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Hartstein LE, Mathew GM, Reichenberger DA, Rodriguez I, Allen N, Chang AM, Chaput JP, Christakis DA, Garrison M, Gooley JJ, Koos JA, Van Den Bulck J, Woods H, Zeitzer JM, Dzierzewski JM, Hale L. The impact of screen use on sleep health across the lifespan: A National Sleep Foundation consensus statement. Sleep Health 2024:S2352-7218(24)00090-1. [PMID: 38806392 DOI: 10.1016/j.sleh.2024.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2024] [Revised: 04/30/2024] [Accepted: 05/02/2024] [Indexed: 05/30/2024]
Abstract
OBJECTIVE To achieve consensus on whether screen-based digital media (1) in general, (2) via prebedtime content, and (3) via prebedtime light impairs sleep health in (a) childhood, (b) adolescence, and (c) adulthood. Furthermore, to address whether employing behavioral strategies and interventions may reduce the potential negative effects of screens on sleep health. METHODS The National Sleep Foundation convened a 16-person multidisciplinary expert panel ("Panel"). Panelists met virtually 5 times throughout 2023, during which they followed a modified Delphi RAND/UCLA Appropriateness Method to reach consensus. RESULTS The Panel conducted a literature review starting with 2209 articles, narrowed down to 522 relevant empirical articles and 52 relevant review articles. The search was refined to include 35 experimental/intervention studies that examined whether there was a causal link between screen-based digital media and sleep. In addition, panelists reviewed 5 recent relevant systematic review articles. After reviewing the summarized current literature, panelists voted on 10 candidate statements about whether screen use impairs sleep health. The Panel met virtually to discuss the results of the first round of votes, which was then followed by a second round of voting, ultimately achieving consensus on 5 out of the 10 statements. CONCLUSIONS The Panel achieved consensus that (1) in general, screen use impairs sleep health among children and adolescents, (2) the content of screen use before sleep impairs sleep health of children and adolescents, and (3) behavioral strategies and interventions may attenuate the negative effects of screen use on sleep health.
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Affiliation(s)
- Lauren E Hartstein
- Department of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, USA
| | - Gina Marie Mathew
- Program in Public Health, Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York, USA
| | - David A Reichenberger
- Department of Biobehavioral Health, Pennsylvania State University, State College, Pennsylvania, USA
| | - Isaac Rodriguez
- Program in Public Health, Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York, USA
| | - Nicholas Allen
- Department of Psychology, University of Oregon, Eugene, Oregon, USA
| | - Anne-Marie Chang
- Department of Biobehavioral Health, Pennsylvania State University, State College, Pennsylvania, USA
| | - Jean-Philippe Chaput
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada; Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada
| | - Dimitri A Christakis
- Department of Pediatrics, University of Washington, Special Olympics International, Seattle, Washington, USA
| | - Michelle Garrison
- Neuroscience & Behavioural Disorders Programme, Department of Public Health, Purdue University, Lafayette, Indiana, USA
| | - Joshua J Gooley
- Neuroscience and Behavioral Disorders Program, Duke-NUS Medical School, Singapore, Singapore
| | - Jessica A Koos
- Health Sciences Library, Stony Brook University, Stony Brook, New York, USA
| | - Jan Van Den Bulck
- Department of Communication and Media, University of Michigan, Ann Arbor, Michigan, USA
| | - Heather Woods
- School of Psychology and Neuroscience, College of Medicine, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
| | - Jamie M Zeitzer
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA
| | | | - Lauren Hale
- Program in Public Health, Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York, USA.
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Yujra VQ, Antunes HKM, Mônico‐Neto M, Pisani LP, Santamarina AB, Quintana HT, de Oliveira F, Oshima CTF, Ribeiro DA. Sleep deprivation induces pathological changes in rat masticatory muscles: Role of Toll like signaling pathway and atrophy. J Cell Biochem 2017; 119:2269-2277. [DOI: 10.1002/jcb.26389] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2017] [Accepted: 08/23/2017] [Indexed: 11/10/2022]
Affiliation(s)
- Veronica Q. Yujra
- Department of PathologyFederal University of São Paulo, UNIFESPSao PauloBrazil
| | - Hanna K. M. Antunes
- Department of BiosciencesFederal University of São Paulo, UNIFESPSao PauloBrazil
| | - Marcos Mônico‐Neto
- Department of PshychobiologyFederal University of São Paulo, UNIFESPSao PauloBrazil
| | - Luciana P. Pisani
- Department of BiosciencesFederal University of São Paulo, UNIFESPSao PauloBrazil
| | - Aline B. Santamarina
- Department of BiosciencesFederal University of São Paulo, UNIFESPSao PauloBrazil
| | - Hananiah T. Quintana
- Department of BiosciencesFederal University of São Paulo, UNIFESPSao PauloBrazil
| | - Flavia de Oliveira
- Department of BiosciencesFederal University of São Paulo, UNIFESPSao PauloBrazil
| | - Celina T. F. Oshima
- Department of BiosciencesFederal University of São Paulo, UNIFESPSao PauloBrazil
| | - Daniel A. Ribeiro
- Department of BiosciencesFederal University of São Paulo, UNIFESPSao PauloBrazil
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