Os efeitos do uso de telas no desenvolvimento infantil

Autores

  • Francisco Onival Melo de Ataújo Afya Centro Universitário UNINOVAFAPI, Teresina, PI
  • Gerardo Vasconcelos Mesquita Afya Centro Universitário UNINOVAFAPI, Teresina, PI
  • Fernanda Cláudia Miranda Amorim Afya Centro Universitário UNINOVAFAPI, Teresina, PI

Palavras-chave:

desenvolvimento infantil; tempo de tela; primeira infância; tecnologia digital.

Resumo

Objetivo: Analisar as evidências científicas sobre os efeitos do uso de telas no desenvolvimento físico, cognitivo e psicossocial de crianças. Método: Revisão integrativa realizada nas bases MEDLINE, LILACS, BDENF, IndexPsi, SciELO e Scopus, incluindo estudos empíricos publicados entre 2019 e 2024. Após critérios de elegibilidade, 40 estudos compuseram a síntese. Resultados: Os achados apontaram sedentarismo, problemas visuais e posturais, prejuízos no sono, atrasos na linguagem, dificuldades de atenção e aprendizagem, além de irritabilidade, ansiedade e menor interação social. A mediação parental mostrou-se essencial para minimizar riscos. Conclusão: O tempo excessivo de tela constitui um importante fator de risco ao desenvolvimento infantil, reforçando a necessidade de ações educativas e orientações na Atenção Primária à Saúde e no ambiente familiar.

Referências

AMERICAN ACADEMY OF PEDIATRICS. Children and Adolescents and Digital Media. Pediatrics, v. 145, n. 2, p. e20193942, 2020.

AXELSSON, E. L.; PURCELL, K.; ASIS, A.; PAECH, G.; METSE, A.; MURPHY, D.; ROBSON, A. Preschoolers’ engagement with screen content and associations with sleep and cognitive development. Acta Psychologica (Amsterdam), v. 230, p. 103762, 2022. DOI: 10.1016/j.actpsy.2022.

BINET, M.; DOUCETTE, A.; PAGEOT, C.; CHEVALIER, M.; LARIVIÈRE-BASQUE, M.; ET AL. Preschooler screen time during the pandemic is prospectively associated with lower achievement of developmental milestones. JAMA Pediatrics, v. 178, n. 5, p. 482–490, 2024. DOI: 10.1001/jamapediatrics.2024.

BRITTO, P. R. et al. Nurturing care: promoting early childhood development. The Lancet, v. 389, n. 10064, p. 91–102, 2017. DOI: 10.1016/S0140-6736(16)31390-3.

BRUSHE, M. E.; HAAG, D. G.; MELHUISH, E. C.; REILLY, S.; GREGORY, T. Screen Time and Parent-Child Talk When Children Are Aged 12 to 36 Months. JAMA Pediatrics, v. 178, n. 4, p. 369–375, 2024. DOI: 10.1001/jamapediatrics.2023.6790.

CHASSIAKOS, Y. L.; ROLLIN, J. D.; ROMER, D.; CHRISTAKIS, D. A.; RATTLER, M.; BRUCCOLERI, J. Children and Adolescents and Digital Media. Pediatrics, v. 138, n. 5, p. e20162593, 2016. DOI: 10.1542/peds.2016-2593.

DURHAM, K.; WETHMAR, D.; BRANDSTETTER, S.; SEELBACH-GÖBEL, B.; APFELBACHER, C.; MELTER, M.; KABESCH, M.; KERZEL, S.; et al. Digital media exposure and predictors for screen time in 12-month-old children: a cross-sectional analysis of data from a German birth cohort. Frontiers in Psychiatry, v. 12, p. 737178, 2021. DOI: 10.3389/fpsyt.2021.737178.

FATHIMA, N.; VENKATRAMAN, K.; HARIHARAN, T. S. Qualitative study on the influence of mealtime screen exposure on children’s feeding practices: perspectives from paediatricians and speech-language pathologists in Chennai, Tamil Nadu. BMJ Open, v. 14, n. 12, p. e087904, 2024. DOI: 10.1136/bmjopen-2024-087904.

GALVÃO, C. M.; MENDES, K. D. S.; SILVEIRA, R. C. C. P. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto – Enfermagem, v. 17, n. 4, p. 758–764, 2008. DOI: 10.1590/S0104-07072008000400018.

GASTAUD, L. M.; TRETTIM, J. P.; SCHOLL, C. C.; RUBIN, B. B.; COELHO, F. T.; KRAUSE, G. B.; FERREIRA, N. M.; DE MATOS, M. B.; PINHEIRO, R. T.; DE AVILA QUEVEDO, L. Screen time: implications for early childhood cognitive development. Early Human Development, v. 183, p. 105792, 2023. DOI: 10.1016/j.earlhumdev.2023.105792.

GATH, M.; SWIT, C. Digital media in early childhood: risk factors for online harm and psychosocial correlates. Frontiers in Developmental Psychology, v. 2, art. 1390276, 2024. DOI: 10.3389/fdpys.2024.

GOMES, G. M. D.; SOUZA, R. C. V.; SANTOS, T. N.; SANTOS, L. C. Screen Exposure in 4-Year-Old Children: Association with Development, Daily Habits, and Ultra-Processed Food Consumption. International Journal of Environmental Research and Public Health, v. 21, n. 11, p. 1504, 2024. DOI: 10.3390/ijerph21111504.

GRIFFITH, S. F.; QIU, Y. A population-based study of associations among child screen media use, social-contextual factors, and school readiness. Journal of Developmental & Behavioral Pediatrics, v. 43, n. 9, p. 529–536, 2022. DOI: 10.1097/DBP.0000000000001115.

GUO, C.; GUO, J.; QU, Z.; GAO, J.; ZHOU, F.; CHEN, C.; GE, P.; LIU, G. Risk factors and discrimination model for screen exposure among children under 3 years: findings from Fujian province in China. BMC Pediatrics, v. 24, n. 1, p. 743, 2024. DOI: 10.1186/s12887-024-05221-Z.

KELES, B.; McCRAE, N.; GREALISH, A. A systematic review: the influence of social media on depression, anxiety and psychological distress in adolescents. International Journal of Adolescence and Youth, v. 25, n. 1, p. 79–93, 2020. DOI: 10.1080/02673843.2019.1590851.

KIM, K. M.; CHUNG, U. S. Emotional and Behavioral Correlates of Exposure to Electronic Media in School-Aged Children: A Prospective Study. Journal of Korean Medical Science, v. 38, n. 36, p. e283, 2023. DOI: 10.3346/jkms.2023.38.e283.

KWON, S.; ARMSTRONG, B.; WETOSKA, N.; CAPAN, S.; et al. Screen Time, Sociodemographic Factors, and Psychological Well-Being Among Young Children. JAMA Network Open, v. 7, n. 3, p. e2354488, 2024. DOI: 10.1001/jamanetworkopen.2023.54488.

LIN, H.-P.; CHEN, K.-L.; CHOU, W.; YUAN, K.-S.; YEN, S.-Y.; CHEN, Y.-S.; CHOW, J.-C. Prolonged touch screen device usage is associated with emotional and behavioral problems, but not language delay, in toddlers. Infant Behavior and Development, v. 58, p. 101424, 2020. DOI: 10.1016/j.infbeh.2020.101424.

LIN, J.; MAGIATI, I.; CHIONG, S. H. R.; SINGHAL, S.; RIARD, N.; NG, I. H.-X.; MÜLLER-RIEMENSCHNEIDER, F.; WONG, C. M. The relationship among screen use, sleep, and emotional/behavioral difficulties in preschool children with neurodevelopmental disorders. Journal of Developmental and Behavioral Pediatrics, v. 40, n. 7, p. 519–529, 2019. DOI: 10.1097/DBP.0000000000000683.

MADIGAN, S.; BROWNE, D. T.; RACINE, N.; MORI, C.; TOUGH, S. Association Between Screen Time and Children’s Performance on a Developmental Screening Test. JAMA Pediatrics, v. 173, n. 3, p. 244–250, 2019. DOI: 10.1001/jamapediatrics.2018.5056.

MCARTHUR, B.A.; BROWNE D.; RACINE N.; TOUGH S.; MADIGAN S. Screen Time as a Mechanism Through Which Cumulative Risk is Related to Child Socioemotional and Developmental Outcomes in Early Childhood. Res Child Adolesc Psychopathol. 2022 Jun;50(6):709-720. DOI: 10.1007/s10802-021-00895-w. Epub 2022.

MELNYK, B. M.; FINEOUT-OVERHOLT, E. Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice. 4. ed. Philadelphia: Wolters Kluwer, 2019. ISBN: 978-1-9751-0534-6.

MENG, X.; LIANG, X.; LIU, C.; CHENG, N.; LU, S.; ZHANG, K. X.; YIN, Y.; CHENG, T.; LU, C.; WANG, Z. Associations between screen media use and young children’s inhibitory control: Evidence from behavioral and fNIRS study. Computers in Human Behavior, v. 152, p. 108041, 2024. DOI: 10.1016/j.chb.2023.108041.

NAGATA, J. M.; GOBLE, T.; GEARING, R. E.; MURRAY, K.; et al. Contemporary screen time modalities and disruptive behavior disorders in children: a prospective cohort study. Journal of Child Psychology and Psychiatry, v. 64, n. 1, p. 125–135, 2023. DOI: 10.1111/jcpp.13673.

NOBRE, J. N. P. et al. Determining factors in children’s screen time in early childhood. Ciência & Saúde Coletiva, Rio de Janeiro, v. 26, n. 3, p. 1127–1136, mar. 2021. DOI: 10.1590/1413-81232021263.00602019.

NOBRE, J. N. P. et al. Quality of interactive media use in early childhood and child development: a multicriteria analysis. Cadernos de Saúde Pública, v. 36, n. 10, p. e00000020, 2020. DOI: 10.1590/0102-311X00000020. Disponível em: <https://www.scielo.br/j/csp/a/SDY9YLRXfQXF s59cz6QbfRG/?format=pdf>.

OSIKA, S. D. Screen time of toddlers in Paris suburbs: quantitative and qualitative analysis. Archives de Pédiatrie, 2023. DOI: 10.1016/j.arcped.2023.09.002. Disponível em: https://pubmed.ncbi.nlm.nih.gov/37798216/. Acesso em: 29 out. 2025.

OH, Y.; BAEK, J. H.; JOUNG, Y-S. Intelligence-Dependent Differential Effects of Media Exposure on Executive Function Changes in Children: A Population-Based Cohort Study With a Longitudinal Design. Journal of Korean Medical Science, v. 38, n. 48, p. e411, 2023. DOI: 10.3346/jkms.2023.38.e411.

ORGANIZAÇÃO MUNDIAL DA SAÚDE (OMS). Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age. Geneva: World Health Organization, 2019. Disponível em: https://www.who.int/publications/i/item/9789241550536. Acesso em: 11 de out. 2025.

PAGE, M. J.; MCKENZIE, J. E.; BOSSUYT, P. M.; BOUTRON, I; HOFFMANN, T. C.; MULROW, C. D.; et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Journal of Clinical Epidemiology 2021;134:178-189. DOI: 10.1016/j.jclinepi.2021.03.001.

PAPALIA, D.; FELDMAN, R.; MARTORELL, G. Desenvolvimento Humano. Porto Alegre: AMGH, 2013.

PEDROUZO, A.; GARCIA, T.; LAGADEC, M.; RUIZ-RUBIO, M.; PEREIRA, M.; CARRASCO, J. L.; et al. Screen use among young children and parental concern. Pediatrics, v. 146, n. 4, p. e2020004533, 2020. DOI: 10.1542/peds.2020-004533.

PEKPAK, N.; ALTUNALAN, T. Relationship Between Screen Time with Posture and Motor Coordination in Childhood: A Descriptive Study. Türkiye Klinikleri Pediatri Dergisi, v. 33, n. 2, p. 41–47, 2024. DOI: 10.5336/pediatr.2024-101303. Disponível em: https://www.turkiyeklinikleri.com/journal/journal-of-pediatrics/1300-0381/issue/2024/33/2-0/en-index.html. Acesso em: 24 de set. 2025.

POONIA, S.; KHALIL, S.; MEENA, P.; SHAH, D.; GUPTA, P. Parental Education for Limiting Screen Time in Early Childhood: A Randomized Controlled Trial. Indian Pediatrics, v. 61, n. 1, p. 32–38, 15 jan. 2024. PMID: 38183249. Disponível em: 5. OA-439.pmd/. Acesso em: 24 de set. 2025.

RADESKY, J. S.; CHRISTAKIS, D. A. Increased screen time: implications for early childhood development and behavior. Pediatric Clinics of North America, v. 63, n. 5, p. 827–839, 2016. DOI: 10.1016/j.pcl.2016.06.006.

RAYCE, S. B.; OKHOLM, G. T.; FLENSBORG-MADSEN, T. Mobile device screen time is associated with poorer language development among toddlers: results from a large-scale survey. BMC Public Health, v. 24, n. 1, p. 1050, 15 abr. 2024. DOI: 10.1186/s12889-024-18447-4.

ROCHA, H. A. L.; CORREIA, L. L.; LEITE, Á. J. M,; MACHADO, M. M. T.; LINDSAY, A. C.; ROCHA, S. G. M. O.; CAMPOS, J. S.; CAVALCANTE E SILVA, A.; SUDFELD, C. R. Screen time and early childhood development in Ceará, Brazil: a population-based study. BMC Public Health. 2021 Nov 11;21(1):2072. DOI: 10.1186/s12889-021-12136-2.

ROCHA, B.; FERREIRA, L. I.; MARTINS, C.; SANTOS, R.; NUNES, C. The Dark Side of Multimedia Devices: Negative Consequences for Socioemotional Development in Early Childhood. Children (Basel), v. 10, n. 11, p. 1807, 14 nov. 2023. DOI: 10.3390/children10111807.

SANTOS, C. M. C.; PIMENTA, C. A. M.; NOBRE, M. R. C. The PICO strategy for the research question construction and evidence search. Revista Latino-Americana de Enfermagem, Ribeirão Preto, v. 15, n. 3, p. 508–511, maio-jun. 2007. DOI: 10.1590/S0104-11692007000300023.

SILVA, A. L.; SOUSA, C. M.; PEREIRA, J. F. O impacto do uso excessivo de telas no desenvolvimento neuropsicomotor de crianças: uma revisão sistemática. São Paulo: Universidade X, 2023. Disponível em: https://www.researchgate.net/publication/375708555_O_IMPACTO_DO_USO_EXCESSIVO_DE_TELAS_NO_DESENVOLVIMENTO_NEUROPSICOMOTOR_DE_CRIANCAS_UMA_REVISAO_SISTEMATICA. Acesso em: 15 ago. 2025.

SLOBODIN, O.; et al. Infant screen media and child development: a prospective community study. Infancy, v. 29, n. 4, 2024. DOI: 10.1111/infa.12456.

SOCIEDADE BRASILEIRA DE PEDIATRIA. Manual de Orientação: Menos Telas, Mais Saúde – Atualização 2024. São Paulo: Sociedade Brasileira de Pediatria, 2024. Disponível em: https://www.gov.br/seccom/pt-br/arquivos/2024_menostelas-maissaude_atualizado.pdf. Acesso em: 03 de jul. 2025.

SRISINGHASONGKRAM, P.; TRAIRATVORAKUL, P.; MAES, M.; CHONCHAIYA, W. Effect of early screen media multitasking on behavioural problems in school-age children. Eur Child Adolesc Psychiatry. 2021 Aug;30(8):1281-1297. DOI: 10.1007/s00787-020-01623-3. Epub 2020 Aug 27.

SUGIYAMA, M.; TSUCHIYA, K. J.; OKUBO, Y.; RAHMAN, M. S.; UCHIYAMA, S.; HARADA, T.; IWABUCHI, T.; OKUMURA, A.; NAKAYASU, C.; AMMA, Y.; SUZUKI, H.; TAKAHASHI, Nagahide; KINSELLA-KAMMERER, B.; NOMURA, Y.; ITOH, H.; NISHIMURA, T. Outdoor play as a mitigating factor in the association between screen time for young children and neurodevelopmental outcomes: a cohort study. JAMA Pediatrics, v. 177, n. 3, p. 303-310, 1 mar. 2023. DOI: 10.1001/jamapediatrics.2022.5356.

SUNDQVIST, A.; SÖDERQVIST, B.; DALIN, M.; JOHANSSON, J.; HAGBERG, B.; HOLM, A.; et al. A longitudinal study of the relationship between children’s exposure to screen media and vocabulary development. Child Development, v. 94, n. 2, p. 442–456, 2023. DOI: 10.1111/cdev.13825.

SUPANITAYANON, S.; TRAIRATVORAKUL, P.; CHONCHAIYA, W. Screen media exposure in the first 2 years of life and preschool cognitive development: a longitudinal study. Pediatr Res. 2020 Dec;88(6):894-902. doi: 10.1038/s41390-020-0831-8. Epub 2020.

TAKAHASHI, I.; OBARA, T.; ISHIKURO, M.; MURAKAMI, K.; UENO, F.; NODA, A.; ONUMA, T.; SHINODA, G.; NISHIMURA, T.; TSUCHIYA, K. J.; KURIYAMA, S. Screen Time at Age 1 Year and Communication and Problem-Solving Developmental Delay at 2 and 4 Years. JAMA Pediatrics, v. 177, n. 10, p. 1039–1046, 1 out. 2023. DOI: 10.1001/jamapediatrics.2023.3057.

TEKECI, Y.; TORPIL, B.; ALTUNTAŞ, O. The Impact of Screen Exposure on Screen Addiction and Sensory Processing in Typically Developing Children Aged 6-10 Years. Children (Basel). 2024 Apr 13;11(4):464. DOI: 10.3390/children11040464.

TWENGE, J. M.; CAMPBELL, W. K. Associations between screen time and lower psychological well-being among children and adolescents: evidence from a population-based study. Preventive Medicine Reports, v. 12, p. 271–283, out. 2018. DOI: 10.1016/j.pmedr.2018.10.003.

WALSH, J. J.; BARNES, J. D.; TREMBLAY, M. S.; CHAPUT, J. Associations between duration and type of electronic screen use and cognition in US children. Computers in Human Behavior, (), 106312–. DOI:10.1016/j.chb.2020.106312.

WU, J.; YIN, X-N.; QIU, S-Y.; WEN, G-M.; YANG, W-K.; ZHANG, J-Y.; et al. Association between screen time and hyperactive behaviors in children under 3 years in China. Frontiers in Psychiatry, v. 13, p. 977879, 9 nov. 2022. DOI: 10.3389/fpsyt.2022.977879.

XIE, G.; DENG, Q.; CAO, J.; CHANG, Q. Digital screen time and its effect on preschoolers' behavior in China: results from a cross-sectional study. Ital J Pediatr. 2020 Jan 23;46(1):9. DOI: 10.1186/s13052-020-0776-x.

YAMAMOTO, M.; MEZAWA, H.; SAKURAI, K.; MORI, C. Screen Time and Developmental Performance Among Children at 1-3 Years of Age in the Japan Environment and Children's Study. JAMA Pediatr. 2023 Nov 1;177(11):1168-1175. DOI: 10.1001/jamapediatrics.2023.3643. Erratum in: JAMA Pediatr. 2024 Mar 1;178(3):321. DOI: 10.1001/jamapediatrics.2023.6451.

ZHAO, J.; YU, Z.; SUN, X.; WU, S.; ZHANG, J.; ZHANG, D.; ZHANG, Y.; JIANG, F. Association Between Screen Time Trajectory and Early Childhood Development in Children in China. JAMA Pediatr. 2022 Aug 1;176(8):768-775. DOI: 10.1001/jamapediatrics.2022.1630. Erratum in: JAMA Pediatr. 2022 Aug 1;176(8):829. doi: 10.1001/jamapediatrics.2022.2622. PMID: 35666518; PMCID: PMC9171655.

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2025-12-17

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