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Association of nighttime social media use, sleep duration, and executive function decline during pregnancy: isotemporal substitution model
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Meng-yao QIN1, Jing ZHAO2, Lei SHENG1, Feng-yi REN1, Xin LIU1, Xiao-yan LIU2, Xin-xia CHEN1
Modern Preventive Medicine | 2026, 53(3) : 466 - 470
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Modern Preventive Medicine | 2026, 53(3): 466-470
• Child and Adolescent Health, Maternal and Child Health •
Association of nighttime social media use, sleep duration, and executive function decline during pregnancy: isotemporal substitution model
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Meng-yao QIN1, Jing ZHAO2, Lei SHENG1, Feng-yi REN1, Xin LIU1, Xiao-yan LIU2, Xin-xia CHEN1
Affiliations
  • School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong 250012, China
Published: 2026-02-10 doi: 10.20043/j.cnki.MPM.202508185
Outline
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Objective

To explore the association between nighttime social media use, sleep duration, and executive function decline in pregnant women, as well as the isotemporal substitution effect.

Methods

Pregnant women attending the obstetric outpatient department of Qilu Hospital in Jinan, Shandong Province were recruited using the convenience sampling method for a questionnaire survey. Single-factor, partition and isotemporal substitution models were used to analyze the relationship between nighttime social media use, sleep duration, and executive function decline in pregnant women.

Results

A total of 628 pregnant women were included in the study. After adjusting for confounding factors, both the single model and the partition model indicated that nighttime social media use duration was significantly positively correlated with scores in total executive function decline (β=0.980; β=0.965), memory (β=0.595; β=0.585), and inhibitory control dimension (β=0.385; β=0.379) (all P<0.01). In contrast, sleep duration was significantly negatively correlated with scores in total executive function decline (β=-0.414; β=-0.402), memory (β=-0.255; β=-0.248), and inhibitory control dimension (β=-0.159; β=-0.154) (all P<0.05). The isotemporal substitution model showed that increasing sleep by 30 minutes to replace an equivalent amount of nighttime social media use was associated with a decrease in the total score of executive function decline among pregnant women (β=-2.047, P<0.001). The improvement in the memory dimension (β=-1.261, P<0.001) was greater than that in the inhibitory control dimension (β=-0.786, P<0.001).

Conclusion

Replacing 30 minutes of nighttime social media use with sleep is associated with reduced executive function decline in pregnant women. It is recommended that sleep management and digital behavior adjustment be incorporated into clinical interventions and health education to promote cognitive health in pregnant women and improve maternal and neonatal outcomes.

Pregnant women  /  Social media use  /  Nighttime  /  Sleep  /  Executive function decline
秦梦瑶, 赵静, 盛蕾, 任丰毅, 刘欣, 刘晓燕, 陈新霞. 基于等时替代模型探讨夜间社交媒体使用、睡眠时长与孕期执行功能下降的关系. 现代预防医学, 2026 , 53 (3) : 466 -470 . DOI: 10.20043/j.cnki.MPM.202508185
Meng-yao QIN, Jing ZHAO, Lei SHENG, Feng-yi REN, Xin LIU, Xiao-yan LIU, Xin-xia CHEN. Association of nighttime social media use, sleep duration, and executive function decline during pregnancy: isotemporal substitution model[J]. Modern Preventive Medicine, 2026 , 53 (3) : 466 -470 . DOI: 10.20043/j.cnki.MPM.202508185
Year 2026 volume 53 Issue 3
15
7
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doi: 10.20043/j.cnki.MPM.202508185
  • Receive Date:2025-08-13
  • Online Date:2026-11-02
  • Published:2026-02-10
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  • Received:2025-08-13
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    School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong 250012, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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