Use of Screens and Neuropsychomotor Development Delay in Children Under 5 Years Old

Authors

  • Vanessa Giavarotti Taboza Flores Universidade Federal de Mato Grosso do Sul
  • Juan Pablo Flamini Rodrigues Centro Universitário de Caratinga
  • Fernando Barraca de Jesus Meche Universidade Anhanguera-UNIDERP
  • Maria Clara de Oliveira Costa Universidade São Leopoldo Mandic
  • Giulia Girelli Universidade Unimax

DOI:

https://doi.org/10.5281/zenodo.19389614

Keywords:

Screen time, Child development, Developmental delay, Child, Neurodevelopment

Abstract

This study aimed to analyze, through a systematic literature review, the association between screen use and neuropsychomotor developmental delay in children under five years old. This is a descriptive and analytical review conducted through searches in PubMed/MEDLINE, Scopus, Web of Science, and Embase databases, using descriptors related to screen time, electronic devices, child development, and developmental delay. Original studies available in full text that evaluated screen exposure and its impact on neuropsychomotor development were included. The results demonstrated a consistent association between excessive screen use and impairments across multiple developmental domains, particularly language, cognition, motor skills, and social interaction. Greater exposure time, early initiation, and lack of parental supervision were associated with worse outcomes. Conversely, moderate, supervised use with educational content may mitigate negative effects. It is concluded that excessive screen use represents a significant risk factor for developmental delays in early childhood, highlighting the importance of proper guidance for parents and caregivers regarding balanced use of digital technologies.

Author Biographies

Vanessa Giavarotti Taboza Flores, Universidade Federal de Mato Grosso do Sul

Doutoranda do Programa de Pós-Graduação em Doenças Infecciosas e Parasitárias da UFMS. Mestrado Acadêmico em Enfermagem/UFMS (2022). Graduação em Enfermagem pela Universidade Católica Dom Bosco (2006). Experiência na área de Enfermagem, com ênfase em Enfermagem Pediátrica , UTI Neonatal, Unidades de Saúde da Família e Programas de saúde pública. Membro do Grupo de Estudos e Pesquisas em Enfermagem clínica (GEPEC/UFMS).

Juan Pablo Flamini Rodrigues, Centro Universitário de Caratinga

Graduando em Medicina.

Fernando Barraca de Jesus Meche, Universidade Anhanguera-UNIDERP

Médico Veterinário. Especialista em Vigilância Sanitária. Graduando em Medicina (2026/1).

Maria Clara de Oliveira Costa, Universidade São Leopoldo Mandic

Graduanda em Medicina.

Giulia Girelli, Universidade Unimax

Graduanda em Medicina.

References

1. Madigan S, Browne D, Racine N, Mori C, Tough S. Association between screen time and children’s performance on a developmental screening test. JAMA Pediatr. 2019;173(3):244–250. doi:10.1001/jamapediatrics.2018.5056.

2. Guerreiro TBF, Cavalcante LIC, Costa EF, Valente MDR. Psychomotor development screening of children from kindergarten units of Belém, Pará, Brazil. J Hum Growth Dev. 2016;26(2):181–189. doi:10.7322/jhgd.119261.

3. Dornelas LF, Duarte NMC, Magalhães LC. Neuropsychomotor developmental delay: conceptual map, term definitions, uses and limitations. Rev Paul Pediatr. 2015;33(1):88–103. doi:10.1016/j.rpped.2014.04.009.

4. Thomaz GC, Esvicero CF, Americo G, Silva IHB, Bello JP, Arakaki RT, et al. A intensificação do uso de telas e repercussões no desenvolvimento neuropsicomotor infantil. Res Soc Dev. 2024;13(11):e129131147436. doi:10.33448/rsd-v13i11.47436.

5. Gastaud LM, Trettim JP, Scholl CC, Rubin BB, Coelho FT, Krause GB, et al. Screen time: implications for early childhood cognitive development. Early Hum Dev. 2023;183:105792. doi:10.1016/j.earlhumdev.2023.105792.

6. Guerreiro TBF, Cavalcante LIC, Costa EF, Valente MDR. Psychomotor development screening of children from kindergarten units of Belém, Pará, Brazil. J Hum Growth Dev. 2016;26(2):181–189. doi:10.7322/jhgd.119262.

7. Souza EF, Lacerda RAV, Desio JAF, Kammers CM, Henkes S, Ribeiro NFP, et al. Screen use in children – two sides of the coin: a critical narrative review. Dement Neuropsychol. 2025;19:e20240173. doi:10.1590/1980-5764-DN-2024-0173.

8. Costa IM, Ribeiro EGM, Fernandes GS, Luiz LWS, Miranda LC, Teixeira NS, et al. Impacto das telas no desenvolvimento neuropsicomotor infantil: uma revisão narrativa. Braz J Health Rev. 2021;4(5):21060–21071.

9. Dornelas LF, Duarte NMC, Magalhães LC. Neuropsychomotor developmental delay: conceptual map, term definitions, uses and limitations. Rev Paul Pediatr. 2014;33(1):88–103.

10. Vasconcelos YLC, Santos LT, Santos JFP, Andrade ARO. O impacto do uso excessivo de telas no desenvolvimento neuropsicomotor de crianças: uma revisão sistemática. Rev Foco. 2023;16(11). doi:10.54751/revistafoco.v16n11-078.

11. Costa LJR, Souza GS, Lacerda EMCB, Alves GS, Alves CHL. Neuropsychological impacts of screen use in children. Saúde Coletiva. 2025;15(94):15211–15226. doi:10.36489/saudecoletiva.2025v15i94p15211-15226.

12. Souza EF, Lacerda RAV, Desio JAF, Kammers CM, Henkes S, Ribeiro NFP, et al. Screen use in children – two sides of the coin: a critical narrative review. Dement Neuropsychol. 2025;19:e20240173.

13. Bakht D, Yousaf F, Alvi Z, Ali MKB, Khawar MMH, Munir L, et al. Assessing the impact of screen time on the motor development of children: a systematic review. Pediatr Discov. 2025;3(2):e70002. doi:10.1002/pdi3.70002.

14. Thomaz GC, Esvicero CF, Americo G, Silva IHB, Bello JP, Arakaki RT, et al. The intensification of the use of screens and repercussions on children's neuropsychomotor development. Res Soc Dev. 2024;13(11):e129131147436.

15. Muppalla SK, Vuppalapati S, Pulliahgaru AR, Sreenivasulu H. Effects of excessive screen time on child development: an updated review and strategies for management. Cureus. 2023;15(7):eXXXX. doi:10.7759/cureus.XXXXX.

Published

2026-04-03

How to Cite

Flores, V. G. T., Rodrigues, J. P. F., Meche, F. B. de J., Costa, M. C. de O., & Girelli, G. (2026). Use of Screens and Neuropsychomotor Development Delay in Children Under 5 Years Old. International Journal of Health and Surgical Research, 2(4), 01–11. https://doi.org/10.5281/zenodo.19389614