Wednesday, 19 February 2025 08:31 GMT

Re “Pre-schoolers exceed screen time limits,” by Aimee Eckert (School Health Pulse Evidence brief, November 21st)

Dear Editor,

The relationship between physical activity, sleep and screen time is foundational to the long term health, wellbeing and development of young children. Yet, it’s increasingly clear that many are not getting a healthy start in life.

Parents, educators, and caregivers must reflect on their own behaviours. Children learn by watching us—our actions shape how they respect their bodies, develop physical skills, enjoy movement, and explore new possibilities.

We influence children’s empathy for others who may need more time or encouragement and their future engagement in activities like sports, dance, gymnastics, or swimming.

As a practitioner and researcher I see again and again how small changes can make a big difference. Together we can:

• Celebrate children’s emerging skills and physical play. Focus on what their bodies can do rather than how they look.

• Afford children many and varied opportunities to move throughout the day inside and outdoors — and join in when appropriate.

• Be mindful of how your own screen habits and sleep routines influence children’s perceptions of balance and rest.

By making these adjustments in our daily lives, we can help ensure young children develop the foundations for a lifetime of health and well-being.

Dr Lala Manners

London, England

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