Impact of Screen Time on Early Development: Evidence from a Large Japanese Cohort

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Researchers from Tohoku University and Hamamatsu University in Japan have identified a link between excessive tablet time and slower developmental progress in children. The findings were published in JAMA Pediatrics, offering new insights into how media use may influence early childhood development.

In a longitudinal study, investigators collected data from more than 7,000 parents. Caregivers answered questions about their children’s daily screen exposure across multiple devices, while trained clinicians periodically evaluated the children to track developmental milestones over several years. The study design combined parental reports with objective developmental assessments to capture a broad view of early growth and learning.

Overall, many children did not exceed one hour of screen time per day. About 30% of the sample spent roughly one to two hours in front of screens, 18% used screens for two to four hours, and 4% of families did not place any limits on their children’s screen exposure. The researchers emphasize that the distribution reflects real-world patterns across diverse households and emphasizes the importance of monitoring daily media use in early childhood.

Key results showed that higher screen time in the first year of life was associated with delays in several developmental domains by age two, with the exception of gross motor skills, which appeared less affected at that stage. By age four, increased screen exposure was linked to delays primarily in communication, language development, and problem-solving abilities. These associations persisted after accounting for various demographic and behavioral factors, suggesting that consistent, age-appropriate media use may play a role in early cognitive and social development. The authors caution that the study does not prove causation but adds to a growing body of evidence that supports mindful media practices for young children.

In light of these findings, experts underscore practical steps for families. Limiting screen time, choosing high-quality educational content, co-viewing with children, and engaging in interactive activities can help mitigate potential risks. Creating screen-free routines during meals and before bedtime, encouraging hands-on play, and promoting real-world exploration are practical strategies that can support healthy development across multiple domains. Parents are encouraged to discuss media habits with pediatricians to tailor guidance to each child’s needs and family context, acknowledging that cultural and socioeconomic factors can influence access to devices and opportunities for learning. The focus remains on balanced, intentional use rather than blanket restrictions.

Additional research continues to explore how early experiences with screens interact with genetics, environment, and learning environments to shape developmental outcomes. While the current study contributes meaningful information, it also highlights the necessity for ongoing work to identify which aspects of screen use are most influential and how best to structure digital experiences to support growth and learning for every child. The overarching message for caregivers is to approach media with awareness, informed by credible research, and to prioritize activities that actively engage children in problem solving, communication, and social interaction. This balanced approach helps families navigate the digital landscape while fostering healthy development for the youngest learners.

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