TY - JOUR
T1 - Association between 24-hour movement behaviors and health-related quality of life in children
AU - Xiong, Xiuqin
AU - Dalziel, Kim
AU - Carvalho, Natalie
AU - Xu, Rongbin
AU - Huang, Li
N1 - Funding Information:
XX was supported by China Scholarship Council (201906010310). RX was supported by China Scholarship Council (201806010405). The sponsor was not involved in the study design, data collection, data analyses, results interpretation, and writing of this manuscript.
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Nature Switzerland AG.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2022/1
Y1 - 2022/1
N2 - Purpose: To assess the associations between adherence to 24-hour movement behaviors guidelines and child general health and functional status measured by health-related quality of life. Methods: The Longitudinal Study of Australian Children (2004–2016) a nationally representative sample with data available for children aged 2–15 years was used. Physical activity time, recreational screen time, and sleep time were calculated from time use diaries and classified as ‘meeting guidelines’ or ‘not’ based on the age-specific 24-h movement guidelines. Child general health and functional status were measured using the multidimensional Pediatric Quality of Life Inventory (PedsQL). Associations between meeting guidelines and PedsQL were assessed using linear mixed effects models. Results: 8919 children were included. Each additional guideline met was associated with a 0.52 (95% confidence interval [CI] 0.39–0.65) increase in PedsQL total score. Compared with meeting no guidelines, the effect of meeting physical activity guidelines alone (β = 0.93, 95% CI 0.42–1.44) was larger compared to meeting screen (β = 0.66, 95% CI 0.06–1.27) or sleep time (β = 0.47, 95% CI 0.04–0.89) guidelines alone. The highest increment was observed in meeting both screen time and physical activity guidelines (β = 1.89, 95% CI 1.36–2.43). Associations were stronger in children from lower-income families (β for meeting all versus none = 2.88, 95% CI 1.77–3.99) and children aged 14–15 years (β = 4.44, 95% CI 2.49–6.40). Conclusions: The integration of screen time and physical activity guidelines is associated with the highest PedsQL improvement. The association between guidelines adherence and PedsQL appears stronger for adolescents and those from low-income families.
AB - Purpose: To assess the associations between adherence to 24-hour movement behaviors guidelines and child general health and functional status measured by health-related quality of life. Methods: The Longitudinal Study of Australian Children (2004–2016) a nationally representative sample with data available for children aged 2–15 years was used. Physical activity time, recreational screen time, and sleep time were calculated from time use diaries and classified as ‘meeting guidelines’ or ‘not’ based on the age-specific 24-h movement guidelines. Child general health and functional status were measured using the multidimensional Pediatric Quality of Life Inventory (PedsQL). Associations between meeting guidelines and PedsQL were assessed using linear mixed effects models. Results: 8919 children were included. Each additional guideline met was associated with a 0.52 (95% confidence interval [CI] 0.39–0.65) increase in PedsQL total score. Compared with meeting no guidelines, the effect of meeting physical activity guidelines alone (β = 0.93, 95% CI 0.42–1.44) was larger compared to meeting screen (β = 0.66, 95% CI 0.06–1.27) or sleep time (β = 0.47, 95% CI 0.04–0.89) guidelines alone. The highest increment was observed in meeting both screen time and physical activity guidelines (β = 1.89, 95% CI 1.36–2.43). Associations were stronger in children from lower-income families (β for meeting all versus none = 2.88, 95% CI 1.77–3.99) and children aged 14–15 years (β = 4.44, 95% CI 2.49–6.40). Conclusions: The integration of screen time and physical activity guidelines is associated with the highest PedsQL improvement. The association between guidelines adherence and PedsQL appears stronger for adolescents and those from low-income families.
KW - 24-Hour movement guidelines
KW - Adolescents
KW - Australia, health equity
KW - Child
KW - Health status
KW - Physical activity
KW - Screen use
KW - Sleep
UR - http://www.scopus.com/inward/record.url?scp=85107397138&partnerID=8YFLogxK
U2 - 10.1007/s11136-021-02901-6
DO - 10.1007/s11136-021-02901-6
M3 - Article
C2 - 34085133
AN - SCOPUS:85107397138
SN - 0962-9343
VL - 31
SP - 231
EP - 240
JO - Quality of Life Research
JF - Quality of Life Research
IS - 1
ER -