Association Between Meeting 24-Hour Movement Guidelines and Health-Related Quality of Life in Adolescents.

IF 1.4 4区 医学 Q3 PEDIATRICS
Hanhua Zhao, Sha Hu, Xi Yang, Haoyu Wang, Jiachen Miao, Naichun Gao, Ying Gao, Eero A Haapala
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引用次数: 0

Abstract

Background: Evidence-based 24-hour movement guidelines have been developed to integrate recommendations for time spent on moderate to vigorous physical activity (MVPA), screen time (ST), and sleep. This study investigated the adherence to 24-hour movement guidelines and explored the relationship with health-related quality of life (HRQoL) in adolescents.

Methods: Cross-sectional findings are based on 1774 adolescents (49.1% female) aged 13-16 years from the Shenyang region of China. MVPA, ST, and sleep duration were self-reported using the International Physical Activity Questionnaire, an ST questionnaire, and a wake-sleep time questionnaire. HRQoL was measured using the Pediatric Quality of Life Inventory, which encompasses physical, psychosocial, and total HRQoL. Adherence to 24-hour movement guidelines was classified by meeting general (eg, none, 1, 2, and 3 guidelines) and specific combinations (eg, MVPA and ST guidelines) within the 3 recommendations. Associations were examined using general linear models adjusted for age, sex, and parents' education.

Results: A total of 5.1% of the sample met all three 24-hour movement guidelines. Additionally, compared with meeting no guideline, meeting all 3 guidelines was associated with better physical (β = 5.37; 95% CI, 0.69-9.49; P = .005), psychosocial (β = 3.76; 95% CI, 0.84-6.68; P = .012), and total HRQoL (β = 4.16; 95% CI, 1.35-6.98; P = .004). Compared with not meeting the specific combination guidelines, meeting MVPA and ST was associated with better physical HRQoL (β = 5.52; 95% CI, 1.30-9.74; P = .01).

Conclusions: These cross-sectional findings suggest that meeting all three 24-hour movement guidelines were associated with better HRQoL in adolescents. Since a low proportion of this sample was meeting the overall guidelines, future effort should encourage, and perhaps improve adherence to the 24-hour movement guidelines.

符合24小时运动指南与青少年健康相关生活质量之间的关系
背景:基于证据的24小时运动指南已被开发出来,以整合中度至剧烈身体活动(MVPA)、屏幕时间(ST)和睡眠时间的建议。本研究调查了青少年对24小时运动指南的依从性,并探讨了与健康相关的生活质量(HRQoL)的关系。方法:横断面调查结果基于中国沈阳地区13-16岁的1774名青少年(49.1%为女性)。MVPA、ST和睡眠时间采用国际体育活动问卷、ST问卷和清醒-睡眠时间问卷进行自我报告。HRQoL采用儿科生活质量量表测量,包括生理、心理和总HRQoL。24小时运动指南的依从性根据满足3项建议中的一般(例如,无、1、2和3指南)和特定组合(例如,MVPA和ST指南)进行分类。使用调整了年龄、性别和父母教育程度的一般线性模型来检验相关性。结果:共有5.1%的样本符合所有三个24小时运动指南。此外,与不满足指南的患者相比,满足所有3项指南的患者体质较好(β = 5.37;95% ci, 0.69-9.49;P = 0.005),心理社会(β = 3.76;95% ci, 0.84-6.68;P = 0.012),总HRQoL (β = 4.16;95% ci, 1.35-6.98;P = .004)。与不满足特定联合指南相比,满足MVPA和ST与更好的物理HRQoL相关(β = 5.52;95% ci, 1.30-9.74;P = 0.01)。结论:这些横断面研究结果表明,满足所有三个24小时运动指南与青少年更好的HRQoL相关。由于该样本中符合总体指导方针的比例很低,因此未来的努力应该鼓励并可能提高对24小时运动指导方针的遵守。
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来源期刊
Pediatric Exercise Science
Pediatric Exercise Science 医学-生理学
CiteScore
2.80
自引率
0.00%
发文量
33
审稿时长
>12 weeks
期刊介绍: Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.
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