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Indian Pediatrics

, Volume 56, Issue 9, pp 773–788 | Cite as

Screen Time in Under-five Children

  • Nimran Kaur
  • Madhu GuptaEmail author
  • Prahbhjot Malhi
  • Sandeep Grover
Review Article
  • 3 Downloads

Abstract

Context

Screen-viewing in childhood is primarily a mean of entertainment, during the unstructured time. We aimed to review the burden of the problem, delineate the associated factors and correlates, evaluate the impact of screen-time on the overall health of under-five children, and the interventions to reduce screen-time.

Evidence acquisition

Published articles from January 2009 to June 2018 were searched through PubMed, Clinical Key, Scopus, Embase, and Google Scholar using key Medical Subject Heading words.

Results

The burden of screen-time varied from 21% to 98% in the middle-income, and 10% to 93.7% in the high-income countries. The social ecological model was used to illustrate associated factors and correlates including child, caregiver, micro and macro digital-media environment related factors. The interventions included increase in the physical activity, reduction in the body mass index, improving sleep and dietary behaviors etc. The effectiveness of these interventions ranged from 0.3 minutes (standard error 13.3) to −47.16 minutes (standard error 2.01).

Conclusion

Clinicians should obtain history of screen-time in children, and advise limiting the screen exposure according to the child’s age. There is a need to generate evidence on burden and effectiveness of interventions among children in the Indian settings, owing to the limited data.

Keywords

Digital-media Obesity Screen exposure Sedentary behaviors Smartphone Television 

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Notes

Acknowledgement: Dr. Kamal Kishore, Lecturer, Department of Biostatistics, PGIMER for providing technical inputs in the methods of this review.

Funding: None.

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Copyright information

© Indian Academy of Pediatrics 2019

Authors and Affiliations

  • Nimran Kaur
    • 1
  • Madhu Gupta
    • 1
    Email author
  • Prahbhjot Malhi
    • 2
  • Sandeep Grover
    • 3
  1. 1.Department of Community Medicine and School of Public HealthPostgraduate Institute of Medical Education and Research (PGIMER)ChandigarhIndia
  2. 2.Department of PediatricsPostgraduate Institute of Medical Education and ResearchChandigarhIndia
  3. 3.Department of PsychiatryPostgraduate Institute of Medical Education and ResearchChandigarhIndia

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