Top

Gepubliceerd in:

05-12-2023 | Original Paper

Changes in Sleep and Association with Screen Exposure and Diet among Preschool Children During the COVID-19 Pandemic: A Mixed Methods Study

Auteurs: P. Tatsiopoulou, V. Holeva, V. A. Nikopoulou, E. Parlapani, I. Diakogiannis

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 2/2024

Abstract

The COVID-19 pandemic and the restrictions to minimize transmission of the virus affected the population worldwide. As a result of prolonged home confinement in Greece, changes in work schedules, disruptions of the educational process, the challenge of online learning, the constant need for self-protection, and the restrictions on social interaction, the family life was dramatically altered. In this study, sleep patterns of preschool children were recorded, and effects of screen time and diet were investigated in relation to quarantine due to COVID-19. Parents of 146 children provided data on their children’s night-time sleep habits, dietary habits, and screen time exposure. Children’s sleep problems were measured with the Children’s Sleep Questionnaire. Descriptive and qualitative analyses showed that most parents (54.1%) reported that children’s sleep habits changed during the imposed home confinement. Children with more sleep problems were more likely to have increased screen exposure. The present study provides evidence on the negative impact of COVID-19 lockdown on the sleep behavior of Greek preschoolers. Focused action is needed to safeguard and promote preschoolers’ physical and mental health during the lockdown and the recovery period.

vorige artikel Division of Labor and Maternal Gatekeeping during the Second Wave of COVID-19 in Turkey

volgende artikel Challenges and Changes Experienced by Canadian LGBTQ/2S+ Youth during COVID-19

Altena, E., Baglioni, C., Espie, C. A., Ellis, J., Gavriloff, D., Holzinger, B., Schlarb, A., Frase, L., Jernelöv, S., & Riemann, D. (2020). Dealing with sleep problems during home confinement due to the COVID‐19 outbreak: Practical recommendations from a task force of the European CBT‐I Academy. Journal of Sleep Research, 29(4), e13052. https://doi.org/10.1111/jsr.13052.CrossRefPubMed

Astill, R. G., Van der Heijden, K. B., Van IJzendoorn, M. H., & Van Someren, E. J. (2012). Sleep, cognition, and behavioral problems in school-age children: a century of research meta-analyzed. Psychological Bulletin, 138(6), 1109–1138. https://doi.org/10.1037/a0028204.CrossRefPubMed

Belmon, L. S., van Stralen, M. M., Busch, V., Harmsen, I. A., & Chinapaw, M. J. (2019). What are the determinants of children’s sleep behavior? A systematic review of longitudinal studies. Sleep Medicine Reviews, 43, 60–70. https://doi.org/10.1016/j.smrv.2018.09.007.CrossRefPubMed

Brown, S. M., Doom, J. R., Lechuga-Peña, S., Watamura, S. E., & Koppels, T. (2020). Stress and parenting during the global COVID-19 pandemic. Child Abuse and Neglect, 110, 104699. https://doi.org/10.1016/j.chiabu.2020.104699.CrossRefPubMed

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa.CrossRef

Bruni, O., Malorgio, E., Doria, M., Finotti, E., Spruyt, K., Melegari, M. G., Villa, M. P., & Ferri, R. (2022). Changes in sleep patterns and disturbances in children and adolescents in Italy during the Covid-19 outbreak. Sleep Medicine, 91, 166–174. https://doi.org/10.1016/j.sleep.2021.02.003.CrossRefPubMed

Cartanyà-Hueso, À., Lidón-Moyano, C., Cassanello, P., Díez-Izquierdo, A., Martín-Sánchez, J. C., Balaguer, A., & Martínez-Sánchez, J. M. (2021). Smartphone and tablet usage during COVID-19 pandemic confinement in children under 48 months in Barcelona (Spain). Healthcare, 9(1), 96. https://doi.org/10.3390/healthcare9010096.CrossRefPubMedPubMedCentral

Creswell, J. W., & Clark, V. L. P. (2017). Designing and conducting mixed methods research. Sage publications

Cellini, N., Di Giorgio, E., Mioni, G., & Di Riso, D. (2021). Sleep and psychological difficulties in Italian school-age children during COVID-19 lockdown. Journal of Pediatric Psychology, 46(2), 153–167. https://doi.org/10.1093/jpepsy/jsab003.CrossRefPubMed

Chassiakos, Y. L. R., Radesky, J., Christakis, D., Moreno, M. A., & Cross, C., Council on Communications and Media. (2016). Children and adolescents and digital media. Pediatrics, 138(5), e20162593. https://doi.org/10.1542/peds.2016-2593.CrossRef

Council on Communications and Media. (2016). Media and young minds. Pediatrics, 138(5), e20162591. https://doi.org/10.1542/peds.2016-2591.CrossRef

Córdova, F. V., Barja, S., & Brockmann, P. E. (2018). Consequences of short sleep duration on the dietary intake in children: A systematic review and metanalysis. Sleep Μedicine Reviews, 42, 68–84. https://doi.org/10.1016/j.smrv.2018.05.006.CrossRef

Davis, K. F., Parker, K. P., & Montgomery, G. L. (2004). Sleep in infants and young children: Part one: normal sleep. Journal of Pediatric Health Care, 18(2), 65–71. https://doi.org/10.1016/s0891-5245(03)00149-4.CrossRefPubMed

Dellagiulia, A., Lionetti, F., Fasolo, M., Verderame, C., Sperati, A., & Alessandri, G. (2020). Early impact of COVID-19 lockdown on children’s sleep: A 4-week longitudinal study. Journal of Clinical Sleep Medicine, 16(9), 1639–1640. https://doi.org/10.5664/jcsm.8648.CrossRefPubMedPubMedCentral

Dutil, C., Podinic, I., Sadler, C. M., da Costa, B. G., Janssen, I., Ross-White, A., Saunders, T. J., Tomasone, J. R., & Chaput, J. P. (2022). Sleep timing and health indicators in children and adolescents: A systematic review. Health Promotion and Chronic Disease Prevention in Canada: Research, Policy and Practice, 42(4), 150–169. https://doi.org/10.24095/hpcdp.42.4.04.CrossRefPubMed

Eales, L., Gillespie, S., Alstat, R. A., Ferguson, G. M., & Carlson, S. M. (2021). Children’s screen and problematic media use in the United States before and during the covid‐19 pandemic. Child Development, 92(5), e866–e882. https://doi.org/10.1111/cdev.13652.CrossRefPubMedPubMedCentral

Eichen, L., Hackl‐Wimmer, S., Eglmaier, M. T. W., Lackner, H. K., Paechter, M., Rettenbacher, K., Rominger, C., & Walter‐Laager, C. (2021). Families’ digital media use: Intentions, rules and activities. British Journal of Educational Technology, 52(6), 2162–2177. https://doi.org/10.1111/bjet.13161.CrossRef

Eyimaya, A. O., & Irmak, A. Y. (2021). Relationship between parenting practices and children’s screen time during the COVID-19 Pandemic in Turkey. Journal of Pediatric Nursing, 56, 24–29. https://doi.org/10.1016/j.pedn.2020.10.00.CrossRef

Hartshorne, J. K., Huang, Y. T., Paredes, P. M. L., Oppenheimer, K., Robbins, P. T., & Velasco, M. D. (2021). Screen time as an index of family distress. Current Research in Behavioral Sciences, 2, 100023. https://doi.org/10.1016/j.crbeha.2021.100023.CrossRef

Janssen, X., Martin, A., Hughes, A. R., Hill, C. M., Kotronoulas, G., & Hesketh, K. R. (2020). Associations of screen time, sedentary time and physical activity with sleep in under 5s: A systematic review and meta-analysis. Sleep Medicine Reviews, 49, 101226. https://doi.org/10.1016/j.smrv.2019.101226.CrossRefPubMedPubMedCentral

Kaditis, A. G., Ohler, A., Gileles‐Hillel, A., Choshen‐Hillel, S., Gozal, D., Bruni, O., Aydinoz, S., Cortese, R., & Kheirandish‐Gozal, L. (2021). Effects of the COVID‐19 lockdown on sleep duration in children and adolescents: A survey across different continents. Pediatric Pulmonology, 56(7), 2265–2273. https://doi.org/10.1002/ppul.25367.CrossRefPubMedPubMedCentral

Khan, M. K., Chu, Y. L., Kirk, S. F., & Veugelers, P. J. (2015). Are sleep duration and sleep quality associated with diet quality, physical activity, and body weight status? A population-based study of Canadian children. Canadian Journal of Public Health, 106(5), e277–e282. https://doi.org/10.17269/cjph.106.4892.CrossRefPubMedPubMedCentral

Kontogianni, M. D., Vidra, N., Farmaki, A. E., Koinaki, S., Belogianni, K., Sofrona, S., Magkanari, F., & Yannakoulia, M. (2008). Adherence rates to the Mediterranean diet are low in a representative sample of Greek children and adolescents. The Journal of Nutrition, 138(10), 1951–1956. https://doi.org/10.1093/jn/138.10.1951.CrossRefPubMed

Lan, Q. Y., Chan, K. C., Kwan, N. Y., Chan, N. Y., Wing, Y. K., Li, A. M., & Au, C. T. (2020). Sleep duration in preschool children and impact of screen time. Sleep Medicine, 76, 48–54. https://doi.org/10.1016/j.sleep.2020.09.024.CrossRefPubMed

Lewien, C., Genuneit, J., Meigen, C., Kiess, W., & Poulain, T. (2021). Sleep-related difficulties in healthy children and adolescents. BMC Pediatrics, 21(1), 1–11. https://doi.org/10.1186/s12887-021-02529-y.CrossRef

Lissak, G. (2018). Adverse physiological and psychological effects of screen time on children and adolescents: Literature review and case study. Environmental Research, 164, 149–157. https://doi.org/10.1016/j.envres.2018.01.015.ADSCrossRefPubMed

Liu, Z., Tang, H., Jin, Q., Wang, G., Yang, Z., Chen, H., Yan, H., Rao, W., & Owens, J. (2021). Sleep of preschoolers during the coronavirus disease 2019 (COVID‐19) outbreak. Journal of Sleep Research, 30(1), e13142. https://doi.org/10.1111/jsr.13142.CrossRefPubMed

López-Bueno, R., López-Sánchez, G. F., Casajús, J. A., Calatayud, J., Tully, M. A., & Smith, L. (2021). Potential health-related behaviors for pre-school and school-aged children during COVID-19 lockdown: A narrative review. Preventive Medicine, 143, 106349. https://doi.org/10.1016/j.ypmed.2020.106349.CrossRefPubMed

Mattimoe, R., Hayden, M. T., Murphy, B., & Ballantine, J. (2021). Approaches to analysis of qualitative research data: a reflection on the manual and technological approaches. Accounting, Finance, & Governance Review, 27(1), 54–69.

Mavroudi, A., Chrysochoou, E. A., Boyle, R. J., Trypsianis, G., Xinias, I., Cassimos, D., Imvrios, G., Katotomichelakis, M., Karagiannidou, A., Karantaglis, N., Kourentas, G., & Warner, J. O. (2018). Validation of the Children’s sleep habits questionnaire in a sample of Greek children with allergic rhinitis. Allergologia et Immunopathologia, 46(4), 389–393. https://doi.org/10.1016/j.aller.2017.09.016.CrossRefPubMed

Miller, M. A., Bates, S., Ji, C., & Cappuccio, F. P. (2021). Systematic review and meta‐analyses of the relationship between short sleep and incidence of obesity and effectiveness of sleep interventions on weight gain in preschool children. Obesity Reviews, 22(2), e13113. https://doi.org/10.1111/obr.13113.CrossRefPubMed

Moore, S. A., Faulkner, G., Rhodes, R. E., Brussoni, M., Chulak-Bozzer, T., Ferguson, L. J., Mitra, R., O’Reilly, N., Spence, J. C., Vanderloo, L. M., & Tremblay, M. S. (2020). Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: A national survey. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 85. https://doi.org/10.1186/s12966-020-00987-8.CrossRefPubMedPubMedCentral

Nagata, J. M., Magid, H. S. A., & Gabriel, K. P. (2020). Screen time for children and adolescents during the COVID‐19 pandemic. Obesity, 28(9), 1582–1583. https://doi.org/10.1002/oby.22917.CrossRefPubMed

Owens, J. A., Spirito, A., & McGuinn, M. (2000). The Children’s Sleep Habits Questionnaire (CSHQ): Psychometric properties of a survey instrument for school-aged children. Sleep, 23(8), 1043–1052. https://doi.org/10.1093/sleep/23.8.1d.CrossRefPubMed

Ozili, P. K. (2023). The acceptable R-square in empirical modelling for social science research. In Social research methodology and publishing results: A guide to non-native english speakers (pp. 134–143). IGI Global.

Parlapani, E., Holeva, V., Voitsidis, P., Blekas, A., Gliatas, I., Porfyri, G. N., Golemis, A., Papadopoulou, K., Dimitriadou, A., Chatzigeorgiou, A. F., Bairachtari, V., Patsiala, S., Skoupra, M., Papigkioti, K., Kafetzopoulou, C., & Diakogiannis, L. (2020). Psychological and behavioral responses to the COVID-19 pandemic in Greece. Frontiers in Psychiatry, 11, 821. https://doi.org/10.3389/fpsyt.2020.00821.CrossRefPubMedPubMedCentral

Philippe, K., Chabanet, C., Issanchou, S., & Monnery-Patris, S. (2021). Child eating behaviors, parental feeding practices and food shopping motivations during the COVID-19 lockdown in France: (How) did they change? Appetite, 161, 105132. https://doi.org/10.1016/j.appet.2021.105132.CrossRefPubMedPubMedCentral

Rundle, A. G., Park, Y., Herbstman, J. B., Kinsey, E. W., & Wang, Y. C. (2020). COVID-19 related school closings and risk of weight gain among children. Obesity, 28(6), 1008–1009. https://doi.org/10.1002/oby.22813.CrossRefPubMed

Serra-Majem, L., Ribas, L., Ngo, J., Ortega, R. M., García, A., Pérez-Rodrigo, C., & Aranceta, J. (2004). Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutrition, 7(7), 931–935. https://doi.org/10.1079/PHN2004556.CrossRefPubMed

Tatsiopoulou, P., Holeva, V., Nikopoulou, V. A., Parlapani, E., & Diakogiannis, I. (2022). Children’s anxiety and parenting self‐efficacy during the COVID‐19‐related home confinement. Child: Care, Health and Development, 48(6), 1103–1111. https://doi.org/10.1111/cch.13041.CrossRefPubMed

Van den Broucke, S. (2020). Why health promotion matters to the COVID-19 pandemic, and vice versa. Health Promotion International, 35(2), 181–186. https://doi.org/10.1093/heapro/daaa042.CrossRefPubMed

Ventura, P. S., Ortigoza, A. F., Castillo, Y., Bosch, Z., Casals, S., Girbau, C., Siurana, J. M., Arce, A., Torres, M., & Herrero, F. J. (2021). Children’s Health Habits and COVID-19 Lockdown in Catalonia: Implications for Obesity and Non-Communicable Diseases. Nutrients, 13(5), 1657. https://doi.org/10.3390/nu13051657.CrossRefPubMedPubMedCentral

Wang, G., Zhang, Y., Zhao, J., Zhang, J., & Jiang, F. (2020). Mitigate the effects of home confinement on children during the COVID-19 outbreak. The Lancet, 395(10228), 945–947. https://doi.org/10.1016/S0140-6736(20)30547-X.CrossRef

WHO–UNICEF– Lancet Commissioners. (2020). After COVID-19, a future for the world’s children? The Lancet, 396(10247), 298–300. https://doi.org/10.1016/S0140-6736(20)31481-1.CrossRef

Titel: Changes in Sleep and Association with Screen Exposure and Diet among Preschool Children During the COVID-19 Pandemic: A Mixed Methods Study
Auteurs: P. Tatsiopoulou
V. Holeva
V. A. Nikopoulou
E. Parlapani
I. Diakogiannis
Publicatiedatum: 05-12-2023
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 2/2024
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-023-02732-8

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 2/2024

Cultural Adaptation and a Pilot Study of the Mothers and Babies Course for Perinatal African American Adolescents

Division of Labor and Maternal Gatekeeping during the Second Wave of COVID-19 in Turkey

Burnout in Brazilian Women Working from Home During the COVID-19 Pandemic: The Role of Motherhood

WhatsApp with the Evidence Base for Behavioral Parent Training Apps? A Systematic Review of Mobile Phone Applications

Adolescents’ Experiences of Remote Schooling and Family Life during the COVID-19 Pandemic in Australia

Differential Effects of an Early Childhood Care Preventive Intervention Program on Behavior and Emotional Problems