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(iii) ST displaces sleep time [61].Excessive ST was associated with lower PA intensity levels [24] and less playing outside [5,62] in children and adolescents. Moreover, in a longitudinal study, excessive ST at 2 years of age led to less time playing outside 8 months later [48]. Unlike ST duration, no interactions have been found between ST before bed and PA [13]. Interestingly, according to a cross-sectional study by Dahlgren et al., objectively measured smartphone use does not affect PA levels in teenagers [63]. Furthermore, it should be highlighted that adequate PA can mitigate many of the negative effects of excessive ST [19,20,48,64]. Refer to Section 3.6. “Development” for further relative information. 3.9. Eyesight and HeadachesA meta-analysis by Foreman J et al. supports that there is evidence to suggest that a correlation between myopia and ST in smart devices does exist. However, the literature is insufficient, and no conclusion can be drawn [65]. Another notable eye-related clinical entity induced by excessive ST is “digital eye strain” (DES). According to Kaur K et al., DES’s symptoms can be classified as follows: (i) related to reduced blink and tear formation (dry eyes, headaches, eye discomfort), (ii) related to eye focus and synchronised movement (blurry vision, distance refocus), or (iii) musculoskeletal (headaches, neck pain) [66]. An explanation for why excessive ST leads to dry eyes and eye discomfort could be that high-concentration tasks (such as concentrating on a screen) reduce blinking rate and tear break-up time [67], causing dryness and refraction problems. Interestingly, eye
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