Overdependence of Electronic Devices versus Physical Status in Preschool Children Aged from (3-6) years
Keywords:
Electronic Devices, Physical status, Preschool Children (3-6 years)Abstract
Background: The electronic device is one of the most widely used products among adults and kids alike. Nowadays, not a single child is unaware of smartphones. Compared to adults, they can occasionally use all of its applications more skillfully. Despite the fact that children shouldn't use smartphones for extended periods of time as this could harm their health. Preschoolers' physical condition and the effects of mobile devices is a topic of growing concern in today's society. Studies have indicated that a number of variables, including television viewing, parental self-efficacy perception, and the home environment, might affect young children's nutritional intake and physical activity levels. For example, television viewing has been linked to weight status in preschool-aged children, potentially affecting their physical activity levels and eating habits.
Objectives: This study aimed to assess overuse of electronic devices in preschool children aged from (3-6) years and assess overuse of electronic devices on physical status in preschool children aged from (3-6) years.
Methodology: A descriptive correlation quantitative approach is used. starting from November 9th 2023 to January 12th 2025 quantitative descriptive design was employed, with data collecting included selecting (132) child are selected form Maternal and Child Health Unit services (MCHs) in Primary Health Care Centers of Al-Najaf City, Iraq. Participants were selected based on specific criteria, including the children age group was between (3 to 6) years who attained primary health center for both North and South sectors during the time of data collection for the current study, the data collected from parents who being able to read and write. Participants who had excessive use of electronic devices more than half an hour. Children who use of touchscreen devices such as smartphones or tablet computers or mobile or T.V. Problematic Technology Use Scale for Young Children (PTUS-YC) and Physical status scale (visual discomfort index, musculoskeletal discomfort index) for the child were used to measure excessive use of electronic devices levels and physical status; data were collected to analyze potential correlations.
Results: The result of assessment of excessive use of electronic devices that showed mostly of preschool children (30.3%) have a high excessive use of electronic devices. While minimal physical discomfort (71.20%) impact on physical status of children as general, and minimal musculoskeletal index discomfort (72%), also minimal visual index discomfort (73.5%).
Conclusion: It was noteworthy that an important number of preschool children reported excessive use of electronic devices. Mobile devices were the most used. Children's discomfort symptoms were significantly correlated with excessive use of electronic devices, as noted in the study. The analysis revealed that there is a direct relationship between excessive electronic device usage.
Recommendations: Development of awareness programs and policies aimed at reducing the negative health effects of excessive electronic device use among children. Parents and guardians need to set specific rules for screen engagement for their children.
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Ajayi, O. R., Matthews, G., Taylor, M., Kvalsvig, J. D., Davidson, L. L., Kauchali, S., & Mellins, C. (2020). Association of anthropometric status and residential locality factors with cognitive scores of 4–6-year-old children in Kwazulu-Natal, South Africa. South African Journal of Clinical Nutrition, 33(4), 133–141. https://doi.org/https://doi.org/10.1080/16070658.2019.1578115
Al-Mehmadi, S. O., Halawani, A. T., Sulaimani, M. T., & Al-Mehmadi, T. O. (2024). Electronic device usage among preschool children and its association with mental health status in Saudi Arabian kindergartens. Saudi Medical Journal, 45(9), 945.
Al-Mendalawi, M. D. (2024). Prevalence of Obesity in Preschool Children at Hilla/Babylon/Iraq 2020. Mustansiriya Medical Journal, 23(2), 101.
Al-Mohtaseb, Z., Schachter, S., Shen Lee, B., Garlich, J., & Trattler, W. (2021). The relationship between dry eye disease and digital screen use. Clinical Ophthalmology, 3811–3820.
Ali, A. H., Salman, M. D., Saleh, R., Fayadh, E. N., Al-Hameed, S. A., Falah, H., Thamer, R., Saad, M., & Ali, A. H. (2019). The effect of the electronic devices on children. Journal of Physics: Conference Series, 1178(1). https://doi.org/10.1088/1742-6596/1178/1/012002
Ayfer Ekim. (2015). The Effect of Parents’ Self-Efficacy Perception on Healthy Eating and Physical Activity Behaviors of Turkish Preschool Children. COMPREHENSIVE CHILD AND ADOLESCENT NURSING, 3.
Bukhalenkova, D. A., Chichinina, E. A., & Almazova, O. V. (2023). How Does Joint Media Engagement Affect the Development of Executive Functions in 5to-7 year-old Children? Psychology in Russia: State of the Art, 16(4), 109–127.
Duckert, M., & Barkhuus, L. (2021). To Use or Not to Use: Mediation and Limitation of Digital Screen Technologies within Nuclear Families. Proceedings of the 2021 ACM International Conference on Interactive Media Experiences, 73–83.
Eitivipart, A. C., Viriyarojanakul, S., & Redhead, L. (2018). Musculoskeletal disorder and pain associated with smartphone use: A systematic review of biomechanical evidence. Hong Kong Physiotherapy Journal, 38(02), 77–90.
Elumalai, K. V., Sankar, J. P., Kalaichelvi, R., John, J. A., Menon, N., Alqahtani, M. S. M., & Abumelha, M. A. (2021). Factors affecting the quality of e-learning during the COVID-19 pandemic from the perspective of higher education students. COVID-19 and Education: Learning and Teaching in a Pandemic-Constrained Environment, 189(3), 169.
Gomes, J., & Franco, S. (2024). Prevalence of near-vision-related symptoms in a university population. Vision, 8(2), 38.
Huang, Y.-C., Hu, S.-C., Shyu, L.-Y., & Yeh, C.-B. (2020). Increased problematic smartphone use among children with attention-deficit/hyperactivity disorder in the community: The utility of Chinese version of Smartphone Addiction Proneness Scale. Journal of the Chinese Medical Association, 83(4), 411–416.
Iacovides, I., & Mekler, E. D. (2019). The role of gaming during difficult life experiences. Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems, 1–12.
Ibrahim, G. M., Sorour, A. S., El-Ghany, A., & Mustafa, G. (2022). Excessive electronic media exposure in developing behavior problems among preschool children. Zagazig Nursing Journal, 18(2), 82–91.
Ibrahim, I. A. (2022). Psychological Adjustment for Students with Learning Difficulties and its Relationship to Some Variables (A Field Study for Students of the Second Cycle with Learning Difficulties in the Basic Stage, Kremit City, Gezira State, Sudan, 2022). International Journal of Childhood, Counselling & Special Education (CCSE), 4(1).
Kaur, N., Gupta, M., Malhi, P., & Grover, S. (2019). Screen Time in Under-five Children. Indian Pediatrics, 56(9), 773–788.
Keefe-Cooperman, K. (2016). Digital media and preschoolers: Implications for visual spatial development. HS Dialog: The Research to Practice Journal for the Early Childhood Field, 19(2).
Konca, A. S. (2022). Digital technology usage of young children: Screen time and families. Early Childhood Education Journal, 50(7), 1097–1108.
Kwok, S. W. H., Lee, P. H., & Lee, R. L. T. (2017). Smart device use and perceived physical and psychosocial outcomes among Hong Kong adolescents. International Journal of Environmental Research and Public Health, 14(2). https://doi.org/10.3390/ijerph14020205
Lanca, C., & Saw, S. (2020). The association between digital screen time and myopia: A systematic review. Ophthalmic and Physiological Optics, 40(2), 216–229.
Levenson, J. C., Shensa, A., Sidani, J. E., Colditz, J. B., & Primack, B. A. (2016). The association between social media use and sleep disturbance among young adults. Preventive Medicine, 85, 36–41.
Musa, H., Rashid, A. A., Sadik, S. F. M., Goh, J. X., Kesavan, G. V., & Nasrudin, N. (2022). Factors Associated with Excessive Screen Time Usage among Preschool Children and Risk for Behavior Problems. Malaysian Journal of Paediatrics and Child Health, 28(2), 13–25.
Musa, M., Mas’ud, M., Firman, A., & Mohammed, R. U. (2023). Educational products quality and its effect on student loyalty through mediating student satisfaction. Al-Musannif, 5(1), 1–16.
Nathan, T., Muthupalaniappen, L., & Muhammad, N. A. (2022). According to study outcomes, preschoolers utilize tablets, smartphones, and smartwatches as electronic devices, and parental involvement has a big impact on how much time they spend using these devices. Malaysian Family Physician, 17(3), 114–120. https://doi.org/10.51866/oa.25
Nhandi, D. (2017). Siblings’ Birth Order Interaction and Self-esteem Development: Forgotten Social Setting for e-Health Delivery in Tanzania? International Journal of Education and Research, 5(1), 51–68.
Rachael Cox, Skouteris, H., Leonie, R., Matthew, F.-, Tyszkiewicz, Hardy Dell’, Daniela Aquila, & L, L. (2012). “Television Viewing, Television Content, Food Intake, Physical Activity And Body Mass Index: A Cross-sectional Study Of Preschool Children Aged 2-6 Years.” HEALTH PROMOTION JOURNAL OF AUSTRALIA : OFFICIAL JOURNAL OF, 4.
Rathnasiri, A., Rathnayaka, H., Yasara, N., & Mettananda, S. (2022). Electronic screen device usage and screen time among preschool-attending children in a suburban area of Sri Lanka. BMC Pediatrics, 22(1), 390.
Rathnasiri, P., & Jayasena, S. (2022). Green building information modelling technology adoption for existing buildings in Sri Lanka. Facilities management perspective. Intelligent Buildings International, 14(1), 23–44.
Siibak, A., & Nevski, E. (2019). Older siblings as mediators of infants’ and toddlers’(digital) media use. In The routledge handbook of digital literacies in early childhood (pp. 123–133). Routledge.
Tamana, S. K., Ezeugwu, V., Chikuma, J., Lefebvre, D. L., Azad, M. B., Moraes, T. J., Subbarao, P., Becker, A. B., Turvey, S. E., & Sears, M. R. (2019). Screen-time is associated with inattention problems in preschoolers: Results from the CHILD birth cohort study. PloS One, 14(4), e0213995.
Toh, S. H., Coenen, P., Howie, E. K., & Straker, L. M. (2017). The associations of mobile touch screen device use with musculoskeletal symptoms and exposures: A systematic review. PloS One, 12(8), e0181220.
Tsang, S. M., Cheing, G. L., Lam, A. K., Siu, A. M., Pang, P. C., & Yip, K. C., ... & Jensen, M. P. (2023). Excessive use of electronic devices among children and adolescents is associated with musculoskeletal symptoms, visual symptoms, psychosocial health, and quality of life: a cross-sectional study.. Frontiers in Public Health, 11, 2023.
Unplagan, K., Balasubramaniam, B., Premkumar, T., Chien, J. L. C., Rao, A. S., & Rasit, R. A. S. A. (2018). Impact of electronic devices on the life of children: A cross sectional study from Ipoh, Perak, Malaysia. Quest International Journal of Medical and Health Sciences, 1(2), 30–34.
von Wyl, A., Schneebeli, L., Hubacher, R., & Braune-Krickau, K. (2022). Kindergarten Children’s Use of Smartphones and Tablets: Associations with Social-Emotional Development and Behavioral Problems-A Scoping Review. Praxis Der Kinderpsychologie Und Kinderpsychiatrie, 71(4), 327–344.
Wang, Y. (2024). Advantages and Limitations of Information Technology in Preschool Education Teaching. Transactions on Social Science, Education and Humanities Research, 6, 14–18.
WHO. (2019). Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age. World Health Organization. https://iris.who.int/handle/10665/311664
Xiang, H., Lin, L., Chen, W., Li, C., Liu, X., Li, J., Ren, Y., & Guo, V. Y. (2022). Associations of excessive screen time and early screen exposure with health-related quality of life and behavioral problems among children attending preschools. BMC Public Health, 22(1), 1–12. https://doi.org/10.1186/s12889-022-14910-2
Xie, G., Deng, Q., Cao, J., & Chang, Q. (2020). Digital screen time and its effect on preschoolers’ behavior in China: results from a cross-sectional study. Italian Journal of Pediatrics, 46, 1–7.
Zhu, R., Fang, H., Chen, M., Hu, X., Cao, Y., Yang, F., & Xia, K. (2020). Screen time and sleep disorder in preschool children: identifying the safe threshold in a digital world. Public Health, 186, 204–210.
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