Association of screen time and sleep duration among Spanish 1-14 years old children
Association of screen time and sleep duration among Spanish 1-14 years old children
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DOI：
10.1111/ppe.12695
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发表时间：
2020-07-14
影响因子：
2.8
通讯作者：
Martinez-Sanchez, Jose M.
中科院分区：
文献类型：
--
作者：
Cartanya-Hueso, Aurea;Lidon-Moyano, Cristina;Martinez-Sanchez, Jose M.
由于近十年来屏幕使用时间的变化，需要增加更多关于屏幕时间和睡眠时间之间关系的证据。目的探讨西班牙1 ~ 14岁儿童屏幕时间与睡眠时间的关系。方法：我们使用了2017年西班牙国家健康调查的数据，该调查是在西班牙人口的代表性样本中进行的。我们将每天的休闲屏幕时间分为0-59分钟、60-119分钟、120-179分钟和>= 180分钟。我们根据年龄将睡眠时间分为适当睡眠时间和短暂睡眠时间。在调整潜在混杂因素后，我们根据每日休闲屏幕时间计算了未调整和调整的短睡眠时间患病率（PR）和95%置信区间（CI）。PR是通过拟合具有泊松分布和鲁棒方差的广义线性模型得到的。结果在5517名1-14岁的西班牙儿童中，44.3%的儿童每天花120分钟或更长时间看屏幕，23.6%的儿童睡眠时间较短。每天看屏幕时间在120到179分钟之间和超过180分钟的儿童中，分别有24.5%和28.2%的人睡眠时间短。在调整后的模型中，较高的日常休闲屏幕时间模式与较短的睡眠时间相关：调整后的PR120-179 = 1.34 (95% CI 1.18, 1.54)，调整后的PR >= 180 = 1.48 （95% CI 1.27, 1.73）。结论：1至14岁的西班牙儿童中，约有四分之一的儿童每天看屏幕的时间超过120分钟，睡眠时间短。机构需要进行更多的科学研究，以提供考虑到这些儿童健康的新决定因素的新型卫生保健规划。
Background Due to the change in screen time usage in the last decade, there is needed to add more evidence about the relationship of screen time and sleep duration. Objective To assess the association between screen time and sleep duration among Spanish children between 1 and 14 years old. Methods We used data from the 2017 Spanish National Health survey, conducted on a representative sample of the Spanish population. We categorised daily leisure screen time as 0-59, 60-119, 120-179, and >= 180 minutes. We classified sleep duration, depending on the age, as proper sleep duration and short sleep duration. We calculated unadjusted, and adjusted prevalence ratio (PR) and 95% confidence interval (CI) of short sleep duration according to daily leisure screen time after adjusting for potential confounders. PR's were derived from fitting generalised linear models with Poisson distribution and robust variance. Results Of the 5517 Spanish children aged 1-14 years, 44.3% spent 120 minutes or more of daily leisure screen time and 23.6% had short sleep duration. 24.5% and 28.2% of children spending between 120 and 179 minutes and exceeding 180 minutes of daily leisure screen time suffered short sleep duration, respectively. In the adjusted model, higher patterns of daily leisure screen time were associated with short sleep duration: adjusted PR120-179 = 1.34 (95% CI 1.18, 1.54) and adjusted PR >= 180 = 1.48 (95% CI 1.27, 1.73). Conclusions Around one out of four Spanish children between 1 and 14 years old, exceeding 120 minutes of daily leisure screen time, had short sleep duration. More scientific research is needed for institutions to work on providing novel healthcare programmes that consider these new determinants of child health.