屏幕暴露对儿童身心健康的影响

刘 强¹, 王 建红²
1、北京市顺义区高丽营镇卫生院全科
2、首都儿科研究所附属儿童医院保健中心

摘要

目的：随着信息化的发展 , 儿童接触电子屏幕产品的机会日益增多。屏幕暴露逐渐成为全球关注的公共卫生问题同时
成为儿童健康领域研究热点之一，屏幕暴露被认为是具有生物学合理性的独立风险因素。2019 年新型冠状病毒感染疫情发
生之后，由于居家隔离及户外活动减少等原因，儿童屏幕暴露问题更加明显。因此，本文综述了国内外儿童屏幕暴露现状
及其对儿童身心健康影响的相关研究，旨在了解目前该领域的研究进展为临床合理指导屏幕使用提供依据、为儿童全面发
展保驾护航。

关键词

屏幕暴露；儿童；身心健康；干预措施

参考

[1] Khan, A., et. al. Dose-dependent and Joint Associations Between Screen Time, Physical Activity, and Mental Wellbeing in Adolescents: An International Observational Study[J]. The Lancet Child & Adolescent Health, 2021(10): 729-738

[2] Madigan S, Browne D, Racine N, et al. Association between screen time and children′s performance on a developmental screening test[J]. JAMA Pediatr, 2019, 173(3):244 250. DOI: 10.1001/jamapediatrics.2018.5056.

[3] Radesky JS, Christakis DA. Increased screen time: implications for early childhood development and behavior[J]. Pediatr Clin North Am, 2016, 63(5):827 839. DOI: 10.1016/j.pcl.2016.06.006.

[4] Tremblay MS, Barnes JD, González SA, et al. Global matrix 2.0: report card grades on the physical activity of children and youth comparing 38 countries[J]. J Phys Act Health, 2016, 13(11 Suppl 2): S343 S366. DOI: 10.1123/ jpah.2016 0594

[5] Radesky JS,Christakis DA. Increased screen time: Implications for early childhood development and behavior [ J]. Pediatr Clin North Am,2016,63(5): 827-839.

[6] Chaput JP,Colley RC,Aubert S,et al. Proportion of preschoolaged children meeting the Canadian 24-Hour Movement Guidelines and associations with adiposity: results from the Canadian Health Measures Survey[J]. BMC Public Health,2017,17( Suppl 5): 829.

[7] Cliff DP,McNeill J,Vella SA,et al. Adherence to 24-Hour Movement Guidelines for the Early Years and associations with socialcognitive development among Australian preschool children[ J]. BMC public health,2017,17(Suppl 5): 857.

[8] Shah RR,Fahey NM,Soni AV,et al. Screen time usage among preschoolers aged 2-6 in rural Western India: A cross_xfffe_sectional study[J]. J Family Med Prim Care,2019,8(6): 1999-2002.

[9] 王磊 , 左笑宇 , 董雷 , 等 . 扬州市学龄前儿童视屏现况及其影响因素分析 [J]. 中国学校卫生 ,2017,38(4):505-508.

[10] 盛玉璐 , 何晓燕 , 孙蕾 , 等 . 学龄前儿童视屏时间对情绪和行为问题的影响 [J]. 中国妇幼卫生杂志 ,2018,9(5): 1-5.

[11] 谭永春 , 马丽 , 王茹楠 . 蚌埠市学龄前儿童使用智能电子产品情况调查研究 [J]. 蚌埠学院学报 ,2016,5(4):139-144

[12] 彭磊 , 徐耿 , 宫相君 , 等 . 学龄前儿童视屏时间与心理行为的关联性 [J]. 中国学校卫生 ,2020,41(1):62-65,69

[13] 刘恒 , 石韬 , 李小东 . 新疆乌鲁木齐市 3~6 岁学龄前儿童视屏时间状况及影响因素研究 [J]. 现代预防医学 , 2018,45(6):1012-1015+1025.

[14 许琪 , 王建红 , 张丽丽 , 等 . 三岁及以下儿童屏幕暴露现状及影响因素分析 [J]. 中华儿科杂志 ,2021,59(10): 841-846.DOI:10.3760/cma.j.cn112140-20210322-00242.

[15] 赵寓藏 , 吴旭龙 , 杨菁菁 , 等 . 北京市学龄前儿童视屏时间现状及影响因素分析[J].中国学校卫生,2019,40(3): 344-346.

[16] Wu X,Tao S,Rutayisire E,et al. The relationship between screen time,nighttime sleep duration,and behavioural problems in preschool children in China [ J ]. Eur Child Adolesc Psychiatry, 2017,26(5): 541-548.

[17] 张安慧 , 王睿 , 朱敏 , 等 . 学龄前儿童视屏时间对睡眠行为的影响 [J]. 现代预防医学 ,2018,45(14):2551-2553+ 2562.

[18] Lan QY,Chan KC,Yu KN,et al. Sleep duration in preschool children and impact of screen time[J]. Sleep Med,2020,76: 48-54.

[19] Schmidt SCE,Anedda B,Burchartz A,et al. Physical 临床医学研究 : 2023 年 5 卷 5 期 ISSN: 2705-0939(Print); 2705-0475 (Online)86activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: a natural experiment [ J ]. Sci Rep,2020,10(1):21780.

[20] 汪小燕 , 殷刚柱 , 郭锋 , 等 . 新冠疫情前后学龄前儿童视屏时间变化及与行为问题关联 [J]. 中国公共卫生 ,2021,37(5):769-773.

[21] 宁 静 , 刘 瑛 , 刘 翠 , 等 . 疫情期间居家限制对学龄前儿童活动行为的影响研究 [J]. 现代医药卫生 ,2021,37(19):3275-3279.

[22] Xiang M,Zhang Z,Kuwahara K. Impact of COVID-19 pandemic on children and adolescents’ lifestyle behavior larger than expected[J]. Prog Cardiovasc Dis,2020,63(4):531-532.

[23] Tripathi, M., S. K. Mishra. Screen Time and Adiposity Among Children and Adolescents: A Systematic Review[J]. Journal of Public Health, 2020(3): 227-244.

[24] 宗心南 , 李辉 , 张亚钦 , 九市儿童体格发育调查协作组 . 中国 9 个城市学龄前儿童单纯性肥胖的影响因素研究 [J]. 中华流行病学杂志 ,2022,43(1):50-57.

[25] Kurspahi c’-Muj cˇi c’ A,Muj cˇ i c’ A. Factors associated with overweight and obesity in preschool children [ J]. Med Glas ( Zenica),2020,17(2): 538-543.

[26] Tester JM,Phan TT,Tucker JM,et al. Characteristics of children 2 to 5 years of age with severe obesity[ J]. Pediatrics,2018,141 (3): e20173228

[27] Sehn, A. P., et. al. Relationship Between Sleep Duration and TV Time with Cardiometabolic Risk inAdolescents[J]. Environmental Health and Preventive Medicine, 2020(1): 42.

[28] Henderson, M., et. al. Influence of Adiposity, Physical Activity, Fitness, and Screen Time on Insulin Dynamics Over 2 Years in Children[J]. JAMA Pediatrics, 2016(3): 227-235.

[29] Foreman, J., et. al. Association Between Digital Smart Device Use and Myopia: A Systematic Review and Metaanalysis[J]. The Lancet Digital Health, 2021(12): E806-E818.

[30] Liu, S., et. al. Electronic Devices and Myopic Refraction Among Children Aged 6-14 Years in Urban Areas of Tianjin, China[J]. Ophthalmic & Physiological Optics, 2019(4): 282-293.

[31] Ma, M., et. al. COVID-19 Home Quarantine Accelerated the Progression of Myopia in Children Aged 7 to 12 Years in China[J]. Investigative Ophthalmology & Visual Science, 2021(10): 37.

[32] Cespedes EM,Gillman MW,Kleinman K, et al. Television viewing,bedroom television,and sleep duration from infancy to midchildhood[J]. Pediatrics,2014,133(5): e1163-1171.

[33] 朱敏 , 张安慧 , 曹臻 , 等 . 学龄前儿童睡眠障碍及影响因素分析 [J]. 安徽预防医学杂志 ,2016,22(5):297-300+307.

[34] Zhao TM, Xuan, K, Liu, HX, et al. Sleep disturbances andcorrelates among a sample of preschool children in ruralChina [J]. Sleep Biol Rhythms,2022,20: 123-136.

[35] Janssen X,Martin A,Hughes AR,et al.Associations of screen time,sedentary time and physical activity with sleep in under 5s: A systematic review and meta-analysis [ J ]. Sleep Med Rev, 2020,49:101226.

[36] Cheng S,Maeda T,Yoichi S,et al. Early television xposure and children’s behavioral and social outcomes at age 30 months[J]. J Epidemiol,2010,20(Suppl 2): S482-489.

[37] Liu W,Wu X,Huang K,et al. Early childhood screen time as a predictor of emotional and behavioral problems in hildren at 4 years: a birth cohort study in China [ J]. Environ Health Prev Med,2021,26(1):3.

[38] 陈秋 , 于伟平 , 陈瑞美 , 等 . 学龄前儿童生活方式对情绪与行为问题影响的研究 [J]. 现代预防医学 ,2021,48 (1):82-85.

[39] 谢亮亮 , 严双琴 , 曹慧 , 等 . 学龄前儿童注意缺陷多动障碍症状与行为生活方式的关联研究 [J]. 中国儿童保健杂志 ,2018,26(10):1056-1059.

[40] 徐禕 , 严琼 , 童连 . 城乡学龄前儿童屏前时间与注意缺陷多动障碍症状的相关性研究 [J]. 中国儿童保健杂志 , 2019,27(9):997-1001.

[41] Chen JY,Strodl E,Wu CA,et al. Screen time and autistic-like behaviors among preschool children in China [ J]. Psychol Health Med,2020,26(5): 1-14.

[42] Oswald, T. K., et. al. Psychological Impacts of“Screen Time”and“Green Time”for Children and Adolescents: A Systematic Scoping Review[J]. PLOS One, 2020(9): 52.

[43] 陶舒曼等 . 视屏活动对儿童青少年情绪症状的影响及大脑神经功能变化研究 [J]. 中国学校卫生，2020（11）：1757-1760.

[44] Wang, X., et. al. The Associations Between Screen Time-based Sedentary Behavior and Depression: A Systematic Review and Meta-analysis[J]. BMC Public Health, 2019(1): 1524.

[45] Zhang, F., et. al. Psychological Symptoms are Associated with Screen and Exercise Time: A Cross-sectional Study of Chinese Adolescents[J]. BMC Public Health, 2020(1): 1695.

[46] Stiglic N,Viner RM. Effects of screentime on the health and wellbeing of children and adolescents: a systematic review of reviews [J]. BMJ Open,2019,9(1): e023191.

[47] Khouja JN,Munafo MR,Tilling K,et al. Is screen time associated with anxiety or depression in young people? Results from a UK birth cohort[J]. BMC Public Health,2019,19(1): 82.

[48] 玄坤 . 安徽省农村学龄前儿童视屏时间现状及其对焦虑症状影响的研究 [D]. 合肥 : 安徽医科大学 ,2021.

[49] 贾雅雅 . 语言发育迟缓儿童屏幕暴露的调查及相关因素分析 [D]. 山西医科大学 ,2022.培训编号：2021000X