Examination of parent-reported differences in children’s daily screen use, sleep, and sleep hygiene behaviors during the school year and summer and their association with BMI
Open accessAbstract
Objective The current study examined school-summer differences in children's sleep patterns and sleep hygiene. Cross-sectional relationships with children's sleep, sleep hygiene, and weight status were explored during the school year and summer.Methods Children (5-8 years) and their parents (n = 197 dyads) were recruited from 4 schools in southeastern Texas and via Facebook. Parents reported children's school year and summer sleep, sleep hygiene, and screen media use. Children's body mass index (BMI) was objectively assessed at the beginning and end of the summer. Associations between children's sleep hygiene and screen media use, sleep duration, and weight status were explored.Results Children's sleep midpoint was earlier during the school year (1:54 AM ± 0.03) than in the summer (2:06 AM ± 0.03; t = 4.07, p < .0001). During summer, children increased their screen media use by 38 minutes (t = 2.32, p = .023) and decreased their caffeine intake from 7.43 to 7.0 (with scores ranging from 3 to 15; t = 2.83, p = .006). Greater sleep-inhibiting (β = 0.40, p = .011) and fewer sleep-promoting (β = -0.28, p = .049) behaviors during the school year were associated with having a higher BMI. There were no associations among sleep patterns, sleep hygiene and BMI during summer.Conclusions More positive school year sleep hygiene behaviors were supportive of having a healthier weight status. Changes in these behaviors during the summer did not portend worse weight outcomes. Supporting families in the establishment of sleep-promoting behaviors, particularly during the school year may help address the child obesity epidemic.
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Healthier sleep hygiene is associated with healthier weight.
“Healthier sleep hygiene is associated with healthier weight.198,199”
From Digital Ecosystems, Children, and Adolescents: Technical Report (2026) · cites this paper as [198]
The Results and Discussion report that healthier sleep hygiene was associated with lower BMIz in children during the school year. The claim omits that setting-specific qualifier: the Results found no association between sleep hygiene behaviors and BMIz during summer. (LLM, conf=0.86)
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Digital Ecosystems, Children, and Adolescents: Technical Report
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- Authors
- Moreno, J. P., Wood, A. C., Reichek, B., Dadabhoy, H., Baranowski, T., Thompson, D., & O'Connor, T. M.
- Affiliations
- Baylor College of Medicine (US)
- Corresponding author
- Moreno, Jennette P.
- Venue
- Sleep Health
- Publisher
- Elsevier BV
- Published
- 2023-06
- Volume
- 9
- Issue
- 3
- Pages
- 306-313
- ISSN
- 2352-7218 (ISSN-L)
- PMC
- PMC10293069
- OpenAlex
- W4320183490
- Cited by
- 4
- References
- 48
- Citations by year
- 2026: 2 · 2025: 2
- FWCI
- 1.03
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Sleep Health (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons-TMC (Texas Medical Center) (submittedVersion)
- Funders
- U.S. Department of Agriculture
- Baylor College of Medicine (58-3092-5-001)
- Agricultural Research Service
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R00HD091396)
- Department of Pediatrics, University of Florida
- National Institutes of Health
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Education › Child Development and Digital Technology
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- children's sleep, sleep hygiene, screen media use, body mass index, childhood obesity, sleep midpoint, caffeine consumption, parent-reported sleep
- MeSH terms
- Sleep Hygiene, Child, Humans, Parents, Schools, Sleep, Exercise, Body Mass Index
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