Article

Screens in the car: myopia, sleep and travel sickness

On a six-hour drive, a tablet can be the difference between a calm car and a miserable one. It also comes with three separate costs, documented in different bodies of research. Seeing them side by side makes the decision easier.

Oppdatert 2 min lesetid 13 henvisninger

Nasal CPAP mask with forehead tabs and headgear straps laid on a plain surface
Joe Mabel · CC BY-SA 3.0 · Wikimedia Commons

Cost one: eyesight

A systematic review and meta-analysis in The Lancet Digital Health examined the association between digital smart-device use and myopia (short-sightedness) [3]. This is research on screen use in general, not in cars, and an association is not proof of cause. For a family that drives long distances often, though, the hours add up.

Cost two: sleep

A study examined sleep duration in preschool children and the impact of screen time [11]. On road trips this matters most for evening arrivals, when a child who has spent the last few hours on a tablet then has to settle in an unfamiliar bed. The site's page on car naps and bedtime covers the other half of that problem.

Cost three: travel sickness

Looking at a close, still screen while the body feels the car's motion is a classic trigger for travel sickness in susceptible children, because what the eyes report and what the inner ear reports do not match. This site's travel sickness page covers that mechanism and what helps.

Three separate costs

ConcernEvidenceSpecific to car journeys?
MyopiaMeta-analysis of smart-device use and myopiaNo, general screen use
Shorter sleepStudy of screen time and sleep in preschool childrenNo, general screen use
Travel sicknessMechanism covered on this site's travel sickness pageYes

Ways to keep the benefit and cut the cost

  • Plan screen-free stretches and use the stops you are already making (see how often to stop) to break up screen time.
  • For children prone to travel sickness, prefer audio such as stories, music or podcasts over screens.
  • Wind down screen use in the last part of an evening drive if bedtime follows soon after arrival.

Common questions

Do screens in the car cause myopia?
The meta-analysis found an association with smart-device use in general. It does not show that car journeys specifically cause myopia.
Should screens be banned on long drives?
This page does not recommend that. It sets out the trade-offs so you can decide how much and when.
Is there a safe number of minutes?
The research summarised here does not define a threshold for car journeys.
What is the best alternative for a child who gets car sick?
Audio entertainment avoids the visual conflict that screens create.
Window with a slatted blind lowered partway across the glass
Maniago · Public domain · Wikimedia Commons
The evidence behind this page A stacked bar showing the composition of the 13 publications cited on this page by study type. 5314meta-analysis (5)randomised trial (3)review (1)other (4)
13 publications, 2010–2024. That is a mix with both trials and syntheses in it, which is the position from which a claim about cause is reasonable. Source: this page’s own citation list, below.

Referanser

Hver henvisning nedenfor lenker til den originale fagfellevurderte artikkelen på PubMed eller via DOI. Ingenting her er en erstatning for medisinsk råd.

  1. Mental health during the COVID-19 pandemic in children and adolescents with ADHD: A systematic review of controlled longitudinal cohort studies Dessain A, Parlatini V, Singh A, et al. · Neuroscience and biobehavioral reviews · 2024 · Systematic review DOIPubMed 38065419
  2. Physical Activity of Children and Adolescents in Croatia: A Global Matrix 4.0 Systematic Review of Its Prevalence and Associated Personal, Social, Environmental, and Policy Factors Pedišić Ž, Strika M, Matolić T, et al. · Journal of physical activity & health · 2023 · Systematic review DOIPubMed 37076241
  3. Association between digital smart device use and myopia: a systematic review and meta-analysis Foreman J, Salim AT, Praveen A, et al. · The Lancet. Digital health · 2021 · Meta-analysis DOIPubMed 34625399
  4. Systematic review of the relationships between sedentary behaviour and health indicators in the early years (0-4 years) Poitras VJ, Gray CE, Janssen X, et al. · BMC public health · 2017 · Systematic review DOIPubMed 29219092Full text
  5. Associations of children's independent mobility and active travel with physical activity, sedentary behaviour and weight status: a systematic review Schoeppe S, Duncan MJ, Badland H, et al. · Journal of science and medicine in sport · 2013 · Systematic review DOIPubMed 23219100
  6. Healthy Children, Strong Families 2: A randomized controlled trial of a healthy lifestyle intervention for American Indian families designed using community-based approaches Tomayko EJ, Prince RJ, Cronin KA, et al. · Clinical trials (London, England) · 2017 · Randomised controlled trial DOIPubMed 28064525Full text
  7. Weight status, modes of travel to school and screen time: a cross-sectional survey of children aged 10-13 years in Sydney Wen LM, Merom D, Rissel C, et al. · Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2010 · Randomised controlled trial DOIPubMed 20406154
  8. Primary headache disorders in adolescents in North- and South-Tyrol: Findings of the EVA-Tyrol-Study Kaltseis K, Frank F, Bernar B, et al. · Cephalalgia : an international journal of headache · 2022 · Clinical trial DOIPubMed 35331020Full text
  9. Interventions designed to reduce sedentary behaviours in young people: a review of reviews Biddle SJ, Petrolini I, Pearson N · British journal of sports medicine · 2014 · Review DOIPubMed 24347578
  10. Bedtime Regularity and Sleep Sufficiency in Children With Tourette Syndrome Swisher VS, Liu S, Ricketts EJ · Pediatric neurology · 2024 · Journal article DOIPubMed 38945036
  11. Sleep duration in preschool children and impact of screen time Lan QY, Chan KC, Yu KN, et al. · Sleep medicine · 2020 · Journal article DOIPubMed 33091726
  12. Parental concern about concussion risk for their children Kroshus E, Qu P, Chrisman SPD, et al. · Social science & medicine (1982) · 2019 · Journal article DOIPubMed 30674437
  13. Well-Child Visits for Infants and Young Children Turner K · American family physician · 2018 · Journal article PubMed 30215922

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