators, and parents[J].Child Adolesc Psychiatr Clin N Am,2018,27(2):229-245.
[23] Singh MM, Pati AK.Effects of radiation emanating from base transceiver station and mobile phone on sleep,circadian rhythm and cognition in humans-A review[J].Biol Rhythm Res, 2016,47(3):353-388.
[24] Brockmann PE, Diaz B, Damiani F, et al.Impact of television on the quality of sleep in preschool children[J].Sleep Med,2016,20:140-144.
[25] Séguin D, Klimek V.Just five more minutes please:electronic media use, sleep and behaviour in young children[J].Early Child Dev Care,2016,186(6):981-1000.
[26] Lemola S,Perkinson-Gloor N,Brand S,et al.Adolescents' electronic media use at night, sleep disturbance, and depressive symptoms in the smartphone age[J].J Youth Adolesc,2015,44(2):405-418.
[27] Jiang X, Hardy LL,Baur LA, et al.Sleep duration, schedule and quality among urban Chinese children and adolescents:associations with routine after-school activities[J].PLoS One,2015,10(1):e0115326.
[28] Hisler G, Twenge JM, Krizan Z.Associations between screen time and short sleep duration among adolescents varies by media type:evidence from a cohort study[J].Sleep Med,2020,66:92-102.
[29] Falbe J, Davison KK, Franckle RL, et al.Sleep duration, restfulness, and screens in the sleep environment[J].Pediatrics,2015,135(2):e367-375.
[30] Przybylski AK.Digital screen time and pediatric sleep:evidence from a preregistered cohort study[J].J Pediatr,2019,205:218-223.