Association between screen time and suspected developmental coordination disorder in preschoolers: A national population-based study in China
IntroductionExcessive screen exposure (ESE) is a growing global public health concern. This study aims to investigate the potential association between ESE and suspected developmental coordination disorder (DCD) in Chinese pre-schoolers, with or without siblings.MethodA retrospective cohort study wa...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1152321/full |
| _version_ | 1797859708279717888 |
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| author | Shanshan Geng Weijie Wang Liping Huang Jinhong Xie Gareth J. Williams Charlie Baker Wenchong Du Jing Hua Jing Hua |
| author_facet | Shanshan Geng Weijie Wang Liping Huang Jinhong Xie Gareth J. Williams Charlie Baker Wenchong Du Jing Hua Jing Hua |
| author_sort | Shanshan Geng |
| collection | DOAJ |
| description | IntroductionExcessive screen exposure (ESE) is a growing global public health concern. This study aims to investigate the potential association between ESE and suspected developmental coordination disorder (DCD) in Chinese pre-schoolers, with or without siblings.MethodA retrospective cohort study was conducted, involving 126,433 children from 551 cities in China. The Little Developmental Coordination Disorder Questionnaire (LDCDQ) was employed to evaluate motor impairment in children, while parents provided information on their children’s screen time in the past year. A mixed and multi-level logistic regression model was used to analyze the associations of all screen exposure measurements from the past year with LDCDQ scores and the risk of suspected DCD.ResultsThe prevalence of excessive screen exposure was 67.6% (>1 h per day) and 28.9% (>2 h per day) in Chinese pre-schoolers. One hour’s increase in weekday daily screen time, weekend daily screen time, and screen time before sleep in the past year was associated with a decreased total score of the LDCDQ (β were −0.690, −0.398, and −1.587, p < 0.001) and an increased risk of suspected DCD by 15.3%, 9.1%, and 46.8% when adjusting for the child, family and maternal health characteristics. Excessive screen exposure decreased the total LDCDQ scores by 1.335 (>1 vs. ≤1 h) and 1.162 (>2 vs. ≤2 h) and increased risks of suspected DCD by 44.0% (>1 vs. ≤1 h) and 31.1% (>2 vs. ≤2 h) with statistical significance (each p < 0.05). The stratified analysis showed that the association between screen time and LDCDQ score was stronger in children without siblings than in those with siblings.ConclusionThe risk of suspected DCD was highest for screen time exposure before bed compared with average weekday and weekend exposures. Parents should be advised to prevent their children from using electronic screens unsupervised, especially in one-child families. |
| first_indexed | 2024-04-09T21:33:58Z |
| format | Article |
| id | doaj.art-a7ffda1f696e46258a59f9b8d1babd2d |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-09T21:33:58Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-a7ffda1f696e46258a59f9b8d1babd2d2023-03-27T05:41:34ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.11523211152321Association between screen time and suspected developmental coordination disorder in preschoolers: A national population-based study in ChinaShanshan Geng0Weijie Wang1Liping Huang2Jinhong Xie3Gareth J. Williams4Charlie Baker5Wenchong Du6Jing Hua7Jing Hua8The Women’s and Children’s Health Care Department of Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, ChinaThe Women’s and Children’s Health Care Department of Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, ChinaThe Women’s and Children’s Health Care Department of Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, ChinaThe Women’s and Children’s Health Care Department of Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, ChinaSchool of Social Sciences, Nottingham Trent University, Nottingham, United KingdomDepartment of Psychology, Nottingham Trent University, Nottingham, United KingdomDepartment of Psychology, Nottingham Trent University, Nottingham, United KingdomThe Women’s and Children’s Health Care Department of Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, ChinaShanghai Key Laboratory of Maternal Fetal Medicine, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, ChinaIntroductionExcessive screen exposure (ESE) is a growing global public health concern. This study aims to investigate the potential association between ESE and suspected developmental coordination disorder (DCD) in Chinese pre-schoolers, with or without siblings.MethodA retrospective cohort study was conducted, involving 126,433 children from 551 cities in China. The Little Developmental Coordination Disorder Questionnaire (LDCDQ) was employed to evaluate motor impairment in children, while parents provided information on their children’s screen time in the past year. A mixed and multi-level logistic regression model was used to analyze the associations of all screen exposure measurements from the past year with LDCDQ scores and the risk of suspected DCD.ResultsThe prevalence of excessive screen exposure was 67.6% (>1 h per day) and 28.9% (>2 h per day) in Chinese pre-schoolers. One hour’s increase in weekday daily screen time, weekend daily screen time, and screen time before sleep in the past year was associated with a decreased total score of the LDCDQ (β were −0.690, −0.398, and −1.587, p < 0.001) and an increased risk of suspected DCD by 15.3%, 9.1%, and 46.8% when adjusting for the child, family and maternal health characteristics. Excessive screen exposure decreased the total LDCDQ scores by 1.335 (>1 vs. ≤1 h) and 1.162 (>2 vs. ≤2 h) and increased risks of suspected DCD by 44.0% (>1 vs. ≤1 h) and 31.1% (>2 vs. ≤2 h) with statistical significance (each p < 0.05). The stratified analysis showed that the association between screen time and LDCDQ score was stronger in children without siblings than in those with siblings.ConclusionThe risk of suspected DCD was highest for screen time exposure before bed compared with average weekday and weekend exposures. Parents should be advised to prevent their children from using electronic screens unsupervised, especially in one-child families.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1152321/fullexcessive screen exposurescreen time before sleepsuspected DCDone-child familypreschoolers |
| spellingShingle | Shanshan Geng Weijie Wang Liping Huang Jinhong Xie Gareth J. Williams Charlie Baker Wenchong Du Jing Hua Jing Hua Association between screen time and suspected developmental coordination disorder in preschoolers: A national population-based study in China Frontiers in Public Health excessive screen exposure screen time before sleep suspected DCD one-child family preschoolers |
| title | Association between screen time and suspected developmental coordination disorder in preschoolers: A national population-based study in China |
| title_full | Association between screen time and suspected developmental coordination disorder in preschoolers: A national population-based study in China |
| title_fullStr | Association between screen time and suspected developmental coordination disorder in preschoolers: A national population-based study in China |
| title_full_unstemmed | Association between screen time and suspected developmental coordination disorder in preschoolers: A national population-based study in China |
| title_short | Association between screen time and suspected developmental coordination disorder in preschoolers: A national population-based study in China |
| title_sort | association between screen time and suspected developmental coordination disorder in preschoolers a national population based study in china |
| topic | excessive screen exposure screen time before sleep suspected DCD one-child family preschoolers |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1152321/full |
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