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Prolonged Smartphone Exposure and Its Influence on Pain, Posture, Vision, and Depression: A Systematic Review and Meta-Analysis

  • Journal of Internet of Things and Convergence
  • Abbr : JKIOTS
  • 2026, 12(1), pp.213~222
  • Publisher : The Korea Internet of Things Society
  • Research Area : Engineering > Computer Science > Internet Information Processing
  • Received : December 26, 2025
  • Accepted : February 23, 2026
  • Published : February 28, 2026

JaeHun Shim 1

1백석대학교

Accredited

ABSTRACT

Smartphones have become integral to contemporary life; however, extended usage has been linked to adverse musculoskeletal, visual, sleep, and psychological effects. This systematic review and meta-analysis synthesized evidence from randomized controlled trials (RCTs) and related studies to assess the health impacts of smartphone exposure and the efficacy of corresponding interventions. Adhering to PRISMA 2020 guidelines, 13 studies were included: eleven RCTs, one cross-sectional study, and one systematic review. Methodological quality was evaluated using the PEDro scale, and effect sizes were aggregated across relevant domains. The most robust evidence pertained to musculoskeletal outcomes, wherein exercise, telerehabilitation, and ergonomic interventions significantly reduced pain and forward head posture (SMD: −0.6 to −0.9). Studies addressing sleep demonstrated modest benefits associated with abstaining from smartphone use prior to bedtime. Vision-related investigations revealed significant ocular surface strain following smartphone reading. Interventions targeting mental health, including cognitive-behavioral therapy (CBT) applications and screen-time reduction strategies, yielded small to moderate improvements in depressive symptoms and feelings of loneliness. Overall, excessive smartphone use adversely affects musculoskeletal, visual, and sleep health, whereas digital and behavioral interventions demonstrate potential benefits for psychological well-being. Future investigations ought to strengthen causal inference through the adoption of standardized intervention protocols and the execution of extended follow-up evaluations. Moreover, the development of an evaluative framework that holistically incorporates both physical and psychological outcomes is imperative.

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