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May 22, 2013

Curb children’s screen time to prevent health problems

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Photo by Voisin/Phanie/Rex Features

Doctors’ leaders and governments need to take a stand on “world’s favourite pastime”, says a leading psychologist [‘Time for a view on screen time’ Online First doi 10.1136/archdischild-2012-302196].

Curbs on children’s daily screen time and delaying the age at which they start watching TV and playing console games are urgently needed to stave off the risk of serious health and developmental problems, argues a leading psychologist and child health expert in the Archives of Disease in Childhood.

In the face of mounting evidence, doctors’ leaders and governments should take a stand and set clear guidelines on an activity that has so far eluded the scrutiny that other health issues attract, argues Dr Aric Sigman.

Children of all ages are watching more screen media than ever before, he says, and what is more, they are starting earlier and earlier.

Britain’s children have regular access to an average of five different screens at home by the time they are 10 years old, in the form of TVs, games consoles, smartphones, laptops and tablets.

By the age of 7, a child born today will have spent one full year of 24-hour days watching screens, rising to three full years by the time s/he is 18, he says.

On average, British teens clock up six hours’ screen time a day at home, while North American children manage almost eight hours, he says. Yet research suggests that the negative impacts on health and well-being kick in after just two hours.

Dr Sigman cites a litany of published studies showing links between prolonged screen time and ill health, including increased risks of markers for heart disease, stroke and diabetes, as well as other biological effects associated with being sedentary that exercise does not seem to reverse.

Furthermore, viewing screen media is physiologically distinct from other forms of sedentary behaviour, with screen time increasingly considered an independent risk factor in its own right, he says.

Besides increasing the risk of obesity, prompted not only by inactivity, but also the disruption of food and hunger cues, prolonged screen time seems to reduce attention span because of its effects on the neurotransmitter dopamine.

“Screen ‘addiction’ is increasingly being used by physicians to describe the growing number of children engaging in screen activities in a dependent manner,” he says.

And there are other psychosocial problems associated with excess screen time, including “Facebook depression”, reported by the American Academy of Pediatrics; an increased risk of disengagement and vulnerability to victimisation after high levels of screen time in early childhood; poor social skills; and an impaired ability to express empathy.

Online First doi 10.1136/archdischild-2012-302196.

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