Effect of screen time on sleep in preschool children in Haikou City

LIU Ying; ZHOU Jie; CHEN Bairong; HUANG Lihong

doi:10.16835/j.cnki.1000-9817.2023.06.009

Volume 44 Issue 6

Jun. 2023

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(6): 836-839

LIU Ying, ZHOU Jie, CHEN Bairong, HUANG Lihong. Effect of screen time on sleep in preschool children in Haikou City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(6): 836-839. doi: 10.16835/j.cnki.1000-9817.2023.06.009

Citation:

LIU Ying, ZHOU Jie, CHEN Bairong, HUANG Lihong. Effect of screen time on sleep in preschool children in Haikou City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(6): 836-839. doi: 10.16835/j.cnki.1000-9817.2023.06.009

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Effect of screen time on sleep in preschool children in Haikou City

doi: 10.16835/j.cnki.1000-9817.2023.06.009

Child Medical Care Center, Haikou Municipal Maternal and Child Health Hospital, Haikou (571100), China

Received Date: 2023-04-01
Rev Recd Date: 2023-05-11

Available Online: 2023-06-28

Publish Date: 2023-06-25

Abstract

Abstract

Objective To understand the impact of screen time on duration and quality of sleep, so as to provide scientific basis for the development of interventions. Methods A total of 3 584 preschool children in Haikou City were selected by stratified sampling method from March to June in 2022, and the Children's Sleep Habits Questionnaire (CSHQ) and self-designed questionnaire were used. Results The average sleep duration of preschool children was (10.41±0.98)h/d, the rate of sleep deprivation was 28.71%, and the report rate of sleep problems was 50.47%. The average sleep duration in general as well as on weekdays and weekends decreased by age (F=21.00, 29.53, 3.26, P < 0.05), and insufficient sleep duration rate significantly varied by age groups (χ²=29.85, P < 0.01). The average screen time was (1.15±0.37)h/d, and the screen exposure rate was 55.39%. The total sleep problems (52.14%), poor bedtime habits (43.02%), daytime sleepiness (67.10%), irregular sleep duration (53.05%), and abnormal sleep latency (24.99%) were all higher than those in the non-exposed group (48.41%, 39.59%, 63.29%, 48.91%, 19.57%) (χ²=4.94, 4.31, 5.69, 6.08, 14.85, P < 0.05). Multiple linear regression analysis showed that age and weekend average screen time were negatively associated with sleep duration (β=-0.01, -0.06), weekday and weekend average outdoor activity duration were positively correlated with sleep duration (β=0.08, 0.08) (P < 0.05). Conclusion Screen exposure to preschool children's sleep time, sleep quality was closely related. Parents should cultivate good sleep habits of preschool children, and limit children's screen time to maximize outdoor activities, so as to ensure healthy development of children.
- Fixation, ocular,
- Sleep,
- Regression analysis,
- Child, preschool

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References

[1]	陈小燕, 曾宏, 陈晓清. 学龄前儿童睡眠与生活质量的相关性分析[J]. 中国实用医药, 2019, 14(16): 80-81. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201916042.htm CHEN X Y, ZENG H, CHEN X Q. Correlation analysis of sleep and quality of life in preschool children[J]. Chin Pract Med, 2019, 14(16): 80-81. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201916042.htm
[2]	王宇婷, 代飞彩, 余丽君, 等. 营养不良风险与学龄前儿童睡眠问题的关联研究[J]. 现代预防医学, 2022, 49(15): 2730-2735. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202215009.htm WANG Y T, DAI F C, YU L J, et al. Association between the risk of malnutrition and sleep disorders in preschoolers[J]. Mod Prev Med, 2022, 49(15): 2730-2735. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202215009.htm
[3]	金岚, 樊路, 彭美琳, 等. 合肥市856名学龄前儿童睡眠问题分析[J]. 安徽医学, 2020, 41(3): 346-349. doi: 10.3969/j.issn.1000-0399.2020.03.033 JIN L, FAN L, PENG M L, et al. Analysis of sleep problems on 856 preschool children in Hefei[J]. Anhui Med J, 2020, 41(3): 346-349. (in Chinese) doi: 10.3969/j.issn.1000-0399.2020.03.033
[4]	赵艳芳, 黄儒婷, 王卓群, 等. 2019年北京市丰台区3~6岁学龄前儿童夜间睡眠时间及影响因素分析[J]. 中国慢性病预防与控制, 2021, 29(11): 839-843. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB202111011.htm ZHAO Y F, HUANG R T, WANG Z Q, et al. Analysis of nighttime sleep duration and its influencing factors of preschool children (3-6 years old) in Fengtai district of Beijing in 2019[J]. Chin J Prev Control Chron Dis, 2021, 29(11): 839-843. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB202111011.htm
[5]	麻江利, 史鲜玲. 河南城市学龄前儿童睡眠状况及影响因素分析[J]. 现代预防医学, 2022, 49(10): 1787-1791. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202210011.htm MA J L, SHI X L. Analysis of sleep status and influencing factors of urban preschool children in Henan[J]. Mod Prev Med, 2022, 49(10): 1787-1791. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202210011.htm
[6]	刘佳, 陶芳标. 睡眠不足与儿童青少年近视关联性研究进展[J]. 中国学校卫生, 2022, 43(3): 463-471. doi: 10.16835/j.cnki.1000-9817.2022.03.035 LIU J, TAO F B. Study on the association between sleep deficiency and myopia in children and adolescents[J]. Chin J Sch Health, 2022, 43(3): 463-471. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.03.035
[7]	刘颖, 林尧, 黄丽红, 等. 海口市学龄前儿童睡眠障碍影响因素分析[J]. 中国学校卫生, 2020, 41(7): 1029-1031, 1035. doi: 10.16835/j.cnki.1000-9817.2020.07.020 LIU Y, LIN Y, HUANG L H, et al. Study on sleep disturbances of preschool children in Haikou City and its influencing factors[J]. Chin J Sch Health, 2020, 41(7): 1029-1031, 1035. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.07.020
[8]	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://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202201015.htm LIU M X, HUA J. Research advances on the effects of electronic screen exposure on sleep in children[J]. Chin J Child Health Care, 2021, 29(2): 176-180. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202201015.htm
[9]	马颖, 焦婷, 黄亚深, 等. 学龄前儿童屏幕暴露对睡眠的影响及户外活动的调节作用[J]. 中国儿童保健, 2022, 30(6): 664-668. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202206019.htm MA Y, JIAO T, HUANG Y S, et al. Association between screen time and sleep duration and the moderating effect of outdoor activity among preschoolers[J]. Chin J Child Health Care, 2022, 30(6): 664-668. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202206019.htm
[10]	李生慧, 金星明, 沈晓明, 等. 儿童睡眠习惯问卷中文版制定及测量性能考核[J]. 中华儿科学, 2007, 45(3): 176-180. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHEK200703006.htm LI S H, JIN X M, SHEN X M, et al. Development and psychometric properties of the Chinese version of Children's Sleep Habits Questionnaire[J]. Chin J Pediatr, 2007, 45(3): 176-180. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZHEK200703006.htm
[11]	中华人民共和国国家卫生和计划生育委员会. 0~5岁儿童睡眠卫生指南: WS/T 579—2017[S]. 2018-04-01. National Health and Family Planning Commission of the PRC. Sleep hygiene guidelines for children aged 0 to 5 years old: WS/T 579-2017[S]. 2018-04-01. (in Chinese)
[12]	GONZALEZ-NAHM S, GROSSMAN E R, FROST N, et al. Media and young minds: comparing state screen media use regulations for children under 24 months of age in early care and education to a national standard[J]. Matern Child Health J, 2018, 22(4): 445-453.
[13]	GUAN H Y, ZHAO X, QU S, et al. Exercise guidelines for preschool children (3 to 6 years)[J]. Chin J Children's Health Care, 2020, 28(6): 714-720.
[14]	谭晓艳, 施雯慧. 学龄前儿童睡眠状况及与超重肥胖的关联性研究[J]. 江苏预防医学, 2022, 33(4): 406-410. https://www.cnki.com.cn/Article/CJFDTOTAL-JSYF202204010.htm TAN X Y, SHI W H. Association between sleep status and overweight/obesity among preschoo children[J]. Jiangsu J Prev Med, 2022, 33(4): 406-410. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JSYF202204010.htm
[15]	叶新华, 陈虹, 康曦光, 等. 兰州市儿童肥胖与睡眠障碍的相关性分析[J]. 中国当代儿科杂志, 2019, 21(10): 987-991. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ201910009.htm YE X Y, CHEN H, KANG X G, et al. Association between obesity and sleep disorders among children in Lanzhou, China[J]. Chin J Contemp Pediatr, 2019, 21(10): 987-991. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ201910009.htm
[16]	戴霄天, 林森然, 崔娓, 等. 上海市学龄前儿童睡眠健康及影响因素的流行病学调查[J]. 中国妇幼健康研究, 2022, 33(3): 9-14. https://www.cnki.com.cn/Article/CJFDTOTAL-SANE202203003.htm DAI X T, LIN S R, CUI W, et al. Epidemiological survey on sleep health and influencing factors of preschool children in Shanghai[J]. Chin J Woman Child Health Res, 2022, 33(3): 9-14. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SANE202203003.htm
[17]	丁治保, 吴灿魁, 曹远保, 等. 南京市溧水区学龄前儿童睡眠状况及其对情绪与行为问题的影响[J]. 实用预防医学, 2022, 29(4): 459-462. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY202204019.htm DING Z B, WU C K, CAO Y B, et al. Sleep status of preschool children and their influence on emotional and behavioral problems in Lishui District, Nanjing City[J]. Pract Prev Med, 2022, 29(4): 459-462. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY202204019.htm
[18]	何海燕, 宁曼, 王睿, 等. 学龄前儿童睡眠障碍与情绪行为问题的关联[J]. 中国学校卫生, 2021, 42(9): 1344-1347. doi: 10.16835/j.cnki.1000-9817.2021.09.016 HE H Y, NING M, WANG R, et al. Association between sleep disorders and behavior problems in preschool children[J]. Chin J Sch Health, 2021, 42(9): 1344-1347. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.09.016
[19]	SUN J, WANG M, YANG L, et al. Sleep duration and cardiovascular risk factors in children and adolescents: a systematic review[J]. Sleep Med Rev, 2020, 53: 101338.
[20]	张亚清, 钟红平. 5岁以下儿童屏幕暴露的研究新进展[J]. 中国临床医学进展, 2022, 12(9): 8455-8460. ZHANG Y Q, ZHONG H P. New research progress on screen exposure in children under 5 years old[J]. Adv Clin Med, 2022, 12(9): 8455-8460. (in Chinese)
[21]	李楠, 梁颖. 儿童早期电子屏幕使用现状及对儿童社会性发展的影响[J]. 保健医学研究与实践, 2022, 19(9): 181-185. https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ202209042.htm LI N, LIANG Y. Electronic screen usage in early childhood and its impact on children's socia development[J]. Health Med Res Pract, 2022, 19(9): 181-185. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ202209042.htm
[22]	陈璐, 朱惠娟, 陈适, 等. 屏幕教学对儿童心理行为的影响分析[J]. 基础医学与临床, 2021, 41(12): 1868-1870. https://www.cnki.com.cn/Article/CJFDTOTAL-JCYL202112031.htm CHEN L, ZHU H J, CHEN S, et al. Influence of screen teaching on children's psychological and behavior problems[J]. Basic Clin Med, 2021, 41(12): 1868-1870. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JCYL202112031.htm
[23]	滕晓雨, 杜继鹏, 蔡雅君, 等. 屏幕暴露对学龄前儿童睡眠时间和质量的影响[J]. 中国妇幼健康研究, 2021, 32(4): 477-483. https://www.cnki.com.cn/Article/CJFDTOTAL-SANE202104003.htm TENG X Y, DU J P, CAI Y J, et al. Effects of screen exposure on sleep time and sleep quality in preschoolers[J]. Chin J Woman Child Health Res, 2021, 32(4): 477-483. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SANE202104003.htm