Obesity

The Impact of Sleep Loss on Screen Time in Children: Secondary Analyses of a Randomised Crossover Trial Using Objective Measures of Screen Time

Pediatr ObesPublished Secondary analysis of a randomised crossover trial

Authors' conclusion

In this secondary analysis, getting less sleep appeared to increase screen time in children during the weekday afternoon and evening hours, compared to when they received more sleep.

Study context

Population
Children aged 8–12 years with caregiver-reported sleep of 8–11 h/night; analysed: 10.4 years, 51% female, 41% overweight, 78% European49 with suitable camera data
Participants
105 children
Comparison
Sleep restriction vs sleep extension
Primary endpoint
Objectively measured screen time (wearable cameras), within-person differences in minutes and as % of awake time
Methodological details7-night washout
  • 7-night washout

Primary result

As reported in the abstract

After-school screen time (camera)

Median difference (raw data)

18.7 min

25th, 75th percentiles: −10.2, 72.5; similar screen time

Median difference (Rule 2, blocked images imputed)

66.3 min

25th, 75th percentiles: 7.5, 102.9; greater with sleep restriction

Median difference (Rule 2), % of awake time

6 %

25th, 75th percentiles: 0.5, 10.0; greater with sleep restriction

Further findings

OutcomeMean difference (min) (95% CI)
Parent-reported total screen use16.8 (1.8–31.8)
  • Parent-reported total screen use: n = 98

Original publication

The Impact of Sleep Loss on Screen Time in Children: Secondary Analyses of a Randomised Crossover Trial Using Objective Measures of Screen Time. Pediatr Obes. Published 28 August 2025. doi:10.1111/ijpo.70050

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