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Record W4414162183 · doi:10.1371/journal.pone.0323863

Television watching and cognitive outcomes in adults and older adults: A systematic review and dose-response meta-analysis of observational studies

2025· review· en· W4414162183 on OpenAlexaboutno aff
Hattapark Dejakaisaya, Wiriya Mahikul, Nat Na-Ek, Chanawee Hirunpattarasilp

Bibliographic record

VenuePLoS ONE · 2025
Typereview
Languageen
FieldSocial Sciences
TopicTechnology Use by Older Adults
Canadian institutionsnot available
FundersMinistry of Higher Education, Science, Research and Innovation, ThailandChulabhorn Royal Academy
KeywordsObservational studyCognitionMeta-analysisAssociation (psychology)Cognitive testCognitive declineEffects of sleep deprivation on cognitive performance

Abstract

fetched live from OpenAlex

This systematic review and meta-analysis aimed to examine the association between television watching and cognitive outcomes in adults and older adults as the current evidence is inconsistent. We searched the Cochrane, MEDLINE, Embase, PsycINFO, Scopus, and Web of Science databases for relevant studies from inception to June 30, 2024. Risk of bias was assessed using the Newcastle-Ottawa Scale. Dose-response and conventional meta-analyses were performed using one-stage random-effects and DerSimonian and Laird random-effects models, respectively. Our systematic review included 35 studies with 1,292,052 participants (8,572 cases of cognitive impairment), of which 28 studies were further meta-analyzed. A dose-response meta-analysis revealed a nonlinear association between time spent watching TV and an increased risk of cognitive impairment (Wald test p-value = 0.04), particularly for viewing durations of ≥4 hours per day. Additionally, watching ≥6 hours of television per day was associated with a significant decrease in cognitive score (standardized beta coefficient = -0.09; 95% CI: -0.17, -0.003; I2 = 71.8%; seven studies). Also, a longer television-watching time was associated with a lower cognitive score (pooled standardized mean difference = -0.02; 95% CI: -0.03, -0.003; I2 = 66.45%; six studies). Watching television for a longer period was associated with negative cognitive outcomes in adults and older adults. Further research is needed to confirm this association and elucidate the underlying biological mechanisms.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.017
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.371
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.017
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0090.001
Bibliometrics0.0010.002
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.198
GPT teacher head0.405
Teacher spread0.207 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2025
Admission routes1
Has abstractyes

Explore more

Same venuePLoS ONESame topicTechnology Use by Older AdultsFrench-language works237,207