Exposición prolongada a la televisión en niños y adolescentes: efectos sobre la salud y estrategias de protección

e202409051

Autores/as

  • José Francisco Díaz Cuesta Departamento de Periodismo y Nuevos Medios. Facultad de Ciencias de la Información. Universidad Complutense de Madrid (UCM). Madrid. España. https://orcid.org/0000-0002-9674-7656
  • Ana Concheiro Guisán Departamento de Ciencias Forenses, Anatomía Patológica, Ginecología y Obstetricia, y Pediatría. Facultad de Medicina. Universidad de Santiago de Compostela (USC). Santiago de Compostela. España. https://orcid.org/0000-0002-0846-2192

Palabras clave:

Tiempo frente a la pantalla, Ver la televisión, Salud infantil, Estrategias educativas, Covisión

Resumen

FUNDAMENTOS // Desde la pandemia de la COVID-19, el tiempo frente a la pantalla (TP) parece haber aumentado entre niños y jóvenes. Existe controversia sobre su impacto en el bienestar físico y mental de los niños. Este estudio tuvo el objetivo de analizar la posible influencia de un excesivo TP en la salud infantil mediante una revisión sistemática de la literatura.

MÉTODOS // Dos revisores independientes realizaron una revisión sistemática. Se analizó la literatura médica (base de datos MEDLINE) desde 2017 hasta 2022. Se analizaron los datos relacionados con los efectos del tiempo frente a la pantalla en la salud infantil junto con las estrategias que pueden mitigar dichos efectos.

RESULTADOS // La búsqueda identificó 3.151 artículos, siendo 37 finalmente seleccionados por cumplir los criterios de calidad metodológica exigidos. Se detectaron efectos negativos sobre la salud infantil como la obesidad, ligada a un estilo de vida sedentario, trastornos del sueño o problemas de ansiedad en adolescentes. Sin embargo, también se ha descrito un mejor desarrollo del lenguaje o del funcionamiento de la memoria, cuando se utilizaban medios interactivos. Las medidas educativas han demostrado ser útiles para controlar el tiempo de exposición y reducir los efectos negativos relacionados con la exposición.

CONCLUSIONES // Aunque unos niveles elevados de tiempo frente a la pantalla podrían afectar a la salud de los niños, se han registrado algunos efectos positivos que se potencian cuando los padres se implican en el visionado de la televisión (coviewing). El tiempo de exposición se debe personalizar según el estilo de vida de cada niño.

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Citas

Fang K, Mu M, Liu K, He Y. Screen time and childhood overweight/obesity: A systematic review and meta-analysis. Child Care Health Dev. 2019 Sep;45(5):744-753. doi: https://dx.doi.org/10.1111/cch.12701. Epub 2019 Jul 24. PMID: 31270831.

Stiglic N, Viner RM. Effects of screentime on the health and well-being of children and adolescents: a systematic review of reviews. BMJ Open. 2019 Jan 3;9(1):e023191. doi: https://dx.doi.org/10.1136/bmjopen-2018-023191. PMID: 30606703; PMCID: PMC6326346.

Madigan S, McArthur BA, Anhorn C, Eirich R, Christakis DA. Associations Between Screen Use and Child Language Skills: A Systematic Review and Meta-analysis. JAMA Pediatr. 2020 Jul 1;174(7):665-675. doi: https://dx.doi.org/10.1001/jamapediatrics.2020.0327. Erratum en: JAMA Pediatr. 2022 May 1;176(5):528. PMID: 32202633; PMCID: PMC7091394.

Neshteruk CD, Tripicchio GL, Lobaugh S, Vaughn AE, Luecking CT, Mazzucca S, Ward DS. Screen Time Parenting Practices and Associations with Preschool Children’s TV Viewing and Weight-Related Outcomes. Int J Environ Res Public Health. 2021 Jul 9;18(14):7359. doi: https://dx.doi.org/10.3390/ijerph18147359. PMID: 34299807; PMCID: PMC8303526.

Kontostoli E, Jones AP, Pearson N, Foley L, Biddle SJH, Atkin AJ. Age-related change in sedentary behavior during childhood and adolescence: A systematic review and meta-analysis. Obes Rev. 2021 Sep;22(9):e13263. doi: https://dx.doi.org/10.1111/obr.13263. Epub 2021 Jun 3. PMID: 34080284.

Kelishadi R, Mozafarian N, Qorbani M, Maracy MR, Motlagh ME, Safiri S, Ardalan G, Asayesh H, Rezaei F, Heshmat R. Association between screen time and snack consumption in children and adolescents: The CASPIAN-IV study. J Pediatr Endocrinol Metab. 2017 Feb 1;30(2):211-219. doi: https://dx.doi.org/10.1515/jpem-2016-0312. PMID: 28099133.

Collings PJ, Kelly B, West J, Wright J. Associations of TV Viewing Duration, Meals and Snacks Eaten When Watching TV, and a TV in the Bedroom with Child Adiposity. Obesity (Silver Spring). 2018 Oct;26(10):1619-1628. doi: https://dx.doi.org/10.1002/oby.22288. Epub 2018 Sep 30. PMID: 30269425; PMCID: PMC6207926.

Miguel-Berges ML, Zachari K, Santaliestra-Pasias AM, Mouratidou T, Androutsos O, Iotova V, Galcheva S, De Craemer M, Cardon G, Koletzko B, Kulaga Z, Manios Y, Moreno LA. Clustering of energy balance-related behaviours and parental education in European preschool children: the ToyBox study. Br J Nutr. 2017 Dec;118(12):1089-1096. doi: https://dx.doi.org/10.1017/S0007114517003129. Epub 2017 Dec 4. PMID: 29198192.

Efraim M, Kirwan CB, Muncy NM, Tucker LA, Kwon S, Bailey BW. Acute after-school screen time in children decreases impulse control and activation toward high-calorie food stimuli in brain regions related to reward and attention. Brain Imaging Behav. 2021 Feb;15(1):177-189. doi: https://dx.doi.org/10.1007/s11682-019-00244-y. PMID: 32128716.

Avery A, Anderson C, McCullough F. Associations between children’s diet quality and watching television during meal or snack consumption: A systematic review. Matern Child Nutr. 2017 Oct;13(4):e12428. doi: https://dx.doi.org/10.1111/mcn.12428. Epub 2017 Feb 17. PMID: 28211230; PMCID: PMC6866147.

Pearson N, Biddle SJH, Griffiths P, Sherar LB, McGeorge S, Haycraft E. Reducing screen-time and unhealthy snacking in 9-11 year old children: the Kids FIRST pilot randomised controlled trial. BMC Public Health. 2020 Jan 29;20(1):122. doi: https://dx.doi.org/10.1186/s12889-020-8232-9. PMID: 31996192; PMCID: PMC6988217.

Hammersley ML, Okely AD, Batterham MJ, Jones RA. An Internet-Based Childhood Obesity Prevention Program (Time2bHealthy) for Parents of Preschool-Aged Children: Randomized Controlled Trial. J Med Internet Res. 2019 Feb 8;21(2):e11964. doi: https://dx.doi.org/10.2196/11964. PMID: 30735139; PMCID: PMC6384541.

Cloutier MM, Wiley JF, Kuo CL, Cornelius T, Wang Z, Gorin AA. Outcomes of an early childhood obesity prevention program in a low-income community: a pilot, randomized trial. Pediatr Obes. 2018 Nov;13(11):677-685. doi: https://dx.doi.org/10.1111/ijpo.12458. Epub 2018 Aug 28. PMID: 30156058; PMCID: PMC7982990.

Henriksson H, Alexandrou C, Henriksson P, Henström M, Bendtsen M, Thomas K, Müssener U, Nilsen P, Löf M. MINISTOP 2.0: a smartphone app integrated in primary child health care to promote healthy diet and physical activity behaviours and prevent obesity in preschool-aged children: protocol for a hybrid design effectiveness-implementation study. BMC Public Health. 2020 Nov 23;20(1):1756. doi: https://dx.doi.org/10.1186/s12889-020-09808-w. PMID: 33228572; PMCID: PMC7687729.

Fulkerson JA, Friend S, Horning M, Flattum C, Draxten M, Neumark-Sztainer D, Gurvich O, Garwick A, Story M, Kubik MY. Family Home Food Environment and Nutrition-Related Parent and Child Personal and Behavioral Outcomes of the Healthy Home Offerings via the Mealtime Environment (HOME) Plus Program: A Randomized Controlled Trial. J Acad Nutr Diet. 2018 Feb;118(2):240-251. doi: https://dx.doi.org/10.1016/j.jand.2017.04.006. Epub 2017 Jun 1. PMID: 28578900; PMCID: PMC5711643.

Morgan PJ, Young MD, Barnes AT, Eather N, Pollock ER, Lubans DR. Engaging Fathers to Increase Physical Activity in Girls: The “Dads And Daughters Exercising and Empowered” (DADEE) Randomized Controlled Trial. Ann Behav Med. 2019 Jan 1;53(1):39-52. doi: https://dx.doi.org/10.1093/abm/kay015. PMID: 29648571.

Delisle Nyström C, Abbott G, Cameron AJ, Campbell KJ, Löf M, Salmon J, Hesketh KD. Maternal knowledge explains screen time differences 2 and 3.5 years post-intervention in INFANT. Eur J Pediatr. 2021 Nov;180(11):3391-3398. doi: https://dx.doi.org/10.1007/s00431-021-04134-8. Epub 2021 Jun 1. PMID: 34075476; PMCID: PMC8502736.

Martin KB, Bednarz JM, Aromataris EC. Interventions to control children’s screen use and their effect on sleep: A systematic review and meta-analysis. J Sleep Res. 2021 Jun;30(3):e13130. doi: https://dx.doi.org/10.1111/jsr.13130. Epub 2020 Jun 21. PMID: 32567219.

Jones A, Armstrong B, Weaver RG, Parker H, von Klinggraeff L, Beets MW. Identifying effective intervention strategies to reduce children’s screen time: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2021 Sep 16;18(1):126. doi: https://dx.doi.org/10.1186/s12966-021-01189-6. PMID: 34530867; PMCID: PMC8447784.

Lin YM, Kuo SY, Chang YK, Lin PC, Lin YK, Lee PH, Lin PH, Chen SR. Effects of Parental Education on Screen Time, Sleep Disturbances, and Psychosocial Adaptation Among Asian Preschoolers: A Randomized Controlled Study. J Pediatr Nurs. 2021 Jan-Feb;56:e27-e34. doi: https://dx.doi.org/10.1016/j.pedn.2020.07.003. Epub 2020 Jul 20. Erratum en: J Pediatr Nurs. 2022 Mar-Apr;63:171. PMID: 32703680.

Marsh S, Taylor R, Galland B, Gerritsen S, Parag V, Maddison R. Results of the 3 Pillars Study (3PS), a relationship-based programme targeting parent-child interactions, healthy lifestyle behaviours, and the home environment in parents of preschool-aged children: A pilot randomised controlled trial. PLoS One. 2020 Sep 17;15(9):e0238977. doi: https://dx.doi.org/10.1371/journal.pone.0238977. PMID: 32941530; PMCID: PMC7498059.

Scott-Sheldon LAJ, Hedges LV, Cyr C, Young-Hyman D, Khan LK, Magnus M, King H, Arteaga S, Cawley J, Economos CD, Haire-Joshu D, Hunter CM, Lee BY, Kumanyika SK, Ritchie LD, Robinson TN, Schwartz MB. Childhood Obesity Evidence Base Project: A Systematic Review and Meta-Analysis of a New Taxonomy of Intervention Components to Improve Weight Status in Children 2-5 Years of Age, 2005-2019. Child Obes. 2020 Sep;16(S2):S221-S248. doi: https://dx.doi.org/10.1089/chi.2020.0139. PMID: 32936038; PMCID: PMC7482126.

Knowlden AP, Conrad E. Two-Year Outcomes of the Enabling Mothers to Prevent Pediatric Obesity Through Web-Based Education and Reciprocal Determinism (EMPOWER) Randomized Control Trial. Health Educ Behav. 2018 Apr;45(2):262-276. doi: https://dx.doi.org/10.1177/1090198117732604. Epub 2017 Sep 27. PMID: 28954544.

Smith JJ, Morgan PJ, Lonsdale C, Dally K, Plotnikoff RC, Lubans DR. Mediators of change in screen-time in a school-based intervention for adolescent boys: findings from the ATLAS cluster randomized controlled trial. J Behav Med. 2017 Jun;40(3):423-433. doi: https://dx.doi.org/10.1007/s10865-016-9810-2. Epub 2016 Nov 14. PMID: 27844278.

Shin Y, Kim SK, Lee M. Mobile phone interventions to improve adolescents’ physical health: A systematic review and meta-analysis. Public Health Nurs. 2019 Nov;36(6):787-799. doi: https://dx.doi.org/10.1111/phn.12655. Epub 2019 Aug 28. PMID: 31456259.

Li C, Cheng G, Sha T, Cheng W, Yan Y. The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review. Int J Environ Res Public Health. 2020 Oct 7;17(19):7324. doi: https://dx.doi.org/10.3390/ijerph17197324. PMID: 33036443; PMCID: PMC7579161.

Janssen X, Martin A, Hughes AR, Hill CM, Kotronoulas G, Hesketh KR. Associations of screen time, sedentary time and physical activity with sleep in under 5s: A systematic review and meta-analysis. Sleep Med Rev. 2020 Feb;49:101226. doi: https://dx.doi.org/10.1016/j.smrv.2019.101226. Epub 2019 Nov 1. PMID: 31778942; PMCID: PMC7034412.

Zhang Z, Sousa-Sá E, Pereira J, Chaput JP, Okely A, Feng X, Santos R. Correlates of nocturnal sleep duration, nocturnal sleep variability, and nocturnal sleep problems in toddlers: results from the GET UP! Study. Sleep Med. 2019 Jan;53:124-132. doi: https://dx.doi.org/10.1016/j.sleep.2018.08.035. Epub 2018 Oct 11. PMID: 30508780.

Downing KL, Hinkley T, Salmon J, Hnatiuk JA, Hesketh KD. Do the correlates of screen time and sedentary time differ in preschool children? BMC Public Health. 2017 Mar 29;17(1):285. doi: https://dx.doi.org/10.1186/s12889-017-4195-x. Erratum in: BMC Public Health. 2017 Apr 28;17 (1):367. PMID: 28356094; PMCID: PMC5372288.

Rocha HAL, Correia LL, Leite ÁJM, Machado MMT, Lindsay AC, Rocha SGMO, Campos JS, Cavalcante E Silva A, Sudfeld CR. Screen time and early childhood development in Ceará, Brazil: a population-based study. BMC Public Health. 2021 Nov 11;21(1):2072. doi: https://dx.doi.org/10.1186/s12889-021-12136-2. PMID: 34763693; PMCID: PMC8582336.

Latomme J, Van Stappen V, Cardon G, Morgan PJ, Lateva M, Chakarova N, Kivelä J, Lindström J, Androutsos O, González-Gil EM, De Miguel-Etayo P, Nánási A, Kolozsvári LR, Manios Y, De Craemer M. The Association between Children’s and Parents’ Co-TV Viewing and Their Total Screen Time in Six European Countries: Cross-Sectional Data from the Feel4diabetes-Study. Int J Environ Res Public Health. 2018 Nov 21;15(11):2599. doi: https://dx.doi.org/10.3390/ijerph15112599. PMID: 30469348; PMCID: PMC6266975.

Huber B, Yeates M, Meyer D, Fleckhammer L, Kaufman J. The effects of screen media content on young children’s executive functioning. J Exp Child Psychol. 2018 Jun;170:72-85. doi: https://dx.doi.org/10.1016/j.jecp.2018.01.006. Epub 2018 Feb 12. PMID: 29448235.

Supper W, Guay F, Talbot D. The Relation Between Television Viewing Time and Reading Achievement in Elementary School Children: A Test of Substitution and Inhibition Hypotheses. Front Psychol. 2021 Oct 18;12:580763. doi: https://dx.doi.org/10.3389/fpsyg.2021.580763. PMID: 34733194; PMCID: PMC8558249.

Boers E, Afzali MH, Newton N, Conrod P. Association of Screen Time and Depression in Adolescence. JAMA Pediatr. 2019 Sep 1;173(9):853-859. doi: https://dx.doi.org/10.1001/jamapediatrics.2019.1759. PMID: 31305878; PMCID: PMC6632122.

Boers E, Afzali MH, Conrod P. Temporal Associations of Screen Time and Anxiety Symptoms Among Adolescents. Can J Psychiatry. 2020 Mar;65(3):206-208. doi: https://dx.doi.org/10.1177/0706743719885486. Epub 2019 Nov 4. PMID: 31684757; PMCID: PMC7019467.

Oswald TK, Rumbold AR, Kedzior SGE, Moore VM. Psychological impacts of “screen time” and “green time” for children and adolescents: A systematic scoping review. PLoS One. 2020 Sep 4;15(9):e0237725. doi: https://dx.doi.org/10.1371/journal.pone.0237725. PMID: 32886665; PMCID: PMC7473739.

García-Hermoso A, Hormazabal-Aguayo I, Oriol-Granado X, Fernández-Vergara O, Del Pozo Cruz B. Bullying victimization, physical inactivity and sedentary behavior among children and adolescents: a meta-analysis. Int J Behav Nutr Phys Act. 2020 Sep 11;17(1):114. doi: https://dx.doi.org/10.1186/s12966-020-01016-4. PMID: 32917230; PMCID: PMC7488515.

Guerra PH, Barbosa Filho VC, Almeida A, Silva LS, Pinto MTV, Leonel RM, Ribeiro EHC, Florindo AA. Systematic review of physical activity and sedentary behavior indicators in south-american preschool children. Rev Paul Pediatr. 2019 Nov 25;38:e2018112. doi: https://dx.doi.org/10.1590/1984-0462/2020/38/2018112. PMID: 31778405; PMCID: PMC6909227.

Schaan CW, Cureau FV, Sbaraini M, Sparrenberger K, Kohl Iii HW, Schaan BD. Prevalence of excessive screen time and TV viewing among Brazilian adolescents: a systematic review and meta-analysis. J Pediatr (Rio J). 2019 Mar-Apr;95(2):155-165. doi: https://dx.doi.org/10.1016/j.jped.2018.04.011. Epub 2018 Jun 1. PMID: 29859903.

Runacres A, Mackintosh KA, Knight RL, Sheeran L, Thatcher R, Shelley J, McNarry MA. Impact of the COVID-19 Pandemic on Sedentary Time and Behaviour in Children and Adults: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021 Oct 27;18(21):11286. doi: https://dx.doi.org/10.3390/ijerph182111286. PMID: 34769800; PMCID: PMC8583678.

RTVE (2020). Informe diario de audiencias de RTVE (Audience Daily Reports). RTVE editores.

RTVE (2019). Informe diario de audiencias de RTVE (Audience Daily Reports). RTVE editores.

Nathan A, George P, Ng M, Wenden E, Bai P, Phiri Z, Christian H. Impact of COVID-19 Restrictions on Western Australian Children’s Physical Activity and Screen Time. Int J Environ Res Public Health. 2021 Mar 5;18(5):2583. doi: https://dx.doi.org/10.3390/ijerph18052583. PMID: 33807520; PMCID: PMC7967372.

Guerrero MD, Vanderloo LM, Rhodes RE, Faulkner G, Moore SA, Tremblay MS. Canadian children’s and youth’s adherence to the 24-h movement guidelines during the COVID-19 pandemic: A decision tree analysis. J Sport Health Sci. 2020 Jul;9(4):313-321. doi: https://dx.doi.org/10.1016/j.jshs.2020.06.005. Epub 2020 Jun 7. PMID: 32525098; PMCID: PMC7276134.

Arundell L, Veitch J, Sahlqvist S, Uddin R, Ridgers ND, Salmon J, Timperio A, Parker K. Changes in Families’ Leisure, Educational/Work and Social Screen Time Behaviours before and during COVID-19 in Australia: Findings from the Our Life at Home Study. Int J Environ Res Public Health. 2021 Oct 28;18(21):11335. doi: https://dx.doi.org/10.3390/ijerph18211

Howe AS, Heath AM, Lawrence J, Galland BC, Gray AR, Taylor BJ, Sayers R, Taylor RW. Parenting style and family type, but not child temperament, are associated with television viewing time in children at two years of age. PLoS One. 2017 Dec 20;12(12):e0188558. doi: https://dx.doi.org/10.1371/journal.pone.0188558. PMID: 29261676; PMCID: PMC5737952.

Pearson N, Biddle SJH, Griffiths P, Johnston JP, Haycraft E. Clustering and correlates of screen-time and eating behaviours among young children. BMC Public Health. 2018 Jun 18;18(1):753. doi: https://dx.doi.org/10.1186/s12889-018-5698-9. PMID: 29914455; PMCID: PMC6006584.

Leech RM, McNaughton SA, Timperio A. The clustering of diet, physical activity and sedentary behavior in children and adolescents: a review. Int J Behav Nutr Phys Act. 2014 Jan 22;11:4. doi: https://dx.doi.org/10.1186/1479-5868-11-4. PMID: 24450617; PMCID: PMC3904164.

Gubbels JS, Kremers SP, Stafleu A, Goldbohm RA, de Vries NK, Thijs C. Clustering of energy balance-related behaviors in 5-year-old children: lifestyle patterns and their longitudinal association with weight status development in early childhood. Int J Behav Nutr Phys Act. 2012 Jun 21;9:77. doi: https://dx.doi.org/10.1186/1479-5868-9-77. PMID: 22721567; PMCID: PMC3441251.

Thimmig LM, Cabana MD, Bentz MG, Potocka K, Beck A, Fong L, Chao C, Caughey AB, Wong A, McKean M. Television During Meals in the First 4 Years of Life. Clin Pediatr (Phila). 2017 Jun;56(7):659-666. doi: https://dx.doi.org/10.1177/0009922816678585. Epub 2016 Nov 16. PMID: 28503997.

Rodriguez-Ayllon M, Esteban-Cornejo I, Verdejo-Román J, Muetzel RL, Migueles JH, Mora-Gonzalez J, Solis-Urra P, Erickson KI, Hillman CH, Catena A, Tiemeier H, Ortega FB. Physical Activity, Sedentary Behavior, and White Matter Microstructure in Children with Overweight or Obesity. Med Sci Sports Exerc. 2020 May;52(5):1218-1226. doi: https://dx.doi.org/10.1249/MSS.0000000000002233. PMID: 31876665.

Vincent V, Blot N. Screens for infants and preschool children: Assessment of medical prevention with parents and assessment of exposure. Arch Pediatr. 2021 Nov;28(8):632-637. doi: https://dx.doi.org/10.1016/j.arcped.2021.09.028. Epub 2021 Oct 22. PMID: 34690028.

Goyanes MI, Costa-Sánchez C, Démeter M. The Social Construction of Spanish Public Television: The Role and Function of TVE in a Multiplatform Environment. Int J Commun. 2021 15:20. ISSN 1932-8036.

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18-09-2024

Cómo citar

1.
Díaz Cuesta JF, Concheiro Guisán A. Exposición prolongada a la televisión en niños y adolescentes: efectos sobre la salud y estrategias de protección: e202409051. Rev Esp Salud Pública [Internet]. 18 de septiembre de 2024 [citado 16 de octubre de 2024];98:21 páginas. Disponible en: https://ojs.sanidad.gob.es/index.php/resp/article/view/776

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