COVID-19 Pandemic Influence on Toddlers and Preschoolers’ Screen Time
Authors: Juliana da Silva Cardoso, Cláudia Correia, Rita Gomes, Carolina Fraga, Inês Cascais, Sara Monteiro, Beatriz Teixeira, Sandra Ribeiro, Carolina Andrade, Cláudia Oliveira, Diana Gonzaga, Catarina Prior, Inês Vaz Matos
The average daily screen time (ST) has been increasing in children, even at young ages. This seems to be associated with a higher incidence of neurodevelopmental disorders, and as the time of exposure increases, the greater is the functional impact. This study aims to compare the daily ST of toddlers and preschoolers previously and during the COVID-19 pandemic. A questionnaire was applied by telephone to parents/caregivers of children between 1 and 5 years old, followed up at four primary care units belonging to the Group of Primary Health Care Centers of Western Porto, Portugal. A total of 520 children were included: 52.9% male, mean age 39.4 ± 13.9 months. The mean age of first exposure to screens was 13.9 ± 8.0 months, and most of the children were exposed to more than one screen daily. Considering the WHO recommendations, before the COVID-19 pandemic, 385 (74.0%) and 408 (78.5%) children had excessive ST during the week and the weekend, respectively; during the lockdown, these values increased to 495 (95.2%) and 482 (92.7%). Maternal education and both the child's median age and the median age of first exposure to screens had a statistically significant association with excessive ST, with OR 0.2 (p = 0.03, CI 95% 0.07-0.86), OR 1.1 (p = 0.01, 95% CI 1.05-1.14) and OR 0.9 (p = 0.05, 95% CI 0. 87-0.98), respectively. Most children in this sample had a higher than recommended ST, which increased with the onset of the COVID-19 pandemic. These results are worrisome and point to the need for urgent intervention.Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 453
 World Health Organization, Guidelines on physical activity, sedentary behaviour and sleep. 2019.
 P. Daniel G. Whitney, PhDMark D. Peterson, “Assessment of Screen Exposure in Young Children, 1997 to 2014,” JAMA Pediatr., vol. 173, Number, doi: 10.1001/jamapediatrics.2018.5399.
 F. J. Zimmerman, D. A. Christakis, and A. N. Meltzoff, “Television and DVD/video viewing in children younger than 2 years,” Arch. Pediatr. Adolesc. Med., vol. 161, no. 5, pp. 473–479, 2007, doi: 10.1001/archpedi.161.5.473.
 C. Palha, B. Tavares, D. L. Morgado, D. Fonseca, J. Castro, and P. S. Castro, “Influência das características familiares no tempo de ecrã em crianças até aos 18 meses de idade,” Rev. Port. Clínica Geral, vol. 35, no. 6, pp. 438–448, 2019, doi: 10.32385/rpmgf.v35i6.12541.
 L. Y. Lin, R. J. Cherng, Y. J. Chen, Y. J. Chen, and H. M. Yang, “Effects of television exposure on developmental skills among young children,” Infant Behav. Dev., vol. 38, pp. 20–26, 2015, doi: 10.1016/j.infbeh.2014.12.005.
 T. N. Robinson et al., “Screen media exposure and obesity in children and adolescents,” Pediatrics, vol. 140, pp. S97–S101, 2017, doi: 10.1542/peds.2016-1758K.
 H. Xu, L. M. Wen, and C. Rissel, “Associations of parental influences with physical activity and screen time among young children: A systematic review,” J. Obes., vol. 2015, 2015, doi: 10.1155/2015/546925.
 A. J. Atkin, K. Corder, and E. M. F. van Sluijs, “Bedroom media, sedentary time and screen-time in children: A longitudinal analysis,” Int. J. Behav. Nutr. Phys. Act., vol. 10, pp. 1–10, 2013, doi: 10.1186/1479-5868-10-137.
 S. Paudel, J. Jancey, N. Subedi, and J. Leavy, “Correlates of mobile screen media use among children aged 0-8: A systematic review,” BMJ Open, vol. 7, no. 10, pp. 1–12, 2017, doi: 10.1136/bmjopen-2016-014585.
 L. Tang, G. Darlington, D. W. L. Ma, and J. Haines, “Mothers’ and fathers’ media parenting practices associated with young children’s screen-time: A cross-sectional study 11 Medical and Health Sciences 1117 Public Health and Health Services,” BMC Obes., vol. 5, no. 1, pp. 1–10, 2018, doi: 10.1186/s40608-018-0214-4.
 H. Duch, E. M. Fisher, I. Ensari, and A. Harrington, “Screen time use in children under 3 years old: A systematic review of correlates,” Int. J. Behav. Nutr. Phys. Act., vol. 10, no. 1, p. 1, 2013, doi: 10.1186/1479-5868-10-102.
 Presidência da República, “Decreto do Presidente da República 14-A/2020, 2020-03-18 - DRE,” Diário da República n.o 55/2020, 3o Supl. Série I, no. 2, pp. 13-(2)-13-(4), 2020, (Online). Available: https://dre.pt/web/guest/home/-/dre/130399862/details/maximized.
 A. Comiss, D. Humanos, and L. Org, “Decreto do Presidente da República n.o 17-A/2020 de 2 de abril,” Diário da República n.o 66 - 1.a série. Presidência da República, no. 31, pp. 2–5, 2020, (Online). Available: https://dre.pt/application/conteudo/131068116.
 1.a série N.o76 de 17 de abril de 2020 Diário da República, “Presidência da República - Decreto do Presidente da República n.o 20-A/2020 de 17 de abril,” no. 2, pp. 7–10, 2020.