Monday Medical: Screens and kids
November 5, 2018
Smartphones, tablets and computers are a part of daily life — for children as well as adults. But how much is too much?
"One study showed 24 percent of adolescents feel constantly connected to the internet, and 50 percent report feeling addicted to their phones," said Dr. Patrick Grathwohl, a pediatrician in Steamboat Springs and a member of the medical staff at UCHealth Yampa Valley Medical Center. "It's not that all screen time is bad — there can be great benefits to it. But, I think the goal is to have a healthy relationship with it."
Below, Grathwohl outlines what you need to know when it comes to kids and screen time.
Vary screen-time limits by age
According to the American Academy of Pediatrics, children as old as 18 months old should have no screen time, while children up to 2 years should have very little.
"A lot of brain development is happening, and young kids learn best through exploratory play or interacting with their world — not through screens," Grathwohl said.
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For young children, screen time doesn't offer significant benefits, while too much poses health risks, including social, emotional and cognitive delays. But don't give up FaceTiming with grandparents: interactive video calls are considered fine for this age group.
From age 2 to 5, screen time should be limited to one hour of high-quality programming, and it's best if parents watch with their kids. Above age 6, families should decide what limits are appropriate.
"Less than two hours of screen time is the goal," Grathwohl said, "which today is not easy."
Know it's not too late to foster good habits
"Our brains are constantly changing and adapting to our environment," Grathwohl said. "Children are quicker than adults to do that. You can still make positive changes even if you got off on the wrong foot."
Those changes are worth it. Skills gained through screen-free time — such as making eye contact and speaking with people in real time — are especially important for children growing up in a high-tech world.
Keep screens out of bedrooms
Having a smartphone or tablet in the bedroom is associated with various health risks, including sleep deprivation and obesity. Grathwohl recommends setting up a family charging station in the kitchen or living area where all devices go for the night.
Avoid screens before bed. "You should have 30 to 60 minutes of screen-free time before going to sleep," Grathwohl said. "It takes your brain awhile to wind down from processing all of that information."
Stay connected with older kids
Limiting screen time can be more difficult with teens, but it's important for parents to stay involved.
"Let them know you're going to do routine checks on their devices, not because you don't trust them, but just to keep them safe," Grathwohl said.
Be aware of the risks. Studies show parents underestimate the risks posed when kids interact with people they don't know online, and that cyberbullying affects 10 to 40 percent of adolescents.
Lead by example
"The No. 1 place kids learn from is their parents, and they're going to mimic what we do," Grathwohl said. "If you're constantly on Facebook or Instagram, not only will you miss out on your kids' growth and development, but they're going to learn that that's the norm."
Aim for screen-free time at least once per day — for instance from 6 to 8 p.m. — so you have time to interact and bond.
As you help your child navigate life with technology, keep in mind that setting limits on screen time is just another part of parenting.
"You protect your kids from everything you can," Grathwohl said. "This is another area where you have to monitor and mentor your kids so they continue to grow happy and healthy."
Susan Cunningham writes for UCHealth Yampa Valley Medical Center. She can be reached at firstname.lastname@example.org.