The association of screen time and the risk of sleep outcomes: a systematic review and meta-analysis

作者：Xin He, Bei Pan, Ning Ma, Dan Li, Weize Kong, Qian Liu, Xiaowei Liu, Xiaoman Wang, Xiyuan Deng, Kehu Yang · 发表于：Frontiers in Psychiatry · 年份：2025 · DOI：10.3389/fpsyt.2025.1640263 · 被引用次数：13 · 研究领域：Ergonomics and Musculoskeletal Disorders、Sleep and related disorders、Sleep and Work-Related Fatigue

Introduction Screen time has become increasingly prevalent in modern life and may influence various health outcomes, including sleep patterns. Previous meta-analyses examining the relationship between screen time and sleep have been limited by incomplete population coverage and insufficient consideration of potential effect modifiers. To address these gaps, we conducted a comprehensive meta-analysis to investigate the association between screen time and sleep outcomes across diverse populations. Methods Two independent reviewers screened studies and extracted data following a pre-registered protocol. Standardized coefficients (β) and odds ratios (OR) were used to quantify effect sizes. Random-effects meta-analyses were conducted using STATA 17.0, with subgroup analyses performed to explore effect modifiers. Results We included 21 cohort studies with 548,338 participants. Each additional hour of daily screen time was associated with approximately 3 to 5 minutes shorter total sleep duration (β = −0.05, 95% CI: −0.08 to −0.03) in 11 studies reporting continuous outcomes, and with a higher risk of short sleep in nine studies reporting binary outcomes (OR = 1.25, 95% CI, 1.08 to 1.40). Subgroup analyses found no significant effect modification by age, region, short sleep definition or follow-up duration (all P interaction > 0.05). However, for binary outcomes, the association between screen time and short sleep differed significantly across countries (P interaction = 0.004)...