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American Academy of Pediatrics: American Academy of Pediatrics


Valid from 07/02/2009

American Academy of Pediatrics Updates Screen Time Guidelines for Kids


From iPad screen time to hours of watching TV, children are consuming media from an early age. To keep up with fast-changing technology in the digital era, the American Academy of Pediatrics has released updated guidelines for digital media use by young children.

The recommendations vary by age group, and include the following advice:

0-5 years old

  • For children younger than 24 months, avoid any digital media use with the exception of video-chatting
  • For children 18 to 24 months of age, you can introduce digital media, but use it together with your child and avoid allowing the child to consume it alone
  • For children 2 to 5 years old, limit screen time to one hour per day of high-quality programming; watch with your children and help them understand what they are seeing how to apply it  
  • No screen time one hour before bedtime
  • Avoid using screen time as the only method to soothe the child (the concern is that the child might not develop the ability to regulate emotion on their own)
  • Avoid fast-paced programs or apps with distracting or violent content
  • Monitor children’s media content; test apps before using them and ask the child what he or she thinks about the app
  • Bedrooms, meal times and playtimes with parents should be screen-free for both parents and child

See recommended hours of sleep and physical activity for your child with this 24-hour calculator.

School-age children (5-18 years old)

Research shows children and teenagers can benefit from media use, including learning new information, exposure to new ideas and social support. But negative impacts of too much screen time include weight gain and loss of sleep, and there’s also a risk of exposure to inaccurate or unsafe content. While there’s no one-size-fits all solution, parents and pediatricians have an important role in developing a Family Media Plan.  

  • Develop and be consistent in following family guidelines for media use; assess the types of media and how much is being consumed, and what is appropriate for the child
  • Place consistent limits on hours or type of media that can be used per day
  • Promote one hour of daily physical activity and eight to 12 hours of sleep, depending on age
  • Try to not let children sleep with TVs, computers and smartphones in their bedrooms
  • Avoid media use in the hour leading up to bedtime
  • Have media-free times, like during family dinner, or create media-free areas at home
  • Relay these guidelines to babysitters or other caregivers
  • Have ongoing conversations with the child about online safety, whether it’s about cyberbullying, sexting, solicitations or compromising privacy
  • Have a network of trusted adults who will engage with the child through social media

For help creating a family media plan, take a look at this interactive tool from the American Academy of Pediatrics.

© 2016 CBS Interactive Inc. All Rights Reserved

Valid from 10/21/2016 to 12/31/2016

Back to School Tips from the American Academy of Pediatrics


Authors: American Academy of Pediatrics

The following health and safety tips are from the American Academy of Pediatrics (AAP). Feel free to excerpt these tips or use them in their entirety in any print or broadcast story, with acknowledgment of source.

    •    Remind your child that there are probably a lot of students who are uneasy about the first day of school. This may be at any age. Teachers know that students are nervous and will make an extra effort to make sure everyone feels as comfortable as possible.
    •    Point out the positive aspects of starting school. She'll see old friends and meet new ones. Refresh her positive memories about previous years, when she may have returned home after the first day with high spirits because she had a good time.
    •    Find another child in the neighborhood with whom your student can walk to school or ride on the bus.
    •    If it is a new school for your child, attend any available orientations and take an opportunity to tour the school before the first day.
    •    If you feel it is needed, drive your child (or walk with her) to school and pick her up on the first day.

    •    Choose a backpack with wide, padded shoulder straps and a padded back.
    •    Pack light. Organize the backpack to use all of its compartments. Pack heavier items closest to the center of the back. The backpack should never weigh more than 10 to 20 percent of your child's body weight.
    •    Always use both shoulder straps. Slinging a backpack over one shoulder can strain muscles.
    •    If your school allows, consider a rolling backpack. This type of backpack may be a good choice for students who must tote a heavy load. Remember that rolling backpacks still must be carried up stairs, they may be difficult to roll in snow, and they may not fit in some lockers.


Review the basic rules with your student:

School Bus
    •    Children should always board and exit the bus at locations that provide safe access to the bus or to the school building.
    •    Remind your child to wait for the bus to stop before approaching it from the curb.
    •    Make sure your child walks where she can see the bus driver (which means the driver will be able to see her, too).
    •    Remind your student to look both ways to see that no other traffic is coming before crossing the street, just in case traffic does not stop as required.
    •    Your child should not move around on the bus.
    •    If your child's school bus has lap/shoulder seat belts, make sure your child uses one at all times when in the bus. (If your child's school bus does not have lap/shoulder belts, encourage the school system to buy or lease buses with lap/shoulder belts.}
    •    All passengers should wear a seat belt or use an age- and size-appropriate car safety seat or booster seat.
    •    Your child should ride in a car safety seat with a harness as long as possible and then ride in a belt-positioning booster seat. Your child is ready for a booster seat when she has reached the top weight or height allowed for her seat, her shoulders are above the top harness slots, or her ears have reached the top of the seat.
    •    Your child should ride in a belt-positioning booster seat until the vehicle's seat belt fits properly (usually when the child reaches about 4' 9" in height and is between 8 to 12 years of age). This means that the child is tall enough to sit against the vehicle seat back with her legs bent at the knees and feet hanging down and the shoulder belt lies across the middle of the chest and shoulder, not the neck or throat; the lap belt is low and snug across the thighs, not the stomach.
    •    All children younger than 13 years of age should ride in the rear seat of vehicles. If you must drive more children than can fit in the rear seat (when carpooling, for example), move the front-seat passenger's seat as far back as possible and have the child ride in a booster seat if the seat belts do not fit properly without it.
    •    Remember that many crashes occur while novice teen drivers are going to and from school. You should require seat belt use, limit the number of teen passengers, and do not allow eating, drinking, cell phone conversations,  texting or other mobile device use to prevent driver distraction. Limit nighttime driving and driving in inclement weather. Familiarize yourself with your state's graduated driver's license law and consider the use of a parent-teen driver agreement to facilitate the early driving learning process. For a sample parent-teen driver agreement, see
    •    Always wear a bicycle helmet, no matter how short or long the ride.
    •    Ride on the right, in the same direction as auto traffic.
    •    Use appropriate hand signals.
    •    Respect traffic lights and stop signs.
    •    Wear bright-colored clothing to increase visibility. White or light-colored clothing and reflective gear is especially important after dark.
    •    Know the "rules of the road."
Walking to School
    •    Make sure your child's walk to school is a safe route with well-trained adult crossing guards at every intersection.
    •    Identify other children in the neighborhood with whom your child can walk to school.  In neighborhoods with higher levels of traffic, consider organizing a "walking school bus," in which an adult accompanies a group of neighborhood children walking to school.
    •    Be realistic about your child's pedestrian skills. Because small children are impulsive and less cautious around traffic, carefully consider whether or not your child is ready to walk to school without adult supervision.
    •    If your children are young or are walking to a new school, walk with them the first week or until you are sure they know the route and can do it safely.
    •    Bright-colored clothing will make your child more visible to drivers.

    •    Studies show that children who eat a nutritious breakfast function better. They do better in school, and have better concentration and more energy.
    •    Most schools regularly send schedules of cafeteria menus home and/or have them posted on the school's website. With this advance information, you can plan on packing lunch on the days when the main course is one your child prefers not to eat.
    •    Look into what is offered in school vending machines. Vending machines should stock healthy choices such as fresh fruit, low-fat dairy products, water and 100 percent fruit juice.  Learn about your child's school wellness policy and get involved in school groups to put it into effect.
    •    Each 12-ounce soft drink contains approximately 10 teaspoons of sugar and 150 calories. Drinking just one can of soda a day increases a child's risk of obesity by 60%. Choose healthier options to send in your child's lunch.


Bullying or cyberbullying is when one child picks on another child repeatedly. Bullying can be physical, verbal, or social. It can happen at school, on the playground, on the school bus, in the neighborhood, over the Internet, or through mobile devices like cell phones.

When Your Child Is Bullied
    •    Help your child learn how to respond by teaching your child how to: 1. Look the bully in the eye. 2. Stand tall and stay calm in a difficult situation. 3. Walk away.
    •    Teach your child how to say in a firm voice. 1. "I don't like what you are doing." 2. "Please do NOT talk to me like that." 3. "Why would you say that?"
    •    Teach your child when and how to ask a trusted adult for help.
    •    Encourage your child to make friends with other children.
    •    Support activities that interest your child.
    •    Alert school officials to the problems and work with them on solutions.
    •    Make sure an adult who knows about the bullying can watch out for your child's safety and well-being when you cannot be there.
    •    Monitor your child's social media or texting interactions so you can identify problems before they get out of hand.
When Your Child Is the Bully
    •    Be sure your child knows that bullying is never OK.
    •    Set firm and consistent limits on your child's aggressive behavior.
    •    Be a positive role mode. Show children they can get what they want without teasing, threatening or hurting someone.
    •    Use effective, non-physical discipline, such as loss of privileges.
    •    Develop practical solutions with the school principal, teachers, counselors, and parents of the children your child has bullied.
When Your Child Is a Bystander
    •    Encourage your child to join with others in telling bullies to stop.
    •    Encourage your child to tell a trusted adult about the bullying.
    •    Help your child support other children who may be bullied. Encourage your child to include these children in activities.

    •    During early and middle childhood, youngsters need supervision. A responsible adult should be available to get them ready and off to school in the morning and supervise them after school until you return home from work.
    •    If a family member will care for your child, communicate the need to follow consistent rules set by the parent regarding discipline and homework.
    •    Children approaching adolescence (11- and 12-year-olds) should not come home to an empty house in the afternoon unless they show unusual maturity for their age.
    •    If alternate adult supervision is not available, parents should make special efforts to supervise their children from a distance. Children should have a set time when they are expected to arrive at home and should check in with a neighbor or with a parent by telephone.
    •    If you choose a commercial after-school program, inquire about the training of the staff. There should be a high staff-to-child ratio, and the rooms and the playground should be safe.

    •    Create an environment that is conducive to doing homework. Children need a consistent work space in their bedroom or another part of the home that is quiet, without distractions, and promotes study.
    •    Schedule ample time for homework.
    •    Establish a household rule that the TV and other electronic distractions stay off during homework time.
    •    Supervise computer and Internet use.
    •    Be available to answer questions and offer assistance, but never do a child's homework for her.
    •    Take steps to help alleviate eye fatigue, neck fatigue and brain fatigue while studying. It may be helpful to close the books for a few minutes, stretch, and take a break periodically when it will not be too disruptive.
    •    If your child is struggling with a particular subject, and you aren't able to help her yourself, a tutor can be a good solution. Talk it over with your child's teacher first.
    •    Some children need help organizing their homework. Checklists, timers, and parental supervision can help overcome homework problems.
    •    If your child is having difficulty focusing on or completing homework, discuss this with your child's teacher, school counselor, or health care provider.
    •    Establish a good sleep routine. Insufficient sleep is associated with lower academic achievement in middle school, high school and college, as well as higher rates of absenteeism and tardiness. The optimal amount of sleep for most adolescents is in the range of 8.5 to 9.5 hours per night.

 © 2015 - American Academy of Pediatrics


Valid from 08/09/2015

American Academy of Pediatrics: American Academy of Pediatrics