“This is the first study to directly measure actual screen time in
natural environments and compare it to sleep quality,” said senior
author Dr. Gregory M. Marcus of the University of California, San
Francisco. “We did not rely on participant self-report, but rather
utilized a mobile app that ran in the background and could capture
exact screen time duration.”
The researchers analyzed data on 653 adults enrolled in the
internet-based Health eHeart Study.
Participants’ smartphones were provided with a mobile application
that recorded screen time, or the number of minutes in each hour
that the phone screen was on. This app collected data continuously
over a 30-day window.
Some participants self-reported their bedtime and sleeping period as
well as personal demographics and medical information.
Total screen time averaged 38.4 hours per 30 days, and average
screen time per hour was 3.7 minutes, equivalent to one hour and 29
minutes per day, according to the report in the journal PLoS ONE.
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“At first glance, that we on average spend about an hour and a half
of our time interacting with our phone every day may not seem
surprising,” Marcus told Reuters Health by email. “But in thinking
about the fact that this is an hour and a half of uninterrupted
time, that is a pretty significant part of our day.”
Younger people tended to have longer screen time. Screen time varied
by age and race but was similar for people with the same
socioeconomic background.
As in previous studies of self-reported screen time, as screen time
increased, sleep quality decreased, including taking more time to
fall asleep and getting less time asleep overall.
“This is a lot better than the usual surveys where people estimate
how much they use their phone,” said Michael Gradisar of Flinders
University School of Psychology in Adelaide, Australia. “I was
surprised that people are using their phones for one to two hours
per day. I thought it would be more than that.”
Television, which also involves a screen but is not interactive, may
not be linked to sleep in the same way, Gradisar told Reuters Health
by email.
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“More screen time right around participant-reported bedtime was
particularly associated with longer sleep latency (or a longer time
to fall asleep) and reduced sleep quality,” Marcus said.
The light produced by smart phones might suppress production of
melatonin, which is related to sleep, Marcus said.
“However, it is also possible that engrossing activities that result
in stimulation, such as following the latest post on Facebook or a
bothersome tweet, might be counter to productive sleep preparation,”
he said.
But this study does not prove causality, as people with difficulty
sleeping may spend more time on their phone as a result of their
inability to sleep, he said.
“We know that poor sleep leads to many health problems, and we are
only now beginning to fully recognize the negative impact on the
cardiovascular system,” Marcus said.
“Avoiding smart phone screens is almost certainly low risk,” he
said. “Therefore, if an individual is having difficulty falling
asleep or maintaining an adequate quality of sleep, I think our
observations support a good trial of screen time avoidance to
determine if it helps that person obtain a good night’s sleep.”
SOURCE: http://bit.ly/2fD8M54 PLoS ONE, online November 9, 2016.
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