Resumen
El uso de pantallas en la infancia ha generado una creciente preocupación debido a su impacto en el desarrollo cognitivo. Este boletín revisa estudios que muestran que la exposición excesiva a dispositivos electrónicos —especialmente en niños menores de seis años— se asocia con dificultades en la atención, la memoria, el lenguaje y las funciones ejecutivas. El contenido pasivo, como la televisión de fondo, resulta más perjudicial que los medios educativos o interactivos, y la supervisión adulta puede ayudar a mitigar estos efectos. Factores como el entorno familiar, el nivel socioeconómico y las características individuales del niño influyen en el grado de impacto. Los niños de áreas urbanas, los varones y aquellos con interacción social limitada son más vulnerables. No obstante, un uso moderado y estructurado de las pantallas, con contenidos adecuados y la participación de los padres, puede favorecer las habilidades cognitivas y lingüísticas. Estudios neurobiológicos sugieren que la exposición prolongada afecta la conectividad cerebral, aunque estos efectos tienden a ser sutiles y acumulativos. Las recomendaciones incluyen limitar el tiempo de pantalla a menos de una hora diaria en niños en edad preescolar, priorizar el contenido educativo y fomentar actividades fuera de línea como el juego colaborativo o la lectura. En conclusión, el uso excesivo y sin supervisión de pantallas se asocia con peores resultados cognitivos, mientras que un uso regulado y contextualizado puede apoyar un aprendizaje y desarrollo saludables.
Referencias
Pérez P. El abuso de las pantallas en la infancia y la adoles- cencia deja huella: “Hemos encontrado un patrón en la sangre. ElMundo Salud [Internet]. 24 de agosto de 2025; Disponible en: https://www.elmundo.es/ciencia-y-salud/salud/2025/08/24/68a9a37e21efa0d1468b458a.html.
Mahadi G, Ahammad GS, Abdi AA. Spot It! A mathematical approach to offline games - Reducing screen time and enhan- cing cognitive development in children. RA Journal of Applied Research. 2025; 11(03): 97-105. https://doi.org/10.47191/rajar/v11i3.04.
Bukhalenkova DA, Chichinina EA, Chursina A, Veraska A. The relationship between the use of digital devices and cognitive development in preschool children: Evidence from scholarly literature. Science for Education Today. 2021; 11(3): 7-25. https://doi.org/10.15293/2658-6762.2103.01.
Massaroni V, Delle Donne V, Marra C, Arcangeli V, Chieffo DPR. The relationship between language and technology: How screen time affects language development in early life–A systematic review. Brain Sci. 2023; 14(1): 27. https://doi.org/10.3390/brainsci14010027.
Silva IM, Oliveira JM, Pereira MIS, Melo C. A relação entre o excesso de telas na primeira infância com o atraso no desenvol- vimento neuromotor. Revista ft. 2024; 28(140): 42-3. https://doi.org/10.69849/revistaft/ar10202411072142.
Gijare B, Shrivastava A, Ansari S. Effects of excessive screen time on children’s cognitive and communication development. ShodhKosh J Vis Per Arts. 2023; 4(2): 1535-40. https://doi. org/10.29121/shodhkosh.v4.i2.2023.2626.
Nivins S, Sauce B, Liebherr M, Judd N, Klingberg T. Long-term impact of digital media on brain development in children. Sci Rep. 2024; 14(1): 13030. https://doi.org/10.1038/s41598-024-63566-y.
Kim J, Tsethlikai M. Longitudinal relations of screen time dura- tion and content with executive function difficulties in South Korean children. J Child Media. 2024; 18(3): 386-404. https://doi.org/10.1080/17482798.2024.2342344.
Remadevi V, Ar K, Kunnath S. Appropriate screen time use to pre- vent speech and language delay in toddlers during the Covid-19 pandemic: A brief report. Disability CBR & Inclusive Develop- ment. 2022; 32(4): 155. https://doi.org/10.47985/dcidj.519.
Korres G, Kourklidou M, Sideris G, Bastaki D, Demagkou A, Riga M, et al. Unsupervised screen exposure and poor language development: A scoping review to assess current evidence and suggest priorities for research. Cureus. 2024; 16(3): e56483. https://doi.org/10.7759/cureus.56483.
Dahl V, Ramakrishnan A, Spears AP, Jorge A, Lu J, Bigio NA, et al. Psychoeducation interventions for parents and teachers of children and adolescents with ADHD: A systematic review of the literature. J Dev Phys Disabil. 2020; 32(2): 257-92. https://doi.org/10.1007/s10882-019-09691-3.
Kakon HS, Soron RT, Hossain MS, Haque R, Tofail F. Role of parental supervision on digital screen use and its effects on children’s mental health and wellbeing in Bangladesh: A cross sectional study. BJPsych open. 2024;10(S1): S50-S50. https://doi.org/10.1192/bjo.2024.179.
Xie H, Liu C, Wang S, Wang X. Screen time and preschoolers’ pre-academic and behavioural competence: the moderating role of child characteristics. Early Child Dev Care. 2024; 194(2) 260-80. https://doi.org/10.1080/03004430.2024.2303473.
Rajasekhar Reddy, SOVS Satish Reddy. Impact of screen time on language development and sleep patterns in children: An observational cohort study. Asian J Med Sci. 2025: 16(3): 97-101. https://doi.org/10.71152/ajms.v16i3.4412.
Yang M, Yan X, Zhang Q. Exploring the influence of an immer- sive virtual reality environment on training pre-service teachers’ inquiry-based instruction. En: 4th International Conference on Computer Science and Technologies in Education (CSTE) [Internet]. Xi’an, China: IEEE; 2022:77-81. https://doi.org/10.1109/CSTE55932.2022.00020
Guellai B, Somogyi E, Esseily R, Chopin A. Effects of screen exposure on young children’s cognitive development: A review. Front Psychol. 2022; 13: 923370. https://doi.org/10.3389/fpsyg.2022.923370.
Bal M, Kara Aydemir AG, Tepetas Cengiz GS, Altındag A. Exami- ning the relationship between language development, executive function, and screen time: A systematic review. PLoS One. 2024; 19(12): e0314540. https://doi.org/10.1371/journal.pone.0314540.
Ponti M. Screen time and preschool children: Promoting health and development in a digital world. Paediatr Child Health. 2023; 28(3): 184-92. https://doi.org/10.1093/pch/pxac125.
Swit CS, Friesen MD, Xue X. Predictors of young children’s problematic screen media use in Aotearoa New Zealand: Testing the interactional theory of childhood problematic media use model. J Child Media. 2025; 1-22. https://doi.org/10.1080/17482798.2025.2530940.
Zhang J, Zhang Q, Xiao B, Cao Y, Chen Y, Li Y. Parental technoference and child problematic media use: Meta-analysis. J Med Internet Res. 2025; 27: e57636. https://doi.org/10.2196/57636.
Hu BY, Johnson GK, Teo T, Wu Z. Relationship between screen time and chinese children’s cognitive and social development. J Res Child Educ. 2020; 34(2): 183-207. https://doi.org/10.1080/02568543.2019.1702600.
Massaroni V, Delle Donne V, Marra C, Arcangeli V, Chieffo DPR. The relationship between language and technology: How screen time affects language development in early life–A systematic review. Brain Sci. 2023; 14(1): 27. https://doi.org/10.3390/brainsci14010027.
Anderson DR, Subrahmanyam K. Digital screen media and cog- nitive development. Pediatrics. 2017; 140(Suppl 2): S57-61. https://doi.org/10.1542/peds.2016-1758C.
Baladaniya M, Korat AS. The impact of digital technology use on child development: A comprehensive literature review. J Pedia- tr Res Rev Rep. 2024; 6(1): 1-9. https://doi.org/10.47363/jprrr/2024(6)159.
Mahadevan J, Kandasamy A, Benegal V. Situating adult attention-deficit/hyperactivity disorder in the externalizing spectrum: Etiological, diagnostic, and treatment considerations. Indian J Psychiatry. 2019; 61(1): 3-12.
Adamovich SV, August, K, Merians, A, Tunik E. A virtual rea- lity-based system integrated with fmri to study neural mecha- nisms of action observation-execution: a proof of concept stu- dy. Restor Neurol Neurosci. 2009; 27(3): 209-23. https://doi.org/10.3233/RNN-2009-0471.
Paulich KN, Ross JM, Lessem JM, Hewitt JK. Screen time and early adolescent mental health, academic, and social outcomes in 9- and 10- year old children: Utilizing the Adolescent Brain Cognitive Development SM (ABCD) study. Kabir E, editor. PLoS One. 8 2021;16(9): e0256591. https://doi.org/10.1371/journal.pone.0256591.
Abid T, Javed I, Kanwal S, Mushtaq HM, Butt GA, Arshad S. Effects of screen time and phonemic segmentation in school going children. J Health Rehabil Res. 2024; 4(1): 1514-8. https://doi.org/10.61919/jhrr.v4i1.650.
Jaisle EM, Groves NB, Black KE, Kofler MJ. Linking ADHD and ASD symptomatology with social impairment: The role of emotion dysregulation. Res Child Adolesc Psychopathol. 2023; 51(1): 3-16. https://doi.org/10.1007/s10802-022-00982-6.
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. https://doi.org/10.1016/j.earlhumdev.2023.105792.
Neophytou E, Manwell LA, Eikelboom R. Effects of exces- sive screen time on neurodevelopment, learning, memory, mental health, and neurodegeneration: A scoping review. Int J Ment Health Addiction. 2021; 19(3): 724-44. https://doi.org/10.1007/s11469-019-00182-2.
Zhao J, Yu Z, Sun X, Wu S, Zhang J, Zhang D, et al. Association between screen time trajectory and early childhood development in children in China. JAMA Pediatr. 2022; 176(8): 768. https://doi.org/10.1001/jamapediatrics.2022.1630.
Anderson SW, Wisnowski JL, Barrash J, Damasio H, Tra- nel D. Consistency of neuropsychological outcome following damage to prefrontal cortex in the first years of life. J Clin Exp Neuropsychol. 2009; 31(2): 170-9. https://doi.org/10.1080/13803390802360526.
Walsh JJ, Barnes JD, Tremblay MS, Chaput JP. Associations between duration and type of electronic screen use and cogni- tion in US children. Comput Hum Behav. 2020; 108: 106312. https://doi.org/10.1016/j.chb.2020.106312.
Panjeti-Madan VN, Ranganathan P. Impact of screen time on children’s development: Cognitive, language, physical, and social and emotional domains. Multimodal Technol Interact. 2023; 7(5): 52. https://doi.org/10.3390/mti7050052.
Zhang W, Li H, Sheng Y. A study of the effects of virtual rea- lity-based sports games on improving executive and cognitive functions in minors with ADHD–A meta-analysis of randomi- zed controlled trials. Behav Sci (Basel). 2024; 14(12): 1141. https://doi.org/10.3390/bs14121141.
Jannesar N, Davenport TE, Gietzen L. Effects of screen time on children’s brain development: A scoping review. Pacific J Health. 2023; 6(1): 14. https://doi.org/10.56031/2576-215X.1052.
Geetha D. The impact of excessive screen time on the develo- pment of children. Int J Eng Lit Soc Sci. 2025; 10(3): 271-3. https://doi.org/10.22161/ijels.103.43.
Olmos Raya E, Cascales Martínez A, Contero González MR. Tole- rancia a entornos virtuales inmersivos multisensoriales y medi- da electrodermal ratio como identificador de población TEA. Siglo Cero. 2023; 54(1): 115-33. https://doi.org/10.14201/scero202354128535.
Muppalla SK, Vuppalapati S, Reddy Pulliahgaru A, Sreenivasulu H. Effects of excessive screen time on child development: An updated review and strategies for management. Cureus. 2023; 15(6): e40608. https://doi.org/10.7759/cureus.40608.

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