CONSEQUENCES SCREEN EXPOSURE AND ACTION MEASURES TO REDUCE CHILDREN'S SCREEN EXPOSURE
DOI:
https://doi.org/10.46793/PP260113010RKeywords:
children’s screen exposure, children’s screen time, child health, child mental healthAbstract
Child health is not only an important indicator of a country’s overall development, but also a valuable resource and a key driver of sustainable progress. Research shows that early childhood screen exposure can significantly affect children’s physical and mental health, including an increased risk of obesity, metabolic disorders, visual impairment, attention difficulties, reduced self-regulation capacities, sleep disturbances, and even symptoms of depression. This paper emphasizes that measures aimed at reducing children’s screen time must be multilayered. In addition to educating parents and educators, broader societal changes are necessary. Future research should focus on analyses that take into account the entire environment in which a child lives and develops, in order to create sustainable and effective strategies for protecting children’s health and development in the digital age.
References
Sciensano. Screen time in children aged 3–9 years [Internet]. Brussels: Sciensano; 2023 [cited 2025 Jan 12]. Available from: https://www.sciensano.be/en/results-national-food-consumption-survey-2022-2023/physical-activity-and-sedentary-behaviour-children-aged-3-9-years/screen-time-children-aged-3-9
Devi KA, Singh SK. The hazards of excessive screen time: impacts on physical health, mental health, and overall well-being. J Educ Health Promot. 2023;12:413. doi: 10.4103/jehp.jehp_447_23.
Baldwin J, Arundell L, Hnatiuk JA. Associations between the neighbourhood social environment and preschool children’s physical activity and screen time. BMC Public Health. 2022;22:1065. doi: 10.1186/s12889-022-13493-2.
Tripathi M, Mishra SK. Screen time and adiposity among children and adolescents: a systematic review. J Public Health. 2020;3:227–44. doi: 10.1007/s10389-019-01043-x
Jahangiry L, Aune D, Farhangi MA. Screen time and the risk of metabolic syndrome among children and adolescents: a systematic review and dose-response meta-analysis. Nutr Metab Cardiovasc Dis. 2022;32(11):2483–92. doi: 10.1016/j.numecd.2022.08.004.
Agbaje AO. The interactive effects of sedentary time, physical activity, and fat mass on insulin resistance in the young population. J Clin Endocrinol Metab. 2024;110(1):e117–31. doi: 10.1210/clinem/dgae135.
Foreman J, et al. Association between digital smart device use and myopia: a systematic review and meta-analysis. Lancet Digit Health. 2021;3(12):e806–18. doi: 10.1016/S2589-7500(21)00186-8.
Li J. The association between smartphone use and myopia progression in children: a prospective cohort study. BMC Pediatr. 2025;25:378. doi: 10.1186/s12887-025-05715-4.
Ma M, et al. COVID-19 home quarantine accelerated the progression of myopia in children aged 7–12 years in China. Invest Ophthalmol Vis Sci. 2021;62(10):37. doi: 10.1167/iovs.62.10.37.
Fernández-Pires P, et al. Association between television viewing and sensory reactivity in childhood: the cross-sectional InProS study. Pediatr Neurol. 2024;161:255–61. doi: 10.1016/j.pediatrneurol.2024.07.012.
Alsubhi MI, Ali JM, Sarhan MJ, Alkamel SHA, Abdulrasool HA, Alalawi HG, Alhamad HA, Yusuf MH. Digital media use and sleep disturbances in children: insights from a cross-sectional study. Cureus. 2025;17(5):e84218. doi: 10.7759/cureus.84218.
Li T, Liu X, Cao C, et al. Association between screen time, homework and reading duration, sleep duration, social jetlag and mental health among Chinese children and adolescents. BMC Psychiatry. 2024;24:781. doi: 10.1186/s12888-024-06233-w.
Xiang AH, Martinez MP, Chow T, et al. Depression and anxiety among US children and young adults. JAMA Netw Open. 2024;7(10):e2436906. doi: 10.1001/jamanetworkopen.2024.36906.
Ma J, Zhou H, Li X, et al. Individual characteristics of adolescent psychiatric patients accessing psychotherapy in China. Sci Rep. 2022;12:16943. doi: 10.1038/s41598-022-21320-2.
T. Redžek Mudrinić, I. Kavečan, J. Pajić, M. Obrenović, D. Hajder; Skrining depresivnih i anksioznih poremećaja kod adolescenata obolelih od epilepsije; Prev Ped.2025; 11(1−2): 6−8; doi: 10.46793/PP241127002R
Mulla W, Ahmed W, Radhi M, et al. Exploring screen time and its effects on children's mental health: a cross-sectional study. Cureus. 2024;16(10):e71215. doi: 10.7759/cureus.71215.
Gao J, Gao L. A meta-analysis of prospective cohort studies on screen time and the risk of depression in adolescents. Acta Psychol (Amst). 2024;251:104530. doi: 10.1016/j.actpsy.2024.104530.
Shou Q, Yamashita M, Mizuno Y. Association of screen time with ADHD symptoms and their development: the mediating role of brain structure. Transl Psychiatry. 2025;15:447. doi: 10.1038/s41398-025-03672-1.
Luo S, Guo W, Chen H, et al. Multidimensional screen exposure and its impact on psychological well-being in toddlers. Front Public Health. 2024;12:1466541. doi: 10.3389/fpubh.2024.1466541.
Xu T, et al. Meta-analysis of factors influencing self-harm behavior among Chinese adolescents. Modern Preventive Medicine. 2021;4:706–709.
Chen Z, Liao X, Yang J, et al. Association of screen-based activities and risk of self-harm and suicidal behaviors among young people: a systematic review and meta-analysis. Psychiatry Res. 2024;338:115991. doi: 10.1016/j.psychres.2024.115991.
Rayce SB, Okholm GT, Flensborg-Madsen T. Mobile device screen time is associated with poorer language development among toddlers: results from a large-scale survey. BMC Public Health. 2024;24:1050. doi: 10.1186/s12889-024-18447-4.
Takahashi I, Obara T, Ishikuro M, et al. Screen time at age 1 year and communication and problem-solving developmental delay at 2 and 4 years. JAMA Pediatr. 2023;177(10):1039–46. doi: 10.1001/jamapediatrics.2023.3057.
Field T. Internet addiction in children: a narrative review. Addict Res Behav Ther. 2024;3(1):1–10. doi: 10.59657/2837-8032.brs.24.024.
Geng X, Zhang J, Liu Y, et al. Problematic use of the internet among adolescents: a four-wave longitudinal study of trajectories, predictors and outcomes. J Behav Addict. 2023;12(2):435–47. doi: 10.1556/2006.2023.00021.
Ponti M. Screen time and preschool children: promoting health and development in a digital world. Paediatr Child Health. 2023;28(3):184–92. doi: 10.1093/pch/pxac125.
Simonović S, Hinić D. Excessive Screen Media Exposure and Language Delay in the Development of Infants and Toddlers – Three Case Reports. Serbian Journal of Experimental and Clinical Research. 2024;25(1):87–92. doi: 10.2478/sjecr-2021-0028
Jones A, et al. Identifying effective intervention strategies to reduce children’s screen time: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2021;1:126. doi: 10.1186/s12966-021-01189-6
Wu Y, Xi X, Zhang C, et al. Effect of intervention on screen time in preschoolers: a systematic review and meta-analysis of randomized controlled trials. BMC Public Health. 2025;25:2724. doi: 10.1186/s12889-025-23700-5.
Pyne B, Asmara O, Morawska A. The impact of modifiable parenting factors on the screen use of children five years or younger: a systematic review. Clin Child Fam Psychol Rev. 2025;28:458–90. doi: 10.1007/s10567-025-00523-9.
Contardo Ayala AM, Parker K, Mazzoli E, et al. Effectiveness of intervention strategies to increase adolescents’ physical activity and reduce sedentary time in secondary school settings: a systematic review and meta-analysis. Sports Med Open. 2024;10:25. doi: 10.1186/s40798-024-00688-7.
Petrović V, Rožek Mitrović T, Erceg Javor R. Vreme provedeno pred ekranom i učešće u sportu van nastave među decom lokalne zajednice u Srbiji. Timočki Medicinski Glasnik. 2020;45(3):109–13. doi: 10.5937/tmg2003109P.
Hernández ED, Cobo EA, Cahalin LP, et al. Impact of structural-level environmental interventions on physical activity: a systematic review. Int Arch Occup Environ Health. 2023;96:815–38. doi: 10.1007/s00420-023-01973-w.
Cintra LP, et al. Have interventions to reduce screen time in children and adolescents been successful? Answers from a systematic literature review. Res Soc Dev. 2025;14(9). doi: 10.33448/rsd-v14i9.49469
