Screen Time and Developmental Performance Among Children at 1-3 Years of Age in the Japan Environment and Children’s Study
-
Published:2023-11-01
Issue:11
Volume:177
Page:1168
-
ISSN:2168-6203
-
Container-title:JAMA Pediatrics
-
language:en
-
Short-container-title:JAMA Pediatr
Author:
Yamamoto Midori1, Mezawa Hidetoshi2, Sakurai Kenichi3, Mori Chisato14, Kamijima Michihiro5, Yamazaki Shin5, Ohya Yukihiro5, Kishi Reiko5, Yaegashi Nobuo5, Hashimoto Koichi5, Mori Chisato5, Ito Shuichi5, Yamagata Zentaro5, Inadera Hidekuni5, Nakayama Takeo5, Sobue Tomotaka5, Shima Masayuki5, Kageyama Seiji5, Suganuma Narufumi5, Ohga Shoichi5, Katoh Takahiko5,
Affiliation:
1. Department of Sustainable Health Science, Center for Preventive Medical Sciences, Chiba University, Chiba, Japan 2. Medical Support Center for Japan Environment and Children’s Study, National Center for Child Health and Development, Tokyo, Japan 3. Department of Nutrition and Metabolic Medicine, Center for Preventive Medical Sciences, Chiba University, Chiba, Japan 4. Department of Bioenvironmental Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan 5. for the Japan Environment and Children’s Study Group
Abstract
ImportanceIt is unclear whether increased television (TV) and DVD viewing in early childhood from age 1 year decreases development or whether poor development increases TV/DVD viewing.ObjectiveTo investigate the directional association between TV/DVD screen time and performance on developmental screeners in children aged 1 to 3 years.Design, Setting, and ParticipantsThis longitudinal cohort study analyzed data from 57 980 children and mothers from a national birth cohort, the Japan Environment and Children’s Study. Data were collected in collaboration with 15 regional centers across Japan. The mothers were recruited between January 2011 and March 2014. Analyses using random intercept, cross-lagged panel models were performed for children aged 1, 2, and 3 years. Of 100 303 live births, children with missing developmental screening test scores and screen time data, those with congenital diseases or cerebral palsy, and those diagnosed with an autism spectrum disorder were excluded. Statistical analyses were conducted from October 2022 to July 2023.ExposuresTV and DVD screen time.Main Outcomes and MeasuresChild development at ages 1, 2, and 3 years was assessed via the mother’s or guardian’s report using the Ages and Stages Questionnaire, third edition.ResultsOf 57 980 included children, 29 418 (50.7%) were male, and the mean (SD) maternal age at delivery was 31.5 (4.9) years. A negative association between screen time and developmental scores was observed. Increased TV/DVD screen times at age 1 and 2 years were associated with lower developmental scores at age 2 and 3 years, respectively (2 years: β = −0.05; 95% CI, −0.06 to −0.04; 3 years: β = −0.08; 95% CI, −0.09 to −0.06). An obverse association was observed from the Ages and Stages Questionnaires, third edition, score in the communication domain at age 1 and 2 years to subsequent screen time (2 years: γ = −0.03; 95% CI, −0.04 to −0.02; 3 years: γ = −0.06; 95% CI, −0.07 to −0.04).Conclusions and RelevanceIn this study, increased TV/DVD screen time from age 1 year negatively affected later development. To reduce the negative consequences of excessive media use, researchers and health care professionals should encourage family media management and recommend social support for parents who tend to rely on the media.
Publisher
American Medical Association (AMA)
Subject
Pediatrics, Perinatology and Child Health
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|