Screen time

Statistics The first electronic screen was the cathode ray tube (CRT), which was invented in 1922. CRTs were the most popular choice for display screens until the rise of liquid crystal displays (LCDs) in the early 2000s. An American survey in 2016 found a median of 3.7 minutes per hour screen use per citizen. TV and video games were once largest contributors to children's screen time, but the past decade has seen a shift towards smart phones and tablets. Specifically, a 2011 nationally representative survey of American parents of children from birth to age 8 suggests that TV accounted for 51% of children's total daily screen time, while mobile devices only accounted for 4%. However, in 2017, TV dropped down to 42% of children's total daily screen time, and mobile media devices jumped up to 35%. Black and Latino children were also more likely to have TVs in their rooms, which contributed to their increased use of screen time. However, in public schools there is more push for the use of technology with some public schools advertising free iPads and laptops to students. Effects of COVID-19 pandemic The COVID-19 pandemic in 2020 increased screen time as people stayed indoors, adding to concerns about the effects of excessive screen time. Specialists called for limiting screen time and for living a more active lifestyle. Studies have shown that even after children returned to school following a period of online schooling, which significantly increased daily screen time, their level of physical activity has remained low, while screen time has increased.{{Cite journal |last1=Resende == Physical health effects ==

Sleep More screen-time has been linked with shorter sleep duration, decreased sleep efficiency, and longer sleep onset delay. When using any screen before bedtime, the blue light emitted disrupts the body's natural melatonin hormone production. This clock is what is referred to as the body's circadian rhythm and it naturally is responsive to light. Melatonin levels increase as the sun sets and remain at that increased state for the remainder of the night. As the sun rises, melatonin levels start to drop. This hormone reduction is what helps the body's natural rhythm wake up due to the bursts of natural sunlight. Therefore, using any screen prior to bedtime disrupts the body's production of natural bedtime hormones which can trick the brain to believe it is still daytime making it harder to fall asleep. A 2010 review concluded that "the use of electronic media by children and adolescents does have a negative impact on their sleep, although the precise effects and mechanisms remain unclear", with the most consistent results associating excessive media use with shorter sleep duration and delayed bed times. A 2016 meta-analysis found that "Bedtime access and use of media devices was significantly associated with inadequate sleep quantity; poor sleep quality; and excessive daytime sleepiness". This relationship is because much of the time spent on screens for children is at night, which can cause them to go to sleep later in addition to the blue light from the screens making it more difficult to sleep. A 2025 systematic review found that a causal link between screen-time use and sleep in autistic children could not be established based on available research findings at the time. Night-time use of screens is common for Americans ages 12–18: A 2018 nationally representative survey found that 70% use their mobile device within 30 minutes of going to sleep. Data suggests those who had spent more time on their screens were more likely to wake in the night from notifications on their phone, or experience disruptive sleep. In a series of nationally representative surveys, 36% of Americans age 12–18 woke up during the night before to check their mobile device. For American children and teens, 54% of those did so because of getting a notification and 51% did so because of the desire to check social media. The American Academy of Pediatrics recommends that the screen time of children be limited for multiple reasons, including that "Too much screen time can also harm the amount and quality of sleep". Effects on physical health As well as negatively impacting the adult sleep cycle, using screens can also affect one's physical health. Obesity is commonly correlated with big screen times. Studies have suggested that if the amount of screen time adolescents spend was limited, the likelihood of obesity can be reduced. However, the associations between discretionary screen time and adverse health outcomes were strongest in those with low grip strength, fitness and physical activity and markedly attenuated in those with the highest levels of grip strength, fitness and physical activity. This sedentary behavior is largely due to the nature of most electronic activities. Sitting to watch television, playing computer games or surfing the Internet takes time away from physical activities which leads to an increased risk of weight gain. Additionally, one study showed that the increased use of video games and other forms of media consumption led to more back pain among Norwegian teens. It has been reported that screen time negatively affects health in children independently of their physical activity and eating habits. This advertising can have an effect on what gets purchased and consumed in a household. The effect of advertising was demonstrated in a study where children were shown cartoons with and without food commercials. The children who watched the food commercials along with the cartoons ate 45% more unhealthy snacks than the group who watched the cartoons without food ads. == Mental health effects ==

As previously discussed, sleep and screen time are heavily impacted by the other and can lead to affecting one's behavior as well. If someone does not get an adequate amount of sleep, it can affect their behavior and performance for the day. High amounts of screen time also can significantly affect a person's mental health, although some have called these findings into question. Excessive screen usages is linked with many mental health effects in children. A systematic review by Santos et al. pointed out that social media use was linked with depressive symptoms among mostly girls and that recreational screen time was linked to negative psychological effects on these children and teens. With screen usage increasing as time progresses, adults have begun spending more and more time focusing their attention on screens and not their own kids. This time spent sitting and viewing a screen has been linked to mental health effects such as anxiety and depression. Adults with screen times of six hours or greater are more likely to suffer from moderate to severe depression. This increased screen time has been shown to be directly correlated with an increased chance of depression in adults. With this added risk, lack of sleep plays a major role in a healthy mindset, and without proper rest, mental health can degrade at a higher rate. Brain development An increase in screen time has been associated with negative cognitive outcomes for children between 0 and 4. A study on Korean children aged 24–30 months old found that toddlers with 3 hours of TV viewing per day were three times as likely to experience a language delay. Toddlers with higher TV time also scored lower on school readiness tests, which measured vocabulary, number knowledge, and classroom engagement. The same outcomes are not present in children older than 4. The American Academy of Pediatrics recommends a screen time no longer than 1 hour per day for children aged 3–5. According to a study published in November 2019, children who have a longer screen time have slower brain development and reduced "skills like imagery, mental control and self-regulation". The scientists add that: "This is important because the brain is developing the most rapidly in the first five years," "That's when brains are very plastic and soaking up everything, forming these strong connections that last for life." They also stated that screens rapidly changed childhood. The over-exposure also negatively affects literacy, cognition and language skills. Behavioral impact Screen use has been implicated with a slew of behavioral effects, especially in children. The primary effect is an increase in sedentary activity. Approximately 47% of American children spend 2 or more hours per day on screen-based sedentary activities. Research results indicated children who had high amounts of screen time had delayed white matter development, decreased ability to rapidly name objects, and poorer literacy skills. It has been proven that there is a negative relationship between an increase in screen time and behavioral problems in young children. Preschool aged children (between the ages of 0 and 5 years old) with over four hours of screen usages a day were shown to be 1.76 times more likely to have behavioral and conduct problems. Additionally, the likelihood of a child participating in physical activity has been shown to decrease with increasing screen use. In a study done by Muppalla et al. excessive use of screen time in adolescents is linked with triggering dopamine, which is a neurotransmitter that acts as a reward system in the brain. Leading to these children developing attention deficits, like ADHD (attention deficit hyperactivity disorder) and developing addictive tendencies on these young children. In a literature review done by Anderson et al. (2017), children who have extensive exposure to particularly violent media are at risk of developing aggressive behaviors and a desensitization towards violence. Researchers reviewed longitudinal studies, meta-analysis, experimental and cross sectional studies from the past 60 years, focusing on video game violence. Language development Children that spend an increased amount of time on screens have less opportunities to interact with adults and caregivers which reduces their language development. Language skills is an essential part of early childhood development, and human interaction is the best way for these children to develop those skills. When children are spending most of their time using tablets and screens there are less chances for them to interact with adults, like their parents, to expand their language skill set. It has been shown that younger, preschool-aged children and the amount of screen time they are exposed to has a negative effect on their language development. When these children are spending 2 or more hours on their screens, tablets, TVs it is more likely for them to have a poor vocabulary and shows delays in when they are starting to speak. Academic performance Academic performance can be improved by screen time depending on the length and content of exposure. Toddlers after the age of 18 months can be exposed to high-quality programming such as Sesame Street or PBS that provide educational television. The right content can prove beneficial, but too much screen time distracts students from studying. On the other hand, increased screen use has been associated with missing school assignments. Students who used screens for more than two hours a day are twice as likely to not turn in homework on a regular basis. Educational content consumed during time allotted for digital use is shown to be positively associated with academic achievement. On the other hand, those who only consumed violent media or leisurely video games on school nights, showed a negative associated with academic achievement. Their lower academic performances were marked by decreases in grade averages and in their ability to adjust to a school or academic environment. Inability to adjust to these situations resulted in a negative effect on school performance. == Environmental effects ==

More screen time generally leads to less time spent in nature and therefore a weaker connection to it. Studies show nature-inspired activities simultaneously decrease for youth in financially stabilized countries with mental health issues increasing, drawing a connection to higher screen time levels. However, the higher the count in activities spent experiencing the outdoors produced positive results in mental health among adolescents. For comparison, the paper pulp and print industries emitted together about 1% in 2010 and about 0.9% in 2012. == Effects on infants and young children ==

Recent research shows that excessive screen time in children under age three is associated with delayed language development, reduced sleep duration, and lower levels of physical activity. Public health guidelines recommend limiting screen exposure in early childhood and encouraging interactive, caregiver-child activities instead. Some researchers also highlight potential long-term cognitive and behavioral risks linked to early and frequent digital media use. == Limitations on screen time ==

Adults There is no consensus on the safe amount of screen time for adults. Many adults spend up to 11 hours a day looking at a screen. Adults many times work jobs that require viewing screens which leads to the high screen time usage. Adults obligated to view screens for a means of work may not be able to use screen time less than two hours, but there are other recommendations that help mitigate negative health effects. For example, breaking up continuous blocks of screen time usage by stretching, maintaining good posture, and intermittently focusing on a distant object for 20 seconds. Furthermore, to mitigate the behavioral effects, adults are encouraged not to eat in front of a screen to avoid habit formation and to keep track of their screen use every day. Specialists also recommend that adults analyze their daily screen time usage and replace some of the unnecessary usage with a physical activity or social event. • Birth to age 1: No sedentary screen time • Ages 2–4: No more than 60 minutes of sedentary screen time More extensive guidelines have been put forth by the American Academy of Pediatrics (AAP) in 2016 for children up to age 5, which include screen time, the quality of content used, and how parents are using screens with their children. The screen time limits are as follows: • Birth up to 18–24 months: No screen time (with the exception of video chatting) • 18–24 months: Limit screen time as much as possible • Ages 2–5: Limit screen time to about an hour a day • Ages 5-18: No more than 5 hours a day In addition to these screen time guidelines, the AAP recommends that when screen time does occur, the content should be high-quality, educational, slower-paced, and free of violence. Caregivers should avoid giving apps to children that have highly distracting content. They recommend children and teens should keep devices (including TVs) out of the bedroom during bedtime, and screens should be put away at least 1 hour before bedtime. They recommend that caregivers discourage children and teens to use screens during homework for entertainment purposes. Additionally, they recommend that families come up with a "Family Use Plan" that aligns with their family's needs, values, and goals. This plan should have consistent guidelines and limits for each family member, and families should consider having designated times of the day and areas in the house that are screen-free. ==See also==