Novella Fronda Foundation for Studies and Applied Clinical Research in the Field of Addiction Medicine, Padua, Italy.
Laboratory of Health Care Services and Health Promotion Evaluation, Unit of Hygiene and Public Health. Department of Cardiologic, Thoracic and Vascular Sciences and Public Health, University of Padova, University of Padova, Via Loredan, 18, 35131, Padova, Italy.
Eur J Pediatr. 2019 Apr;178(4):483-490. doi: 10.1007/s00431-019-03318-7. Epub 2019 Jan 16.
Several studies over the years have demonstrated the association between lack of sleep in children and certain physical, psychological, and behavioral disorders. The aim of this study was to disentangle the association between new screen-based electronic devices and sleep problems in toddlers, adjusting for other covariates already known to be associated with sleep quality. We conducted a cross-sectional study with the aid of a national sample of 1117 toddlers. Parents reported children's sleeping habits such as total sleep time and sleep onset latency, recreational activities, bedtime routines, and temperament. An ordered logistic regression was run to assess the associations between new media exposure and two sleep outcomes (total sleep time and sleep onset latency). Everyday use of a tablet or smartphone raised the odds of a shorter total sleep time (OR 1.95 [1.00-3.79], p < 0.05) and a longer sleep onset latency (OR 2.44 [1.26-4.73] p < 0.05) irrespective of other factors, such as temperament (restlessness, sociability), or traditional screen exposure (watching TV or playing videogames).Conclusion: New media usage is a factor associated in toddlers with sleeping fewer hours and taking longer to fall asleep, irrespective of other confounding factors. What is known • Studies have found an association between sleep behavior and the use of computers and video games in early childhood. • The blue light emitted from TV screens suppresses endogenous melatonin. What is new • The study found an association between daily new media (tablet and smartphone) usage and sleep quality in toddlers • New media usage exposes toddlers to the risk of fewer hours of sleep and taking longer to fall asleep, irrespective of other factors.
多年来的多项研究表明,儿童睡眠不足与某些身体、心理和行为障碍之间存在关联。本研究旨在厘清幼儿新的屏幕类电子设备使用与睡眠问题之间的关联,同时调整其他已知与睡眠质量相关的协变量。我们借助全国范围内的 1117 名幼儿的样本进行了一项横断面研究。家长报告了孩子的睡眠习惯,如总睡眠时间和入睡潜伏期、娱乐活动、睡前常规和气质。我们进行了有序逻辑回归分析,以评估新媒体暴露与两个睡眠结果(总睡眠时间和入睡潜伏期)之间的关联。每天使用平板电脑或智能手机会增加总睡眠时间较短(OR 1.95 [1.00-3.79],p<0.05)和入睡潜伏期较长(OR 2.44 [1.26-4.73],p<0.05)的几率,而不论其他因素如何,如气质(不安、社交性)或传统屏幕暴露(看电视或玩电子游戏)。结论:无论其他混杂因素如何,新媒体的使用是与幼儿睡眠时间减少和入睡时间延长相关的因素。已知的事实 • 研究发现,睡眠行为与儿童早期使用计算机和视频游戏之间存在关联。 • 电视屏幕发出的蓝光会抑制内源性褪黑素。新的发现 • 本研究发现,幼儿每天使用新的媒体(平板电脑和智能手机)与睡眠质量之间存在关联。 • 无论其他因素如何,新媒体的使用都会使幼儿面临睡眠时间减少和入睡时间延长的风险。