Association between excessive screen time and falls, with additional risk from insufficient sleep duration in children and adolescents, a large cross-sectional study in China

Bibliographic Data

ID22089141
AuthorsRunquan Zhang (Jinan University), Haiyuan Zhu (Jinan University), Qin Xiao (0000-0002-7238-4635, Jinan University), Qiqi Wu (0009-0003-0596-807X, Jinan University), Yuqing Jin (0000-0002-8275-6367, Jinan University), Tao Liu (0000-0001-5480-2568, Jinan University), Dan Liu (0009-0003-1264-0160, Southern Medical University), Chunxia Cui (Inner Mongolia Comprehensive Disease Prevention and Control Center, corresponding author), Xiaomei Dong (0000-0002-3832-038X, Jinan University, corresponding author)
Year2024
Volume12
Pages1452133-1452133
Publication date2024-12-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1452133
PMID39712319
OpenAlexW4405123156
LanguageEN
Citations received1
References cited60

Objective Falls is a major global public health issue that occur in all age groups. However, the association between screen time, sleep duration and falls in children and adolescents remains unclear. Methods This study included children and adolescents who participated in the 2017 Nutrition and Health Surveillance of Children and Lactating Mothers in China. Screen time, sleep duration and falls in the past 12 months were assessed using baseline questionnaires completed by the participants. We utilized a multivariate logistic regression model to estimate the association between screen time, sleep duration, and falls in children and adolescents. Stratified analyses and sensitivity analyses were performed using the same modelling strategies. Results A total of 564 participants (5.7%) self-reported falls in the past 12 months. Multivariate logistic regression analysis revealed that high screen time (> 2 h per day) was associated with a higher incidence of falls (cOR:1.46, 95% CI: 1.22–1.74, p < 0.001). The combination of high screen time and low sleep duration was associated with an increased risk of falls compared to the recommended low screen time and high sleep duration group (cOR: 1.62, 95% CI: 1.25–2.09, p < 0.001). After adjusting for relevant covariates, the associations remained significant (aOR: 1.30, 95% CI: 1.08–1.56, p = 0.006; aOR: 1.43, 95% CI: 1.10–1.87, p = 0.008). Conclusion Our study demonstrates that both high screen time and the combination of high screen time and low sleep duration were associated with an increased risk of falls. Interventions to promote healthy physical development should commence in early childhood to decrease the incidence of fall injuries in children and adolescents

China · Cross-sectional study · Environmental health · Occupational safety and health · Physical activity · Physical therapy · Poison control · Screen time · Child Development and Digital Technology · Children's Physical and Motor Development · Computer Science · Human Factors and Ergonomics · Medicine · Obesity, Physical Activity, Diet · Psychology · Pediatrics

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