How much screen time is healthy for children? Health risks to kids

Many parents believe that technology and gadgets are essential for a child’s development, but can you go too far? How much time should a child spend in front of a screen is a question being asked not just by worried parents but psychologists, health organisations and even governments. Here, you can read a collection of experts’ guidelines for managing a child’s screen time, and their warnings and advice on the dangers of recreational screen time, especially before bedtime. (Also see: Is YouTube safe for kids?)

Isolation update: Screens can be a lifeline

This was especially pertinent when families were having to avoid usual social contact but remain true at all times. Social distancing and self-isolation at home resulted in nearly a two-fold surge of children’s smartphone screen time, according to Bosco, a monitoring app for the online and social activity of children and teens.

The number of messages in the WhatsApp groups of children is now 5 times higher than it was pre-lockdown, and as for teens aged 13 and over it is now 7.5 times higher than before the Coronavirus crisis started, reports Bosco.

A Harris Poll survey in August 2020 found nearly seven in 10 parents of 5-to-17-year-olds said their kids’ screen time had increased, and 60% felt they “have no choice but to allow it.”

Children are averaging an extra 1.5 hours of screen time a day on school days, not counting usage for school.

The British Psychological Society warns that “Too much screen time for young children can unintentionally cause permanent damage to their still-developing brains. The ability to focus, to concentrate, to lend attention, to sense other people’s attitudes and communicate with them, to build a large vocabulary – all those abilities are harmed.”

However, child psychologists are now warning that months of isolation are likely to have serious emotional consequences to children, especially an only child.

Penelope Leach, author of the bestselling Your Baby and Child, previously said it would be best for children under two not to have any screen time at all, but now recognises that “we are in a completely different situation”.

“Screens do not entirely replace face-to-face interaction, but it is better than nothing,” she advises, suggesting applications such as WhatsApp, Zoom and Houseparty to talk online to friends.

The US Department of Health and Human Services estimates that American children spend a whopping seven hours a day in front of electronic media.

The UK government’s Commons Science & Technology Committee has announced an inquiry into the impact of social media and screen-use on young people’s health. And Unicef has published a review on the effects of digital technology on children’s psychological wellbeing, including happiness, mental health and social life. This suggested that some screen time could be good for children’s mental wellbeing, but that too much had a negative impact.

The UK’s Royal College of Paediatrics and Child Health (RCPCH) does not set time limits for different age groups because there’s a lack of evidence. The World Health Organization (WHO) advises that screen time should be replaced with more time for interaction, physical activity and sleep.

Kids at home on tech

In the US and UK the average age for kids getting a phone is 10. 

Positive and negative effects of screen time

Here we look at the positive and negative effects of screen time, and how it can affect academic results and even lead to non-screen addictions later in life. We look at establishing rules for children, and how we need to follow these ourselves as parents. Screen breaks are important, and there are apps that can help you reduce screen time.

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There’s a lot of detail here, so if you just want to know some quick guidelines, read our shorter Parents and Children’s Screen Time guidelines at the end of this feature.

See also Online safety: How to keep children safe online and check out our online safety tips for parents. Android users: How to Control Kids’ Screen Time on Android.

The reason behind all this gadget use: over a third of parents (35 percent) said they use tech gadgets to entertain their children because they are convenient, and nearly a quarter (23 percent) because they want their children to be tech-savvy. A 2015 survey of 1,000 British mothers of children aged 2 to 12 found that 85 percent of mums admit to using technology to keep the kids occupied while they get on with other activities. The AO.com survey pointed to children spending on average around 17 hours a week in front of a screen – almost double the 8.8 weekly hours spent playing outside.

Wanting our children to be tech-savvy is understandable, and the need to keep them entertained (while we work or just tidy up after them!) will also make sense to many a parent. But we must also weigh up the risks associated with children having too much screen time.

In his lecture ‘Managing Screen Time and Screen Dependency’ Dr Aric Sigman argues that “whether it’s Facebook, the internet or computer games, screen time is no longer merely a cultural issue about how children spend their leisure time, nor is it confined to concern over the educational value or inappropriate content – it’s a medical issue”.

Sigman is concerned less with a child’s ICT or Computer Science study or use of computers for homework, but more with their screen time in non-educational environments in front of entertainment screen media such as television, the internet and computer games. He has some strong recommendations for reducing children’s screen time, from toddlers to teenagers – and adults, too.

Obviously he is less worried by educational television programmes and even some educational computer games or mobile apps, but still recommends strictly limiting all screen time for kids.

TV has been an easy “babysitter” for years now, aided even further with DVDs, Netflix and so on. But computer, tablet and mobile screens engender more worry, in what has been put down as merely the latest generational complaint – “fresh expressions of horrible and timeless anxieties … a tried and true form of advanced-age self-care”.

The current generation of children in most Western societies spends more time in front of a screen than any before it. A study back in 2010 – before even the phenomenal rise of Apple’s iPad and other tablets – estimated that by the age of 10 children had access to an average of five screens in their lives. That number, Sigman suggests, has almost certainly risen since.

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In addition to the main family TV, for example, many young children have their own bedroom telly along with portable computer game consoles (Nintendo, PlayStation, Xbox), smartphone, family computer and a laptop and/or a tablet computer.

By the age of seven the average child will have spent a full year of 24-hour days watching recreational screen media, claims Sigman. Over the course of childhood, children spend more time watching TV than they spend in school.

More screens means more consumption, and more medical problems argues Dr Sigman.

Kids screen time laptops usage

Screen time effect on academic grades

In 2015 Cambridge University researchers recorded the activities of more than 800 14-year-olds and analysed their GCSE results at 16. Those spending an extra hour a day on screens (TV, computer, games console, phone) saw a fall in GCSE results equivalent to two grades overall.

On average, the 14-year-olds said they spent four hours of their leisure time each day watching TV or in front of a computer.

An additional hour of screen-time each day was associated with 9.3 fewer GCSE points at 16 – the equivalent of dropping a grade in two subjects. Two extra hours of screen-time was associated with 18 fewer points – or dropping a grade in four subjects. Even if pupils spent more time studying, more time spent watching TV or online, still harmed their results, the analysis suggested.

Establish screen time rules for the whole family

So how much screen time is healthy for a 7 year-old, 10 year old, even 1, 2 or 3 year old? How much TV should a child watch? How many hours in front of a computer? You may be be shocked at too how much time in front of a screen has an adverse effect on a child’s health and development.

Parents who want to reduce their children’s screen time need to establish rules to reduce the risk of later health and psychological issues.

Sigman admits that there is a lack of clarity of advice, but points to a number of governmental advice points on the maximum amount of time a child should spend in front of a screen.

In 2013 the US Department of Health recommended that children under two years of age should not be in front of a screen at all, and over that age the maximum leisure screen time should be no more than two hours a day.

The French government has even banned digital terrestrial TV aimed at all children under three, while Australia and Canada have similar recommendations and guidelines.

Harvard clinical psychologist and school consultant, Catherine Steiner-Adair (author of The Big Disconnect: Protecting Childhood and Family Relationships in the Digital Age) has studied the impact of digital technology on infant brain development. A baby’s brain is hardwired to learn language, emotions and how to regulate them. Steiner believes there is no productive role technology can play in the life of a baby under two years.

Taiwanese parents are now legally obligated to monitor their children’s screen time. The Taiwanese government can levy £1,000 fines on parents of children under the age of 18 who are using electronic devices for extended periods of times. Similar measures exist in China and South Korea that aims to limit screen time to a healthy level.

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The UK government has recently backtracked on a 2008 guidance that children should be exposed to technology and computers from a very young age, but there is currently no medical or governmental guidelines on screen time in the UK. The advice from the National Institute for Health and Care Excellence (Nice) is that children should have TV-free days, or have two-hour limits on the time spent in front of screens.

Ofcom in the UK estimates that the average 3-4-year-old spends three hours a day in front of a screen. This rises to four hours for ages 5-7, 4.5 hours by ages 8-11, and 6.5 hours for teenagers.

The report also found that older children are spending more time online and are more likely to go online alone, children aged 12-15 are spending more time online (rising from 14.9 hours a week to 17.1 hours) and spend as much time in a week using the internet as they do watching television. Up to 43 percent of kids are also more likely to mostly use the internet in their bedrooms.

Children who use the internet mostly alone comprise one in seven internet users aged 5-7 (14%), one in four aged 8-11 (24%) and over half of those aged 12-15 (55%).

Children are going online via a wider range of devices. Internet access using a PC or laptop is increasingly being supplemented by access through other devices. All age groups are more likely in 2012 to go online using a tablet computer, and children aged 5-7 and 12-15 are also more likely to go online using a mobile phone.

It’s telling that Apple’s Steve Jobs didn’t allow his kids to play with iPads at all. Steve was a bit of an extremist, but limiting screen time should be at the front of every parent’s mind – and that includes their own screen time in front of children. And Bill Gates of Microsoft capped video-game time for his daughter.

Steiner-Adair found that babies showed signs of distress when they looked to a parent for a reassuring connection and discovered the parent is distracted by technology. Her research found that 70 percent of kids think their parents spend too much time on devices, and accuse their parents of double standards.

Two of Apple’s largest shareholders recently called on the tech giant to develop software that limits how long children can use its smartphones.

Parents know that to establish rules for their children they need to be roles models too. So that means putting your phone down when around the kids, and trying not to eat every meal in front of the TV. You can’t lecture a child about screen time if you are getting too much too!

We should look out for “technology-based interruptions in parent-child interactions” – a phenomenon known as “technoference”, which seems to correlate with children being more prone to whining, sulking, restlessness, frustration and outbursts of temper.

Frequent screen breaks

Introduce frequent screen breaks

Dr Larry Rosen, psychology professor at California State University, says that it’s more important to limit the stretches of time…

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