Effects of Screen Viewing Time on Sleep Duration and Bedtime in Children Aged 1 and 3 Years: Japan Environment and Children’s Study
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This study aimed to clarify the effects of television/digital versatile disc (TV/DVD) viewing time and portable electronic device (PED) usage time on sleep duration and bedtime and the difference between the effects of TV/DVD and PED on sleep. The effect of TV/DVD viewing time or PED usage time on sleep duration and bedtime was analyzed using a multiple logistic regression analysis adjusted for covariates. A total of 74,525 participants were included in the analysis, using data from Japan Environment and Children’s Study. TV/DVD viewing was not associated with short sleep duration, but PED usage was associated with short sleep duration. In addition, the risk of short sleep duration increased as PED usage time increased. We also investigated the effects of sleep habits at age 1 year on sleep at age 3 years. This study showed that late bedtime at age 1 year posed a significant risk of late bedtime at age 3 years. In summary, particular caution should be paid to PED use from a child’s health perspective, and sleep habits should be focused on bedtime from the age of 1 year.
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Increased usage of TV/DVDs and portable electronic devices is linked to a higher risk of late bedtimes.
“Nishioka (37) revealed that increased usage of TV/DVDs and portable electronic devices (PEDs) was linked to a higher risk of late bedtimes.”
From The association of screen time and the risk of sleep outcomes: a systematic review and meta-analysis. (2025) · cites this paper as Nishioka (37)
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References 50 · Cited by 16
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- [1]Shimko A.N. Sleep in infancy: A concept analysis J. Pediatr. Nurs. 2019 47 100 105 10.1016/j.pedn.2019.05.001 31102801 · DOI
- [4]Tham E.K.H. Schneider N. Broekman B.F.P. Infant sleep and its relation with cognition and growth: A narrative review Nat. Sci. Sleep 2017 9 135 149 10.2147/NSS.S125992 28553151 PMC5440010 · DOI
- [5]Waldhauser F. Weiszenbacher G. Tatzer E. Gisinger B. Waldhauser M. Schemper M. Frisch H. Alterations in nocturnal serum melatonin levels in humans with growth and aging J. Clin. Endocrinol. Metab. 1988 66 648 652 10.1210/jcem-66-3-648 3350912 · DOI
- [6]Miller M.A. Kruisbrink M. Wallace J. Ji C. Cappuccio F.P. Sleep duration and incidence of obesity in infants, children, and adolescents: A systematic review and meta-analysis of prospective studies Sleep 2018 41 695 701 10.1093/sleep/zsy018 29401314 · DOI · Paper page
- [7]Gillman M.W. Rifas-Shiman S.L. Kleinman K. Oken E. Rich-Edwards J.W. Taveras E.M. Developmental origins of childhood overweight: Potential public health impact Obesity 2008 16 1651 1656 10.1038/oby.2008.260 18451768 PMC2650814 · DOI
- [8]Zhou Y. Aris I.M. Tan S.S. Cai S. Tint M.T. Krishnaswamy G. Meaney M.J. Godfrey K.M. Kwek K. Gluckman P.D. Sleep duration and growth outcomes across the first two years of life in the GUSTO study Sleep Med. 2015 16 1281 1286 10.1016/j.sleep.2015.07.006 26429758 · DOI
- [9]Tikotzky L. De Marcas G. Har-Toov J. Dollberg S. Bar-Haim Y. Sadeh A. Sleep and physical growth in infants during the first 6 months J. Sleep Res. 2010 19 103 110 10.1111/j.1365-2869.2009.00772.x 19840242 · DOI
- [10]Wu X. Tao S. Rutayisire E. Chen Y. Huang K. Tao F. The relationship between screen time, nighttime sleep duration, and behavioural problems in preschool children in China Eur. Child Adolesc. Psychiatry 2017 26 541 548 10.1007/s00787-016-0912-8 27822641 · DOI
- [11]Taveras E.M. Rifas-Shiman S.L. Oken E. Gunderson E.P. Gillman M.W. Short sleep duration in infancy and risk of childhood overweight Arch. Pediatr. Adolesc. Med. 2008 162 305 311 10.1001/archpedi.162.4.305 18391138 PMC2650815 · DOI
- [13]Chindamo S. Buja A. DeBattisti E. Terraneo A. Marini E. Gomez Perez L.J. Marconi L. Baldo V. Chiamenti G. Doria M. Sleep and new media usage in toddlers Eur. J. Pediatr. 2019 178 483 490 10.1007/s00431-019-03318-7 30652219 · DOI
- [16]Garrison M.M. Liekweg K. Christakis D.A. Media use and child sleep: The impact of content, timing, and environment Pediatrics 2011 128 29 35 10.1542/peds.2010-3304 21708803 PMC3124101 · DOI
- [17]Beyens I. Nathanson A.I. Electronic media use and sleep among preschoolers: Evidence for time-shifted and less consolidated sleep Health Commun. 2019 34 537 544 10.1080/10410236.2017.1422102 29323943 · DOI
- [20]Thompson D.A. Christakis D.A. The association between television viewing and irregular sleep schedules among children less than 3 years of age Pediatrics 2005 116 851 856 10.1542/peds.2004-2788 16199693 · DOI
- [21]Chen B. van Dam R.M. Tan C.S. Chua H.L. Wong P.G. Bernard J.Y. Müller-Riemenschneider F. Screen viewing behavior and sleep duration among children aged 2 and below BMC Public Health 2019 19 59 10.1186/s12889-018-6385-6 30642299 PMC6332844 · DOI
- [22]Marinelli M. Sunyer J. Alvarez-Pedrerol M. Iñiguez C. Torrent M. Vioque J. Turner M.C. Julvez J. Hours of television viewing and sleep duration in children: A multicenter birth cohort study JAMA Pediatr. 2014 168 458 464 10.1001/jamapediatrics.2013.3861 24615283 · DOI
- [23]Li C. Cheng G. Sha T. Cheng W. Yan Y. The relationships between screen use and health indicators among infants, toddlers, and preschoolers: A meta-analysis and systematic review Int. J. Environ. Res. Public Health 2020 17 7324 10.3390/ijerph17197324 33036443 PMC7579161 · DOI
- [24]Krempel R. Schleicher D. Jarvers I. Ecker A. Brunner R. Kandsperger S. Sleep quality and neurohormonal and psychophysiological accompanying factors in adolescents with depressive disorders: Study protocol BJPsych Open 2022 8 1 10 10.1192/bjo.2022.29 35236539 PMC8935910 · DOI
- [25]Overberg J. Kalveram L. Keller T. Krude H. Kuhnen P. Wiegand S. Interactions between nocturnal melatonin secretion, metabolism, and sleeping behavior in adolescents with obesity Int. J. Obes. 2022 10.1038/s41366-022-01077-4 35140394 PMC9050511 · DOI
- [27]Montag C. Becker B. Internet and smartphone use disorder in Asia Addict. Behav. 2020 107 106380 10.1016/j.addbeh.2020.106380 32220564 · DOI
- [30]Kostyrka-Allchorne K. Cooper N.R. Simpson A. Touchscreen generation: Children’s current media use, parental supervi-sion methods and attitudes towards contemporary media Acta Paediatr. 2017 106 654 662 10.1111/apa.13707 27987374 · DOI
- [31]Kato T. Yorifuji T. Yamakawa M. Inoue S. National data showed that delayed sleep in six-year-old children was associated with excessive use of electronic devices at 12 years Acta Paediatr. 2018 107 1439 1448 10.1111/apa.14255 29385278 · DOI
- [32]Atkin A.J. Corder K. van Sluijs E.M. Bedroom media, sedentary time and screen-time in children: A longitudinal analysis Int. J. Behav. Nutr. Phys. Act. 2013 10 137 10.1186/1479-5868-10-137 24341426 PMC3895703 · DOI · Paper page
- [33]Kawamoto T. Nitta H. Murata K. Toda E. Tsukamoto N. Hasegawa M. Yamagata Z. Kayama F. Kishi R. Ohya Y. Rationale and study design of the Japan Environment and Children’s Study (JECS) BMC Public Health 2014 14 25 10.1186/1471-2458-14-25 24410977 PMC3893509 · DOI
- [34]Michikawa T. Nitta H. Nakayama S.F. Yamazaki S. Isobe T. Tamura K. Suda E. Ono M. Yonemoto J. Iwai-Shimada M. Baseline profile of participants in the Japan Environment and Children’s Study (JECS) J. Epidemiol. 2018 28 99 104 10.2188/jea.JE20170018 29093304 PMC5792233 · DOI
- [38]Vijakkhana N. Wilaisakditipakorn T. Ruedeekhajorn K. Pruksananonda C. Chonchaiya W. Evening media exposure reduces night-time sleep Acta Paediatr. 2015 104 306 312 10.1111/apa.12904 25521612 · DOI · Paper page
- [41]Kahn M. Barnett N. Glazer A. Gradisar M. Sleep and screen exposure across the beginning of life: Deciphering the links using big-data analytics Sleep 2021 44 zsaa158 10.1093/sleep/zsaa158 32832981 · DOI
- [42]Tekieh T. Lockley S.W. Robinson P.A. McCloskey S. Zobaer M.S. Postnova S. Modeling melanopsin-mediated effects of light on circadian phase, melatonin suppression, and subjective sleepiness J. Pineal Res. 2020 69 e12534 10.1111/jpi.12681 32640090 · DOI
- [43]Kim R. Reed M.C. A mathematical model of circadian rhythms and dopamine Theor. Biol. Med. Model. 2021 18 1 15 10.1186/s12976-021-00139-w 33596936 PMC7891144 · DOI
- [44]Zhao N. Zhou G. COVID-19 Stress and addictive social media use (SMU): Mediating role of active use and social media flow Front. Psychiatry 2021 12 635546 10.3389/fpsyt.2021.635546 33633616 PMC7899994 · DOI · Paper page
- [45]Sun Y. Li Y. Bao Y. Meng S. Sun Y. Schumann G. Kosten T. Strang J. Lu L. Shi J. Brief report: Increased addictive internet and substance use behavior during the COVID-19 pandemic in China Am. J. Addict. 2020 29 268 270 10.1111/ajad.13066 32500608 PMC7300868 · DOI · Paper page
- [46]Lin M.P. Prevalence of internet addiction during the COVID-19 outbreak and its risk factors among junior high school students in Taiwan Int. J. Environ. Res. Public Health 2020 17 8547 10.3390/ijerph17228547 PMC7698622 33218018 · DOI
- [47]Dong H. Yang F. Lu X. Hao W. Internet Addiction and related psychological factors among children and adolescents in China during the coronavirus disease 2019 (COVID-19) epidemic Front. Psychiatry 2020 11 00751 10.3389/fpsyt.2020.00751 32982806 PMC7492537 · DOI · Paper page
- [48]Panno A. Carbone G.A. Massullo C. Farina B. Imperatori C. COVID-19 related distress is associated with alcohol problems, social media and food addiction symptoms: Insights from the Italian experience during the lockdown Front. Psychiatry 2020 11 577135 10.3389/fpsyt.2020.577135 33324256 PMC7723899 · DOI
- [49]Lemenager T. Neissner M. Koopmann A. Reinhard I. Georgiadou E. Müller A. Kiefer F. Hillemacher T. COVID-19 lockdown restrictions and online media consumption in Germany Int. J. Environ. Res. Public Health 2020 18 14 10.3390/ijerph18010014 PMC7792961 33375139 · DOI
- [50]Skarupova K. Olafsson K. Blinka L. The effect of smartphone use on trends in European adolescents’ excessive Internet use Behav. Inf. Technol. 2016 35 68 74 10.1080/0144929X.2015.1114144 · DOI
- [51]Ghekiere A. Van Cauwenberg J. Vandendriessche A. Inchley J. Gaspar de Matos M. Borraccino A. Gobina I. Tynjala J. Deforche B. De Clercq B. Trends in sleeping difficulties among European adolescents: Are these associated with physical inactivity and excessive screen time? Int. J. Public Health 2019 64 487 498 10.1007/s00038-018-1188-1 30535677 · DOI
- [52]Horiuchi F. Oka Y. Kawabe K. Ueno S.I. Sleep habits and electronic media usage in Japanese children: A prospective com- parative analysis of preschoolers Int. J. Environ. Res. Public Health 2020 17 5189 10.3390/ijerph17145189 PMC7399862 32709142 · DOI
- Authors
- Nishioka, T., Hasunuma, H., Okuda, M., Taniguchi, N., Fujino, T., Shimomura, H., Tanaka, Y., Shima, M., Takeshima, Y., & Japan Environment and Children’s Study Group
- Affiliations
- Hyogo Medical University (JP)
- Corresponding author
- Okuda, Masumi
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2022-03-25
- Volume
- 19
- Issue
- 7
- Pages
- 3914
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC8997461
- OpenAlex
- W4220962805
- Cited by
- 16
- References
- 50
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 2 · 2023: 1 · 2022: 2
- FWCI
- 2.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Center for Child Health and Development
- University of Occupational and Environmental Health
- Hyogo College of Medicine
- Hokkaido University
- Chiba University
- Nagoya City University
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Education › Child Development and Digital Technology
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- screen time, sleep duration, bedtime, portable devices, television viewing, toddlers, infants, sleep habits, Japan Environment and Children's Study
- MeSH terms
- Screen Time, Child, Humans, Infant, Japan, Surveys and Questionnaires, Sleep, Sleep Wake Disorders, Television
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