Transitions of 24-H Movement Behaviour Profiles From Schooldays to Weekends and Their Associations With Health-Related Quality of Life and Well-Being in Czech Adolescents

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-06-27 DOI:10.1111/cch.70121

David Janda, Jan Dygrýn, František Chmelík, Lukáš Rubín, Tereza Juřicová, Michal Vorlíček, Ondřej Vencálek, Aleš Gába

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引用次数: 0

Abstract

Background

Adolescents' movement behaviours (MB) vary between schooldays and weekends, potentially impacting health-related quality of life (HRQoL) and well-being. This study aimed to identify transitions between 24-h MB profiles on schooldays and weekends and examine their associations with HRQoL and well-being.

Methods

This is a cross-sectional study of 1070 Czech adolescents (average age: 13.8 years and standard deviation: 2.2 years; 56% girls). Participants wore accelerometers for 7 consecutive days to assess physical activity (PA) of different intensities, sedentary behaviour (SB) and sleep. A subsample of 451 participants provided data on HRQoL, which was measured using the Paediatric Quality of Life Inventory, and 484 provided valid well-being data measured with the 5-item World Health Organisation Well-Being Index. Latent transition analysis was used on the MB variables to identify transitions across MB profiles, and linear regression was used to examine associations between transitions and HRQoL or well-being.

Results

Four MB profiles were identified: Excellent (high PA, low SB and high sleep duration), Good (average MB values), Fair (below-average PA and sleep, above-average SB) and Poor (low PA and sleep, high SB). Most adolescents transitioned to less favourable profiles on weekends. Those remaining in the Excellent profile had higher HRQoL than those transitioning to less favourable profiles. Transitions to the Poor profile were associated with the lowest HRQoL and well-being scores.

Conclusion

This study underscores the dynamic nature of adolescents' MB and the importance of consistent, healthy routines. Interventions optimizing 24-h MB throughout the week and especially on weekends may enhance adolescent HRQoL and well-being, but further evidence from longitudinal and intervention studies is needed.

Summary

We observed a contrast in 24-h MB between schooldays and weekends: 29.7% of adolescents were in the Excellent on schooldays, but only 5.8% did so on weekends, while the prevalence of the Poor profile rose from 1.6% on schooldays to 27.7% on weekends.
Adolescents who maintained the Excellent profile across the whole week recorded the highest scores for HRQoL and well-being.
Moving into the Poor profile on weekend was associated with about 9 points poorer HRQoL and 14 points lower well-being, compared with peers who remained in the Excellent profile.
Behaviour change strategies should target the entire week to preserve PA, reduce SB and protect sleep.

查看原文本刊更多论文

捷克青少年从上学日到周末的24小时运动行为特征的转变及其与健康相关的生活质量和福祉的关联

背景青少年的运动行为（MB）在上学日和周末之间有所不同，可能影响健康相关的生活质量（HRQoL）和幸福感。本研究旨在确定学生日和周末24小时MB谱之间的转变，并研究其与HRQoL和幸福感的关系。方法对1070名捷克青少年进行横断面研究(平均年龄13.8岁，标准差2.2岁；56%的女孩)。参与者连续7天佩戴加速度计，以评估不同强度的身体活动（PA）、久坐行为（SB）和睡眠。451名参与者的子样本提供了HRQoL的数据，使用儿科生活质量量表进行测量，484名参与者提供了有效的福祉数据，使用世界卫生组织幸福指数的5项指标进行测量。对MB变量使用潜在转换分析来确定MB剖面的转换，并使用线性回归来检查转换与HRQoL或幸福感之间的关联。结果确定了四种MB特征：优秀（高PA，低SB和高睡眠时间），良好（平均MB值），一般（低于平均PA和睡眠，高于平均SB）和差（低PA和睡眠，高SB）。大多数青少年在周末会转变成不那么讨人喜欢的形象。那些仍然处于优秀状态的人的HRQoL高于那些过渡到较差状态的人。向贫穷状态的转变与最低的HRQoL和幸福感得分有关。结论本研究强调了青少年MB的动态性，以及持续、健康的日常活动的重要性。优化全天24小时MB的干预措施，特别是在周末，可能会提高青少年的HRQoL和幸福感，但需要进一步的纵向和干预研究的证据。我们观察到在上学日和周末之间的24小时MB的对比：29.7%的青少年在上学日是优秀的，但只有5.8%的青少年在周末是优秀的，而糟糕的患病率从上学日的1.6%上升到周末的27.7%。在整个星期中保持优秀形象的青少年在HRQoL和幸福感方面得分最高。与保持“优秀”状态的同龄人相比，周末进入“糟糕”状态的人的HRQoL低9分，幸福感低14分。行为改变策略应该针对整个星期来保持PA，减少SB和保护睡眠。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.