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Aldo Lorenzetti M.D, Internal Medicine & Hepatology, Milano - SIMEDET Delegate
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Prevalence and Likelihood of Meeting #Sleep, Physical Activity, and #Screen-Time Guidelines Among US Youth

https://jamanetwork.com/journals/jamapediatrics/article-abstract/2723518

Sleep, physical activity, and screen-time behaviors among adolescents are risk factors for physical health (eg, obesity), mental and emotional health, behavioral outcomes (eg, tobacco use), and performance-based outcomes (eg, academic achievement).1-3 Accordingly, it is recommended that children (age 6-12 years) sleep 9 to 12 hours and adolescents (age 14-18 years) sleep 8 to 10 hours a night and that both groups accumulate at least 1 hour of moderate-intensity or vigorous-intensity aerobic physical activity and limit screen time (ie, exposure to all screen-based digital media) to less than 2 hours within a 24-hour period.3,4 Meeting recommendations for all 3 behaviors may have a greater association with health outcomes than meeting any 1 recommendation in isolation
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#Screen-time is associated with #inattention problems in preschoolers: Results from the CHILD birth cohort study

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213995

Mean screen-time was 1·4 hours/day (95%CI 1·4, 1·5) at five-years and 1·5 hours/day (95%CI: 1·5, 1·6) at three-years. Compared to children with less than 30-minutes/day screen-time, those watching more than two-hours/day (13·7%) had a 2·2-point increase in externalizing T-score (95%CI: 0·9, 3·5, p≤0·001); a five-fold increased odd for reporting clinically significant externalizing problems (95%CI: 1·0, 25·0, p = 0·05); and were 5·9 times more likely to report clinically significant inattention problems (95%CI: 1·6, 21·5, p = 0·01). Children with a DSM-5 ADHD T-score above the 65 clinical cut-off were considered to have significant ADHD type symptoms (n = 24). Children with more than 2-hours of screen-time/day had a 7·7-fold increased risk of meeting criteria for ADHD (95%CI: 1·6, 38·1, p = 0·01). There was no significant association between screen-time and aggressive behaviors (p>0.05).

Conclusion
Increased screen-time in pre-school is associated with worse inattention problems.