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
2024

Screen Time, Sleep, and Falls in Children and Adolescents

Sample size: 9958 publication 10 minutes Evidence: high

Author Information

Author(s): Zhang Runquan, Zhu Haiyuan, Xiao Qin, Wu Qiqi, Jin Yuqing, Liu Tao, Liu Dan, Cui Chunxia, Dong Xiaomei

Primary Institution: Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China

Hypothesis

Is there an association between excessive screen time, insufficient sleep duration, and falls in children and adolescents?

Conclusion

High screen time and the combination of high screen time and low sleep duration are associated with an increased risk of falls in children and adolescents.

Supporting Evidence

  • 564 participants (5.7%) reported falls in the past 12 months.
  • High screen time (> 2 hours per day) was associated with a higher incidence of falls (cOR: 1.46).
  • The combination of high screen time and low sleep duration increased the risk of falls (cOR: 1.62).
  • After adjusting for covariates, high screen time remained significantly associated with falls (aOR: 1.30).
  • Participants with insufficient sleep duration were more likely to report falls.

Takeaway

Kids who spend too much time on screens and don't get enough sleep are more likely to fall and get hurt.

Methodology

The study used a cross-sectional design with multivariate logistic regression to analyze data from a national health surveillance survey.

Potential Biases

Self-reported data may introduce recall bias.

Limitations

The study may underestimate the incidence of falls as it only includes those diagnosed by medical units or who rested for more than half a day due to falls.

Participant Demographics

Participants included children and adolescents aged 6 to 17 years, with a mean age of 11.3 years and 50.4% male.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 1.22–1.74

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3389/fpubh.2024.1452133

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