Screen media use and sleep patterns in Spanish adolescents during the lockdown of the coronavirus pandemic.

Marta Moraleda-Cibrián, Javier Albares-Tendero, Gonzalo Pin-Arboledas
Author Information
  1. Marta Moraleda-Cibrián: Sleep Disorders Center, Centro Médico Teknon, 12 De la Vilana Street, Marquesa building, Box 5, 08022, Barcelona, Spain. mmoraledac@hotmail.com. ORCID
  2. Javier Albares-Tendero: Sleep Disorders Center, Centro Médico Teknon, 12 De la Vilana Street, Marquesa building, Box 5, 08022, Barcelona, Spain.
  3. Gonzalo Pin-Arboledas: Department of Pediatrics, Hospital Quirónsalud, Valencia, Spain.

Abstract

PURPOSE: The aim of this study was to investigate screen media use and sleep patterns among Spanish adolescents during the lockdown (LD) of the first peak of the coronavirus pandemic.
METHODS: Cross-sectional community-based study of adolescents aged 11-18 years. An online questionnaire with queries about screen time, sleep, and other healthy habits was completed by parents or guardians.
RESULTS: Overall 265 adolescents were enrolled. The mean age was 13.6 ± 2.3 years, 58% were boys, 68% were in secondary school and 72% lived in urban areas. Before the LD (BLD) 87% of adolescents used electronic devices < 4 h/d, while during the LD (DLD) screen time was > 4 h/d in 75% of cases (p < 0.0001). A delayed wake time and bedtime weekdays (BLD wake time weekdays: later than 09:45 0.0% vs. DLD 30%, p < 0.0001, and BLD bedtime weekdays: later than 00:30 3% vs. DLD 35%, p < 0.0001) and weekends DLD was observed. Adolescents who used electronic devices > 4 h/d DLD compared with those who used < 4 h/d reported more frequently long sleep latency (93% vs. 7%, p = 0.007), low sunlight exposure (77% vs. 23%, p = 0.031), less physical activity (86%. vs. 15%, p = 0.011) and weight gain (78%. vs. 22%, p = 0.049).
CONCLUSIONS: During the lockdown Spanish adolescents reported elevated screen time and delayed sleep patterns. An increase in screen media use was associated with unhealthy habits.

Keywords

References

  1. Juraska JM, Willing J (2017) Pubertal onset as a critical transition for neural development and cognition. Brain Res 1654:87–94. https://doi.org/10.1016/j.brainres.2016.04.012 [DOI: 10.1016/j.brainres.2016.04.012]
  2. Tarokh L, Saletin JM, Carskadon MA (2016) Sleep in adolescence: physiology, cognition and mental health. Neurosci Biobehav Rev 70:182–188. https://doi.org/10.1016/j.neubiorev.2016.08.008 [DOI: 10.1016/j.neubiorev.2016.08.008]
  3. Cameron JL (2004) Interrelationships between hormones, behavior, and affect during adolescence: understanding hormonal, physical, and brain changes occurring in association with pubertal activation of the reproductive axis—introduction to part III. Ann N Y Acad Sci 1021:110–123. https://doi.org/10.1196/annals.1308.012
  4. Archibald AB, Graber JA, Brooks-Gunn J (2003) Pubertal processes and physiological growth in adolescence. Blackwell handbook of adolescence. Chapter 2:24–47. https://doi.org/10.1002/9780470756607.ch2
  5. Marshall WA, Tanner JM (1968) Growth and physiological development during adolescence. Annu Rev Med 19:283–300. https://doi.org/10.1146/annurev.me.19.020168.001435 [DOI: 10.1146/annurev.me.19.020168.001435]
  6. National Sleep Foundation (2006) Adolescents and sleep. Sleep in America Poll. Washington (DC). https://www.sleepfoundation.org
  7. Yang CK, Kim JK, Patel SR, Lee JH (2005) Age-related changes in sleep/wake patterns among Korean teenagers. Pediatrics 115(1):250–256. https://doi.org/10.1542/peds.2004-0815G [DOI: 10.1542/peds.2004-0815G]
  8. Da Silva Lima SB, Ferreira-Lima W, Lima FÉB, Lima FB, Santos A, Fernandes CAM et al (2020) Sleep hours: risk behavior in adolescents from different countries. Ciencia e Saude Coletiva 25(3):957–965. https://doi.org/10.1590/1413-81232020253.15722018 [DOI: 10.1590/1413-81232020253.15722018]
  9. Owens J (2014) Insufficient sleep in adolescents and young adults: an update on causes and consequences. Pediatrics 134:e921–e932. https://doi.org/10.1542/PEDS.2014-1696 [DOI: 10.1542/PEDS.2014-1696]
  10. Shochat T, Cohen-Zion M, Tzischinsky O (2014) Functional consequences of inadequate sleep in adolescents: a systematic review. Sleep Med Rev 18(1):75–87. https://doi.org/10.1016/j.smrv.2013.03.005 [DOI: 10.1016/j.smrv.2013.03.005]
  11. Hershner SD, Chervin RD (2014) Causes and consequences of sleepiness among college students. Nature and Science of Sleep 23(6):73–84. https://doi.org/10.2147/NSS.S62907 [DOI: 10.2147/NSS.S62907]
  12. Owens JA, Weiss MR (2017) Insufficient sleep in adolescents: causes and consequences. Minerva Pediatrica 69:326–36. https://doi.org/10.23736/S0026-4946.17.04914-3
  13. Cha EM, Hoelscher DM, Ranjit N, Chen B, Gabriel KP, Kelder S et al (2018) Effect of media use on adolescent body weight. Prev Chronic Dis 15:E141. https://doi.org/10.5888/pcd15.180206
  14. Hysing M, Pallesen S, Stormark KM, Jakobsen R, Lundervold AJ, Sivertsen B (2015) Sleep and use of electronic devices in adolescence: results from a large population-based study. BMJ Open 5(1):e006748. https://doi.org/10.1136/bmjopen-2014-006748 [DOI: 10.1136/bmjopen-2014-006748]
  15. Chang AM, Aeschbach D, Duffy JF, Czeisler CA (2015) Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. Proc Natl Acad Sci USA 112(4):1232–1237. https://doi.org/10.1073/pnas.1418490112 [DOI: 10.1073/pnas.1418490112]
  16. Small GW, Moody TD, Siddarth P, Bookheimer SY (2009) Your brain on google: patterns of cerebral activation during internet searching. Am J Geriatr Psychiatry 17(2):116–126. https://doi.org/10.1097/JGP.0b013e3181953a02 [DOI: 10.1097/JGP.0b013e3181953a02]
  17. Fuller C, Lehman E, Hicks S, Novick MB (2017) Bedtime use of technology and associated sleep problems in children. Global Pediatric Health 27;4:2333794X17736972.  https://doi.org/10.1177/2333794X17736972
  18. Kaditis AG, Ohler A, Gileles-Hillel A, Choshen-Hillel S, Gozal D, Bruni O et al (2021) Effects of the COVID-19 lockdown on sleep duration in children and adolescents: a survey across different continents. Pediatr Pulmonol 56(7):2265–2273. https://doi.org/10.1002/ppul.25367 [DOI: 10.1002/ppul.25367]
  19. Brand S, Hatzinger M, Beck J, Holsboer-Trachsler E (2009) Perceived parenting styles, personality traits and sleep patterns in adolescents. J Adolesc 32(5):1189–1207. https://doi.org/10.1016/j.adolescence.2009.01.010 [DOI: 10.1016/j.adolescence.2009.01.010]
  20. Koren D, Katz LEL, Brar PC, Gallagher PR, Berkowitz RI, Brooks LJ (2011) Sleep architecture and glucose and insulin homeostasis in obese adolescents. Diabetes Care 34(11):2442–2447. https://doi.org/10.2337/dc11-1093 [DOI: 10.2337/dc11-1093]
  21. Kim HY, Lee J (2020) The effect of digital media use on adolescents’ peer relationships. Semantic scholar. Physhology 6(1). https://doi.org/10.29143/kuifg.2020.6.1.97
  22. Yang H, Wang JJ, Tng GYQ, Yang S (2020) Effects of social media and smartphone use on body esteem in female adolescents: testing a cognitive and affective model. Children 7(9):148. https://doi.org/10.3390/children7090148 [DOI: 10.3390/children7090148]
  23. Hale L, Kirschen GW, LeBourgeois MK, Gradisar M, Garrison MM, Montgomery-Downs H et al (2018) Youth screen media habits and sleep: sleep-friendly screen behavior recommendations for clinicians, educators, and parents. Child and adolescent psychiatric clinics of North America 27(2):229–245. https://doi.org/10.1016/j.chc.2017.11.014 [DOI: 10.1016/j.chc.2017.11.014]
  24. Salfi F, Amicucci G, Corigliano D, D’Atri A, Viselli L, Tempesta D et al (2021) Changes of evening exposure to electronic devices during the COVID-19 lockdown affect the time course of sleep disturbances. Sleep 13;44(9):zsab080. https://doi.org/10.1093/sleep/zsab080
  25. Schmidt SCE, Anedda B, Burchartz A, Eichsteller A, Kolb S, Nigg C et al (2020) Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: a natural experiment. Sci Rep 10(1):21780. https://doi.org/10.1038/s41598-020-78438-4 [DOI: 10.1038/s41598-020-78438-4]

MeSH Term

Humans
Adolescent
Male
Child
Female
Coronavirus
Cross-Sectional Studies
Pandemics
Sleep
Schools
Surveys and Questionnaires

Word Cloud

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