Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
Relationship Between Screen Time with Posture and Motor Coordination in Childhood: A Descriptive Study
Çocukluk Döneminde Ekran Süresinin Postür ve Motor Koordinasyon ile İlişkisi: Tanımlayıcı Bir Çalışma
Nihal PEKPAKa , Turgay ALTUNALANb
aÜsküdar University Faculty of Health Science, Department of Physiotherapy and Rehabilitation, İstanbul, Türkiye
bKaradeniz Technical University Faculty of Health Science, Department of Physiotherapy and Rehabilitation, Trabzon, Türkiye
Turkiye Klinikleri J Pediatr. 2024;33(2):41-7
doi: 10.5336/pediatr.2024-101303
Article Language: EN
Full Text
ABSTRACT
Objective: The use of technology is increasing, and its impact on health is gaining importance. This study aimed to examine the use of technology in school-age children and investigate the relationship between posture and motor skills. Material and Methods: The cross-sectional and correlational research model sample comprised 116 typically developing children aged 6-14 years. The study employed the socio-demographic information form, New York Posture Rating Chart (NYPR), and Developmental Coordination Disorder Questionnaire. Median, quartiles, and Spearman correlation analyses were used as the data did not follow a normal distribution. Results: The study included 116 children, with a mean age of 10.66±2.73 years (range: 6-14 years), of whom 66 (56.9%) were boys and 50 (43.1%) were girls. Children commonly own televisions, smartphones, or tablets. The median daily usage time for these devices was 100 min for televisions and tablets and 60 min for smartphones. The median total daily screen usage time was 300 min. The study found a moderate negative correlation (p<0.001, r=-482) between total daily screen usage time and posture score, as well as a weak negative correlation (p=0.020, r=-215) with motor coordination. Conclusion: The use of screen-based technological devices in childhood is increasing. The children's posture and motor coordination scores worsened with increasing daily screen exposure. Approaches that reduce childhood screen time and improve physical activity may protect postural and motor coordination.

Keywords: Posture; motor activity; screen time; schools
ÖZET
Amaç: Teknoloji kullanım yaşı giderek düşmektedir ve sağlık üzerine etkisinin önemi artmaktadır. Çalışmanın amacı, okul çağındaki çocuklarda teknoloji kullanımını incelemek, duruş ve motor koordinasyon arasındaki ilişkiyi araştırmaktır. Gereç ve Yöntemler: Kesitsel ve ilişki arama modeliyle yürütülen bu çalışmanın örneklemini 6-14 yaş arasında tipik gelişim gösteren 116 çocuk oluşturmaktadır. Veri toplama araçları olarak sosyodemografik bilgi formu, New York Postür Skalası ve Gelişimsel Koordinasyon Bozukluğu Anketi kullanıldı. Veriler normal dağılıma uygun olmadığı için analizlerde medyan, çeyreklikler ve Spearman korelasyon analizi kullanıldı. Bulgular: Çalışmaya dâhil edilen çocukların yaş ortalaması 10,66±2,73 (6-14 yaş arasında) ve 66'sı (%56,9) erkek, 50'si (%43,1) kızdır. Çocuklar en sık televizyon, akıllı telefon ve tablete sahiptir. Bu cihazların günlük ortanca kullanım süresi televizyon ve tablet için 100 dk, akıllı telefon için ise 60 dk'dır. Günlük toplam ekran kullanım süresinin ortanca değeri 300 dk'dır. Çalışmada günlük toplam ekran kullanım süresi ile postür skoru arasında orta düzeyde negatif bir korelasyonun (p<0,001, r=-482) yanı sıra motor koordinasyon ile zayıf bir negatif korelasyon (p=0,020 r=-215) bulundu. Sonuç: Çocukluk çağında ekran temelli teknolojik cihaz kullanım süreleri gittikçe artmaktadır. Günlük ekran maruziyeti arttıkça çocukların postür skorları ve motor koordinasyon becerileri kötüleşmektedir. Çocukluk çağı ekran kullanımını azaltıcı ve fiziksel aktiviteyi artırıcı yaklaşımların postür ve motor koordinasyon açısından koruyucu olabileceği düşünülmektedir.

Anahtar Kelimeler: Postür; motor aktivite; ekran süresi; okullar
REFERENCES:
  1. Staiano AE, Calvert SL. Exergames for physical education courses: physical, social, and cognitive benefits. Child Dev Perspect. 2011;5(2):93-8. [Crossref]  [PubMed]  [PMC] 
  2. Hancox RJ, Milne BJ, Poulton R. Association between child and adolescent television viewing and adult health: a longitudinal birth cohort study. Lancet. 2004;364(9430):257-62. [Crossref]  [PubMed] 
  3. Virgara R, Lewis L, Phillips A, Richardson M, Maher C. A scoping review of physical activity and screen time guidelines for use in Outside School Hours Care. BMC Pediatr. 2020;20(1):463. [Crossref]  [PubMed]  [PMC] 
  4. Sussman CJ, Harper JM, Stahl JL, Weigle P. Internet and Video Game Addictions: Diagnosis, Epidemiology, and Neurobiology. Child Adolesc Psychiatr Clin N Am. 2018;27(2):307-26. [Crossref]  [PubMed] 
  5. Dempsey PC, Owen N, Biddle SJ, Dunstan DW. Managing sedentary behavior to reduce the risk of diabetes and cardiovascular disease. Curr Diab Rep. 2014;14(9):522. [Crossref]  [PubMed] 
  6. T.C. Sağlık Bakanlığı [İnternet]. ©2023 Halk Sağlığı Genel Müdürlüğü [Erişim tarihi: 1 Ocak 2024]. Türkiye Fiziksel Aktivite Rehberi. Erişim linki: [Link] 
  7. Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, et al. The Physical Activity Guidelines for Americans. JAMA. 2018;320(19):2020-8. [Crossref]  [PubMed]  [PMC] 
  8. Harrington DM, Ioannidou E, Davies MJ, Edwardson CL, Gorely T, Rowlands AV, et al. Concurrent screen use and cross-sectional association with lifestyle behaviours and psychosocial health in adolescent females. Acta Paediatr. 2021;110(7):2164-70. [Crossref]  [PubMed]  [PMC] 
  9. Sheldrick MP, Maitland C, Mackintosh KA, Rosenberg M, Griffiths LJ, Fry R, et al. Associations between the Home Physical Environment and Children's Home-Based Physical Activity and Sitting. Int J Environ Res Public Health. 2019;16(21):4178. [Crossref]  [PubMed]  [PMC] 
  10. Özdi̇nçler AR, Rezaei̇ DA, Abanoz EŞ, Atay C, Keleş YA, Tahran Ö, et al. Okul çağındaki çocuklarda teknoloji bağımlılığının postür ve vücut farkındalığı üzerine etkisi [The effect of technology addiction on posture and body awareness in school age children]. Bağımlılık Dergisi. 2019;20(4):185-96. [Link] 
  11. Stodden DF, Goodway JD, Langendorfer SJ, Roberton MA, Rudisill ME, Garcia C, et al. A developmental perspective on the role of motor skill competence in physical activity: An emergent relationship. Quest. 2008;60(2):290-306. [Link] 
  12. Fontenele TMO, Nunes PPB, Silva FVM, Menezes CNB, Andrade RF, Mont'Alverne DGB, et al. Smartphone addiction and postural alterations in the cervical region in adolescents. Rev Paul Pediatr. 2023;42:e2023051. [Crossref]  [PubMed]  [PMC] 
  13. Berber M, Karadibak D, Uçurum SG. Adolesan dönemde ekrana bağlı aktivitelerin hamstring kas uzunluğu, reaksiyon zamanı ve vücut kitle indeksi üzerine etkisi [The effect of screen based activities on hamstring muscle length, reaction time and body mass index in adolesans]. DEU Tıp Derg. 2014;28(1):1. [Link] 
  14. Ismail FY, Ljubisavljevic MR, Johnston MV. A conceptual framework for plasticity in the developing brain. Handb Clin Neurol. 2020;173:57-66. [Crossref]  [PubMed] 
  15. Rocha HAL, Correia LL, Leite ÁJM, Machado MMT, Lindsay AC, Rocha SGMO, et al. Screen time and early childhood development in Ceará, Brazil: a population-based study. BMC Public Health. 2021;21(1):2072. [Crossref]  [PubMed]  [PMC] 
  16. McRoberts LB, Cloud RM, Black CM. Evaluation of the New York posture rating chart for assessing changes in postural alignment in a garment study. CTRJ. 2013;31(2):81-96. [Link] 
  17. Kantara Aktansoy S, Kirmizigi̇l B. İlköğretim öğrencilerinde eurofit test bataryası ve postür değerlendirmesi [The evaluation of eurofit test batary and posture in primary schools students]. Turkiye Klinikleri J Health Sci. 2020;5(1):73-80. [Crossref] 
  18. Wilson BN, Crawford SG, Green D, Roberts G, Aylott A, Kaplan BJ. Psychometric properties of the revised Developmental Coordination Disorder Questionnaire. Phys Occup Ther Pediatr. 2009;29(2):182-202. [Crossref]  [PubMed] 
  19. Yildirim CK, Altunalan T, Acar G, Elbasan B, Gucuyener K. Cross-cultural adaptation of the developmental coordination disorder questionnaire in Turkish children. Percept Mot Skills. 2019;126(1):40-9. [Crossref]  [PubMed] 
  20. Qi J, Yan Y, Yin H. Screen time among school-aged children of aged 6-14: a systematic review. Glob Health Res Policy. 2023;8(1):12. [Crossref]  [PubMed]  [PMC] 
  21. Nagata JM, Smith N, Alsamman S, Lee CM, Dooley EE, Kiss O, et al. Association of physical activity and screen time with body mass index among US adolescents. JAMA Netw Open. 2023;6(2):e2255466. [Crossref]  [PubMed]  [PMC] 
  22. Latalski M, Bylina J, Fatyga M, Repko M, Filipovic M, Jarosz MJ, et al. Risk factors of postural defects in children at school age. Ann Agric Environ Med. 2013;20(3):583-7. [PubMed] 
  23. David D, Giannini C, Chiarelli F, Mohn A. Text neck syndrome in children and adolescents. Int J Environ Res Public Health. 2021;18(4):1565. [Crossref]  [PubMed]  [PMC] 
  24. Tsang SMH, Cheing GLY, Chan JWK. Severity of slouched posture during smartphone use is associated with the musculoskeletal discomfort, daily usage, and school year among adolescents. Ergonomics. 2023;66(9):1340-53. [Crossref]  [PubMed] 
  25. Putnick DL, Trinh MH, Sundaram R, Bell EM, Ghassabian A, Robinson SL, et al. Displacement of peer play by screen time: associations with toddler development. Pediatr Res. 2023;93(5):1425-31. [Crossref]  [PubMed]  [PMC] 
  26. Downing KL, Hinkley T, Salmon J, Hnatiuk JA, Hesketh KD. Do the correlates of screen time and sedentary time differ in preschool children? BMC Public Health. 2017;17(1):285. Erratum in: BMC Public Health. 2017;17(1):367. [Crossref]  [PubMed]  [PMC] 
  27. Smith L, Fisher A, Hamer M. Prospective association between objective measures of childhood motor coordination and sedentary behaviour in adolescence and adulthood. Int J Behav Nutr Phys Act. 2015;12:75. [Crossref]  [PubMed]  [PMC] 

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