Recent findings "caution against unrestricted access to media in children's bedrooms," Falbe, a researcher at the University of California at Berkeley, said in a phone interview.
"The risks associated with shorter sleep duration and poorer sleep quality would include reduced academic performance, behavioral problems, possibly an increased risk for weight gain and possibly negative impacts on immunity."
The human body uses light and darkness to influence circadian rhythms, the physical, mental and behavioral changes in a 24-hour cycle. The brain's internal clock uses the amount of light to determine when to produce more melatonin, a hormone that brings on sleepiness. Charles A. Czeisler, a professor of sleep medicine at Harvard Medical School, estimates that since the advent of electricity-powered light, people's internal sleep triggers have been pushed back six hours.
The study in Pediatrics, funded by the Centers for Disease Control and Prevention and the National Institutes of Health, surveyed more than 2,000 children as part of a broader investigation into obesity in children. The majority of kids surveyed slept with a small screen by their side.
The 21 minutes lost with smaller screens exceeded the 18 minutes given up by children who slept in a room with a TV. Since small devices are held closer to the face, they may delay the release of melatonin more than TV light, the researchers said.
TV and video games were also associated with less sleep. Seventy-five percent of kids in the study said they slept in a room with a TV. Each hour of TV- or DVD-viewing a day corresponded with almost four fewer minutes of sleep, compared with five fewer minutes for gamers.
More research is needed to determine if small screens are actually causing the lost sleep or if other forces are at play, Falbe said. Children with smartphones and those without might be very different, and may have different types of parents, she said.
Still, considering the potential long-term risks of sleep- deprivation, parents should keep an eye on the time their children spend staring at screens, Falbe said.
Kids need "realistic but firm rules around media," she said.