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[儿童和青少年长时间看电视:健康影响及保护策略]

[Prolonged television exposure in children and adolescents: health effects and protection strategies].

作者信息

Díaz Cuesta José Francisco, Concheiro Guisán Ana

机构信息

Departamento de Periodismo y Nuevos Medios. Facultad de Ciencias de la Información. Universidad Complutense de Madrid (UCM). Madrid. España.

Departamento de Ciencias Forenses, Anatomía Patológica, Ginecología y Obstetricia, y Pediatría. Facultad de Medicina. Universidad de Santiago de Compostela (USC). Santiago de Compostela. España.

出版信息

Rev Esp Salud Publica. 2024 Sep 18;98:e202409051.

PMID:39291616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11571761/
Abstract

OBJECTIVE

Since COVID-19 pandemic, screen time (ST) seems to have increased among children and young people. There is controversy about its impact in the physical and mental well-being of children. The aim of this study was to analyse the possible influence of excessive ST on child health through a systematic review of the literature.

METHODS

Systematic review was done by two independent reviewers. We analysed the medical literature (MEDLINE data base) from 2017 to 2022. Data related to the effects of ST on children´s health were analysed along with strategies that can mitigate those effects.

RESULTS

The search identified 3,151 articles, 37 finally selected as they fulfilled the demanded methodological quality criteria. Negative effects on children's health such as obesity, linked to a sedentary lifestyle, sleep disorders or anxiety problems in adolescents were detected. However, a better development of language or memory functioning, when interactive media were used, have also been described. Educational measures have proven useful in controlling exposure time and reducing exposure-related negative effects.

CONCLUSIONS

Although high levels of ST could affect children`s health, we have recorded some positive effects that are enhanced when parents get involved in TV watching (co-viewing). Exposure time should be customized according to every child's lifestyle.

摘要

目的

自新冠疫情以来,儿童和青少年的屏幕使用时间(ST)似乎有所增加。其对儿童身心健康的影响存在争议。本研究的目的是通过对文献的系统综述,分析过多屏幕使用时间对儿童健康的可能影响。

方法

由两名独立评审员进行系统综述。我们分析了2017年至2022年的医学文献(MEDLINE数据库)。分析了与屏幕使用时间对儿童健康影响相关的数据以及可减轻这些影响的策略。

结果

检索到3151篇文章,最终筛选出37篇符合所需方法学质量标准的文章。检测到对儿童健康的负面影响,如与久坐不动生活方式相关的肥胖、青少年睡眠障碍或焦虑问题。然而,也有研究描述了在使用交互式媒体时,语言或记忆功能会有更好的发展。教育措施已被证明有助于控制接触时间并减少与接触相关的负面影响。

结论

尽管长时间的屏幕使用时间可能会影响儿童健康,但我们记录到一些积极影响,当父母参与看电视(共同观看)时这些积极影响会增强。应根据每个孩子的生活方式定制接触时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a100/11571761/69c2774d9a50/1135-5727-resp-98-e202409051-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a100/11571761/69c2774d9a50/1135-5727-resp-98-e202409051-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a100/11571761/69c2774d9a50/1135-5727-resp-98-e202409051-g002.jpg

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本文引用的文献

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Changes in Families' Leisure, Educational/Work and Social Screen Time Behaviours before and during COVID-19 in Australia: Findings from the Our Life at Home Study.澳大利亚在 COVID-19 前后家庭休闲、教育/工作和社会屏幕时间行为的变化:来自我们家庭生活研究的发现。
Int J Environ Res Public Health. 2021 Oct 28;18(21):11335. doi: 10.3390/ijerph182111335.
2
Impact of the COVID-19 Pandemic on Sedentary Time and Behaviour in Children and Adults: A Systematic Review and Meta-Analysis.2019年冠状病毒病大流行对儿童和成人久坐时间及行为的影响:一项系统综述和荟萃分析
Int J Environ Res Public Health. 2021 Oct 27;18(21):11286. doi: 10.3390/ijerph182111286.
3
Screen time and early childhood development in Ceará, Brazil: a population-based study.
屏幕时间与巴西塞阿拉州的儿童早期发展:一项基于人群的研究。
BMC Public Health. 2021 Nov 11;21(1):2072. doi: 10.1186/s12889-021-12136-2.
4
The Relation Between Television Viewing Time and Reading Achievement in Elementary School Children: A Test of Substitution and Inhibition Hypotheses.小学生看电视时间与阅读成绩之间的关系:替代与抑制假说的检验
Front Psychol. 2021 Oct 18;12:580763. doi: 10.3389/fpsyg.2021.580763. eCollection 2021.
5
Screens for infants and preschool children: Assessment of medical prevention with parents and assessment of exposure.婴幼儿筛查:与家长共同评估医学预防措施和接触评估。
Arch Pediatr. 2021 Nov;28(8):632-637. doi: 10.1016/j.arcped.2021.09.028. Epub 2021 Oct 22.
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Identifying effective intervention strategies to reduce children's screen time: a systematic review and meta-analysis.确定有效干预策略以减少儿童屏幕时间:系统评价和荟萃分析。
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