

We conclude with evidence-based strategies to improve sleep through sleep-friendly screen-behavior recommendations and other take-home messages for families and practitioners. Next, we review current literature on evidence of the effects of youth screen habits on sleep, and the mechanisms by which screen habits may impact sleep. Then we summarize the range of screen habits among youth, focusing on screen habits at bedtime. We begin with a summary of the two consensus statements on child and adolescent sleep needs.

We then review how impaired sleep in pediatric populations may lead to a range of adverse behaviors, physical health problems and well-being outcomes. In this article, we provide an overview of the current science on screens and sleep, with a focus on recommendations to reduce the potentially problematic influence of screen time on pediatric sleep. Parents, educators, and clinicians express concern about whether excessive use of screen media among young people affects sleep and wellbeing. 1, 2 Three-fourths of American children and adolescents report the presence of at least one screen-media device in their bedroom, with roughly 60% reporting regular use of these devices during the hour before bedtime.
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The widespread use of portable electronic devices and the normalization of screen media devices in the bedroom is accompanied by a high prevalence of insufficient sleep, affecting a majority of adolescents, and 30% of toddlers, preschoolers, and school-age children. There is a clear need for more basic, translational, and clinical research examining the effects of screen media on sleep loss and health consequences in children and adolescents in order to educate and motivate clinicians, teachers, parents and youth themselves to foster healthy sleep habits. 3 This pervasive phenomenon of pediatric sleep loss has widespread implications due to the associations between insufficient sleep and increased risk of childhood obesity 4, disrupted psychological well-being 5 and impaired cognitive/academic functioning 6. 3 Proposed mechanisms include displacement of time that would have been spent sleeping, psychological stimulation and light exposure, and increased physiological alertness. 1, 2 In a recent literature review of studies investigating the link between youth screen media use and sleep, 90% of included studies found an association between screen media use and delayed bedtime and/or decreased total sleep time. With the widespread use of portable electronic devices and the normalization of screen media devices in the bedroom, insufficient sleep has become commonplace, affecting 30% of toddlers, preschoolers, and school-age children and the majority of adolescents.
