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. 2022 Nov 9:13:977879.
doi: 10.3389/fpsyt.2022.977879. eCollection 2022.

Association between screen time and hyperactive behaviors in children under 3 years in China

Jian-Bo Wu  1 , Xiao-Na Yin  1 , Shuang-Yan Qiu  1 , Guo-Ming Wen  1 , Wei-Kang Yang  1 , Jing-Yu Zhang  1 , Ya-Fen Zhao  1 , Xin Wang  2 , Xiao-Bing Hong  3 , DaLi Lu  1 , Jin Jing  4
Affiliations

Association between screen time and hyperactive behaviors in children under 3 years in China

Jian-Bo Wu et al. Front Psychiatry. .

Abstract

Background: Screen time during early life has increased dramatically among Chinese children. Excessive screen time has raised growing concerns about the neuropsychological development of children. The effects of screen exposure on early life and the boundary between screen time and hyperactive behaviors are well worth investigating. We examined associations between screen time and hyperactive behaviors in children under the age of 3 years using data from the Longhua Children Cohort Study (LCCS).

Methods: A cross-sectional study was conducted among 42,841 3-year-old children from Longhua District, Shenzhen. Information on socio-demographic characteristics, children's annual screen time since birth, and hyperactive behaviors (measured by the Conners Parental Symptom Questionnaire) was collected through self-administered structured questionnaires completed by the primary caregiver. A series of logistic regression models assessed the association between screen time and hyperactive behaviors.

Results: The average daily screen time of children under the age of 3 years was 55.83 ± 58.54 min, and screen time increased with age. Binomial logistic regression analysis found that the earlier the screen exposure, the greater the risk of hyperactive behaviors. Using binary logistic regression model, after controlling for confounding factors, the study found that more screen time was more associated with hyperactive behaviors. For children aged 0-3 years with daily screen time exceeding 90, 120, 150, and 180 min, the risk values for hyperactive behaviors were 1.98 [95% confidence interval (CI): 1.05, 3.78), 2.71 (95%CI:1.38, 5.30), 3.17 (95% CI: 1.50, 6.65), and 4.62 (95% CI: 2.45, 8.71)], respectively.

Conclusion: Early screen exposure may be associated with hyperactive behaviors in children under the age of 3 years. More than 90 min of screen time per day in children under 3 years was associated with hyperactive behaviors. The findings support the importance of screen time interventions for children under 3 years.

Keywords: boundary; developmental sensitivity; early life; hyperactive behaviors; screen time.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Comparison of screen time at different ages between children with hyperactive behaviors and children without hyperactive behaviors.
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References

    1. Scholtens S, Rydell AM, Yang-Wallentin F. ADHD symptoms, academic achievement, self-perception of academic competence and future orientation: a longitudinal study. Scand J Psychol. (2013) 54:205–12. 10.1111/sjop.12042 - DOI - PubMed
    1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; (2013). 10.1176/appi.books.9780890425596 - DOI
    1. Chorozoglou M, Smith E, Koerting J, Thompson MJ, Sayal K, Sonuga-Barke EJS. Preschool hyperactivity is associated with long−term economic burden: evidence from a longitudinal health economic analysis of costs incurred across childhood, adolescence and young adulthood. J Child Psychol Psychiatry. (2015) 56:966–75. 10.1111/jcpp.12437 - DOI - PMC - PubMed
    1. Canu WH, Eddy LD. Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment. Cogn Behav Ther. (2015) 30:703–4.
    1. Chen W, Adler JL. Assessment of screen exposure in young children, 1997 to 2014. JAMA Pediatr. (2019) 173:391–3. 10.1001/jamapediatrics.2018.5546 - DOI - PMC - PubMed

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