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Joensuu L, Tammelin TH, Syväoja HJ, Barker AR, Parkkari J, Kujala UM. Physical activity, physical fitness and self-rated health: cross-sectional and longitudinal associations in adolescents. BMJ Open Sport Exerc Med 2024; 10:e001642. [PMID: 38562154 PMCID: PMC10982735 DOI: 10.1136/bmjsem-2023-001642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2024] [Indexed: 04/04/2024] Open
Abstract
Objectives To evaluate the independent associations of physical activity and physical fitness with self-rated health in adolescents. Methods Data from a 2-year observational study (2013-2015) were used (n=256, 58% girls, 13.7±0.3 years at baseline). Self-rated health was assessed with a questionnaire, physical activity by an accelerometer and a questionnaire, and physical fitness via the measurements included in the Finnish national Move! monitoring system for physical functional capacity and their z-score average (fitness index). Results Self-reported physical activity had cross-sectional associations with self-rated health (girls β 0.213, p=0.006, β 0.221 boys p=0.021) while accelerometer-based moderate-to-vigorous physical activity did not. Higher self-reported physical activity at baseline was associated with higher self-rated health at follow-up in boys (β 0.289, p<0.001), but not in girls (β -0.056, p=0.430). Accelerometer-based moderate-to-vigorous physical activity had positive longitudinal associations with future self-rated health in boys, but some of these similar associations were negative in girls. Fitness index had a positive cross-sectional association with self-rated health in boys (β 0.282 or β 0.283, p=0.002), but not in girls (β 0.162 or β 0.161, p=0.051). Physical fitness was not longitudinally associated with self-rated health. Conclusions Self-reported physical activity showed potential to explain current and future self-rated health better than accelerometer-based physical activity or physical fitness. We recommended to consider self-reported physical activity as an adequate metric of adolescent health in the population-level surveillance systems.
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Affiliation(s)
- Laura Joensuu
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
- Likes, JAMK University of Applied Sciences, Jyväskylä, Finland
| | | | - Heidi J Syväoja
- Likes, JAMK University of Applied Sciences, Jyväskylä, Finland
| | - Alan R Barker
- Children’s Health and Exercise Research Centre, Public Health and Sports Sciences, University of Exeter, Exeter, UK
| | - Jari Parkkari
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Urho M Kujala
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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de Sales ÉNBG, Barbosa Filho VC, Maciel GP, de Castro VHS, de Bastos PO, Vieira NFC. Self-rated health among adolescents from vulnerable areas and their sociodemographic, lifestyle and contextual factors: A multilevel analysis. Child Care Health Dev 2024; 50:e13125. [PMID: 37188524 DOI: 10.1111/cch.13125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 05/02/2023] [Accepted: 05/04/2023] [Indexed: 05/17/2023]
Abstract
PURPOSE Understanding self-rated health in young people can help orient global health actions, especially in regions of social vulnerability. The present study analysed individual and contextual factors associated with self-rated health in a sample of Brazilian adolescents. DESIGN AND METHODS Cross-sectional data from 1272 adolescents (aged 11-17; 48.5% of girls) in low human development index (HDI) neighbourhoods were analysed (HDI from 0.170 to 0.491). The outcome variable was self-rated health. Independent variables relating to individual factors (biological sex, age and economic class) and lifestyle (physical activity, alcohol, tobacco consumption and nutritional state) were measured using standardised instruments. The socio-environmental variables were measured using neighbourhood registered data where the adolescents studied. Multilevel regression was used to estimate the regression coefficients and their 95% confidence intervals (CI). RESULTS Good self-rated health prevalence was of 72.2%. Being male (B: -0.165; CI: -0.250 to -0.081), age (B: -0.040; CI: -0.073 to -0.007), weekly duration of moderate to vigorous physical activity (B: 0.074; CI: 0.048-0.099), body mass index (B: -0.025; CI: -0.036 to -0.015), number of family healthcare teams in the neighbourhood (B: 0.019; CI: 0.006-0.033) and dengue incidence (B: -0.001; CI: -0.002; -0.000) were factors associated with self-rated health among students from vulnerable areas. CONCLUSIONS/PRACTICAL IMPLICATIONS Approximately three in every 10 adolescents in areas of social vulnerability presented poor self-rated health. This fact was associated with biological sex and age (individual factors), physical activity levels and BMI (lifestyle) and the number of family healthcare teams in the neighbourhood (contextual).
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Affiliation(s)
| | - Valter Cordeiro Barbosa Filho
- Programa de Pós-Graduação em Saúde Coletiva da Universidade Estadual do Ceará (UECE), Fortaleza, Ceará, Brazil
- Instituto Federal do Ceará (IFCE), Aracati, Ceará, Brazil
| | - Gabriel Pereira Maciel
- Programa de Pós-Graduação em Saúde Coletiva da Universidade Estadual do Ceará (UECE), Fortaleza, Ceará, Brazil
| | | | - Patrícia Oliveira de Bastos
- Programa de Pós-Graduação em Saúde Coletiva da Universidade Estadual do Ceará (UECE), Fortaleza, Ceará, Brazil
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Wang Y, She W, Chi G, Wang J. Vigorous physical activity and self-rated health during adolescence: A cross-sectional survey. Front Public Health 2022; 10:961361. [PMID: 36339185 PMCID: PMC9634651 DOI: 10.3389/fpubh.2022.961361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Accepted: 09/30/2022] [Indexed: 01/24/2023] Open
Abstract
Background Despite the positive relationship between self-rated health and general physical activity, very little research has touched upon the relationship between self-rated health and vigorous physical activity. Such research will help to promote self-rated health among adolescents by addressing the close relationship between self-rated health and the components of physical activity. Purpose In this study, the relationship between self-rated health and vigorous physical activity among Chinese adolescents were analyzed. Methods The current study was based on a collaborative survey conducted by the WHO in several nations, and the data generated by Health Behavior in School-aged Children every 4 years on health behavior were adopted. The school class was taken as a basic unit for sampling. Cluster sampling was performed systematically, and the possibility was proportional to the population. The sampling was conducted to collect typical cases. The class teachers were informed of the sampling activities, and they were to collect data on the students by distributing the questionnaires. Results The research included 116,828 respondents from 36 countries. Among them, 51.82% were girls and 48.18% were boys. A total of 98.54% of the respondents considered their health status as fair or above when completing the questionnaire, while 1.46% believed that their health status was poor. Moreover, more than 86% of the respondents participated in vigorous exercise more than weekly, and better self-health ratings were found among respondents who exercised more than weekly (once a week: OR = 1.95, CI: 1.86-2.04; two or three times a week: OR = 1.69, CIL: 1.63-1.76; four or six times a week: OR = 1.30, CI: 1.25-1.35). Certain respondents reported better results for self-rated health (4-6 h every week: OR = 1.36, CI: 1.30-1.43; 2 or 3 h every week: OR = 1.48, CI: 1.42-1.55; 1 h every week: OR = 1.64, CI: 1.57-1.72). Conclusion In this study, empirical evidence is provided for the relationship between self-rated health and vigorous physical activity among adolescents. From the results, it can be observed that there is a positive relationship between self-rated health and vigorous physical activity among adolescents.
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Affiliation(s)
- Yongkang Wang
- School of Physical Education and Sport Science, Fujian Normal University, Fuzhou, China
| | - Weizhong She
- Hebei Vocational College for Correctional Police, Handan, China
| | - Guijun Chi
- Department of Physical Education, Tangshan Normal University, Tangshan, China
| | - Junsheng Wang
- Institute of Physical Education and Training, Capital University of Physical Education and Sports, Beijing, China,*Correspondence: Junsheng Wang
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Shi C, Yan J, Wang L, Shen H. Exploring the self-reported physical fitness and self-rated health, mental health disorders, and body satisfaction among Chinese adolescents: A cross-sectional study. Front Psychol 2022; 13:1003231. [PMID: 36186394 PMCID: PMC9521502 DOI: 10.3389/fpsyg.2022.1003231] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 08/30/2022] [Indexed: 01/11/2023] Open
Abstract
BackgroundPhysical activity (PA) and Physical fitness (PF) have received tremendous attention in the field of physical and mental health. However, limited attention has been given to the associations of self-reported physical fitness with some health-related outcomes. Given the COVID-19 pandemic is still active in many Chinese regions, assessing health-related physical fitness (HRPF) in adolescents using field-based assessment (such as a shuttle run for cardiorespiratory fitness) is unrealistic, therefore, this study was conducted via a self-reported questionnaire.PurposeThe present cross-sectional study was aimed at delving into the relationship between self-reported physical fitness with self-rated health, depression, anxiety, and body satisfaction in adolescents. Three thousand eight hundred and seven study participants from 12 public schools in South-eastern China were recruited and 2,407 of them provided valid data on variables that this study needed for analysis.Materials and methodsStudy participants were asked to self-report their sociodemographic factors (e.g., sex, grade, age), independence, and outcomes. Generalized linear models were used to explore the associations of self-reported physical fitness (comprising general physical fitness, cardiorespiratory fitness, muscular strength, speed and agility, and flexibility) with depression, anxiety, and body satisfaction. A total of 2,407 children and adolescents with a mean age of 13.82 (±2.1) years were included in the final study analysis.ResultsHigher self-reported levels of general physical fitness and cardiorespiratory fitness were associated with better self-rated health, and body satisfaction but with lower risks of depression and anxiety.ConclusionThe current study offered evidence on the roles of self-reported physical fitness and health-related outcomes. To facilitate health in children and adolescents, advocating fitness education, and promotion could be a feasible approach.
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Affiliation(s)
- Chongyan Shi
- School of Physical Education and Humanity, Nanjing Sport Institute, Nanjing, China
| | - Jin Yan
- Centre for Active Living and Learning, University of Newcastle, Callaghan, NSW, Australia
- College of Human and Social Futures, University of Newcastle, Callaghan, NSW, Australia
| | - Lei Wang
- School of Physical Education, Shanghai University of Sport, Shanghai, China
| | - Hejun Shen
- School of Physical Education and Humanity, Nanjing Sport Institute, Nanjing, China
- *Correspondence: Hejun Shen,
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de Fátima Guimarães R, Gilbert JA, Drapeau V, Mathieu ME. Healthier Lifestyle for Girls Who Accumulate More Years in the FitSpirit School-Based Intervention. Am J Lifestyle Med 2022; 16:633-640. [PMID: 36072691 DOI: 10.1177/1559827620964764] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The main aim was to verify in a group of adolescent girls undergoing a school-based intervention if the number of years of participation in the intervention is related to healthy lifestyle habits, body weight status, and perceived health. Cross-sectional analysis of the FitSpirit data was performed. Body mass index, lifestyle variables, and perceived health were collected through an online questionnaire. Chi-square test, Fisher's test, and ANOVA were performed. Mean age of the 272 girls was 14.7 ± 1.5 years. Higher percentage of girls with 3 or more years of participation met the recommendations for physical activity (PA) and sleep duration (P < .05). Girls who participated ≥3 years showed higher levels of moderate-to-vigorous PA than girls with 1 and 2 years of participation (P < .01). No differences were found between the number of years of participation and body mass index, screen time, fruit/vegetable consumption, or perceived health. A healthier body weight status and following recommendations for healthier habits (PA, screen time, sleep, fruit/vegetable consumption) were related to better perceived health (P < .05). Girls with more years in FitSpirit had healthier lifestyle habits (PA and sleep) compared to those with fewer years. A healthier body weight status and meeting healthy lifestyle recommendations were related to better perceived health.
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Affiliation(s)
- Roseane de Fátima Guimarães
- École de kinésiologie et des sciences de l'activité physique de la Faculté de médecine, Université de Montréal, Montreal, Quebec, Canada
| | - Jo-Anne Gilbert
- École de kinésiologie et des sciences de l'activité physique de la Faculté de médecine, Université de Montréal, Montreal, Quebec, Canada
| | - Vicky Drapeau
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Quebec City, Quebec, Canada.,Institut sur la nutrition et les aliments fonctionnels, Université de Laval, Quebec, Canada
| | - Marie-Eve Mathieu
- École de kinésiologie et des sciences de l'activité physique de la Faculté de médecine, Université de Montréal, Montreal, Quebec, Canada
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Physical Activity, Eating Habits and Mental Health during COVID-19 Lockdown Period in Serbian Adolescents. Healthcare (Basel) 2022; 10:healthcare10050834. [PMID: 35627970 PMCID: PMC9140993 DOI: 10.3390/healthcare10050834] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Revised: 04/19/2022] [Accepted: 04/21/2022] [Indexed: 12/07/2022] Open
Abstract
The COVID-19 pandemic has impacted almost every aspect of life, especially daily physical activity and healthy eating habits but also mental health. Our study aimed to examine the relationship between the physical activity level, eating habits and mental health of Serbian adolescents during the COVID-19 pandemic. A total of 3506 students from the territory of the Republic of Serbia participated in this study. IPAQ-short version and HBSC-FFQ were used to assess physical activity level and eating habits, along with self-rated health. Moderate correlations were identified between physical activity, eating habits and mental health, along with average physical activity, very high life satisfaction (β = 0.177, p < 0.01) and very low emotional distress (β = −0.150, p < 0.01). A significant predictor of mental health was the frequency of breakfast on weekdays (β = 0.167, p < 0.01 for life satisfaction and β = −0.153, p < 0.01 for emotional distress), but not on weekends. Since the pandemic’s course is uncertain, the focus should be on maintaining good physical activity, nutrition and well-being.
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Ugwueze FC, Agbaje OS. Physical activity domains, levels, and health-related quality of life among Nigerian adolescents during the coronavirus disease 2019 pandemic. SAGE Open Med 2022; 10:20503121221088808. [PMID: 35387150 PMCID: PMC8977685 DOI: 10.1177/20503121221088808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Accepted: 03/03/2022] [Indexed: 12/05/2022] Open
Abstract
Introduction: The coronavirus disease 2019 pandemic spurred unprecedented public health
measures to curb its spread. Such measures might have negatively impacted
adolescents’ participation in physical activity and health-related quality
of life. However, the evidence is unclear in Nigerian adolescents. This
study assessed the physical activity domains, levels, and health-related
quality of life in Nigerian adolescents during the coronavirus disease 2019
pandemic. Methods: The sample consisted of 430 students in public secondary schools in Nsukka,
Enugu State. The students were randomly selected to participate in the
cross-sectional study between November 2020 and April 2021. The Demographic
Profile Form, International Physical Activity Questionnaire, Short Form-36
Health Survey, and Perceived Susceptibility to coronavirus disease 2019
Infection Questionnaire were used for data collection. Descriptive
statistics, Chi-square test, independent-samples t-test,
univariate ANOVA, and multiple linear regressions were conducted using SPSS
version 25. Results: The mean score of total physical activity (MET-min/week) was 1651.3
(SD = 842.18). The mean overall score of health-related
quality of life was 78.30 (SD = 16.43). The mental health
component of health-related quality of life showed that adolescents had poor
mental health status. Female adolescents had higher mean scores in physical
component summary (M = 83.03; SD = 27.36)
and mental component summary (M = 51.19;
SD = 8.69) than the male adolescents, physical
component summary (M = 69.0; SD = 21.65)
and mental component summary (M = 46.15;
SD = 10.71). Conclusion: The findings showed a significant positive association among gender, class of
study, parental type, perceived susceptibility to coronavirus disease 2019,
and physical activity domains, levels, and health-related quality of life.
In addition, boys had a higher mean score of total physical activity
(MET-min/week) than the girls. More girls were less active than the boys.
However, concerning the health-related quality of life, girls had higher
mean scores in physical component summary and mental component summary than
boys. Physical activity interventions that specifically target female
adolescents’ physical activity participation are needed. Also, mental health
interventions are needed to improve the mental health status of adolescents,
especially boys in the post–coronavirus disease 2019 era.
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Affiliation(s)
- Fabian Chibunine Ugwueze
- Department of Human Kinetics & Health Education, Faculty of Education, University of Nigeria, Nsukka, Nigeria
| | - Olaoluwa Samson Agbaje
- Department of Human Kinetics & Health Education, Faculty of Education, University of Nigeria, Nsukka, Nigeria
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Alsubaie AS. Associations between self-rated health, life satisfaction and physical activity among adolescents in Saudi Arabia. J Med Life 2022; 14:651-657. [PMID: 35027967 PMCID: PMC8742888 DOI: 10.25122/jml-2021-0046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 10/14/2021] [Indexed: 11/18/2022] Open
Abstract
Empirical evidence has shown that health status and life satisfaction are strongly correlated and connected to physical activity. However, no previous research has examined the association of physical activity (PA) with self-rated health (SRH) and life satisfaction (LS) among adolescents in Saudi Arabia. Therefore, a cross-sectional study was conducted among a sample of male adolescents (n=453; age 15–20 years) in Riyadh, Saudi Arabia. The objective was to investigate the association between LS and SRH with PA in adolescents, taking into account socio-demographic variables. A pre-tested validated questionnaire was used to collect data using a stratified sampling technique. An estimated 354 (78.5%) adolescents reported being healthy, and 98 (21.7%) were satisfied with their lives. The logistic regression analysis revealed that adolescents’ SRH was independently associated with their sense of LS (AOR=2.5, 95%CI: 1.5-4.3, P≤0.001). Also, the odds of reporting being healthy increased 2.5 times for being moderate active (95%CI: 1.5-4.3, P<0.001) and 3.4 times for being highly active (95%CI: 2.0-5.8, P≤0.001), as compared to non-active adolescents. Moreover, adjusted logistic regression showed that adolescents’ LS was independently associated with high level of their father’s education (AOR=1.8, 95%CI: 1.2-3.0, P=0.023); studying in private schools (AOR=1.9, 95%CI: 1.3-2.9, P≤0.011) and being highly active (AOR=3.0, 95%CI: 1.6-4.2, P=0.007). SRH and LS are determinants of each other, and both variables were independently associated with PA levels. Programs that increase PA may promote life satisfaction and health status in the adolescent population. Therefore, it is important to promote physical activity amongst them, create a sport-friendly environment, and engage adolescents in physical activity during their free time by broadening access to more sports classes and other forms of assistance. This is also an important method of enhancing adolescents’ life satisfaction and better health.
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Affiliation(s)
- Ali Saad Alsubaie
- Department of Public Health, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia
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Baghapour MA, Moeini Z, Shooshtarian MR. A new computer-based index for swimming pools' environmental health assessment in big data environment by consensus-based fuzzy group decision-making models. JOURNAL OF ENVIRONMENTAL HEALTH SCIENCE & ENGINEERING 2021; 19:1323-1332. [PMID: 34900269 PMCID: PMC8617230 DOI: 10.1007/s40201-021-00689-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Accepted: 06/08/2021] [Indexed: 06/14/2023]
Abstract
Swimming pools are popularly used for sport and recreational purposes worldwide. These places influence swimmers' health as they are considered public places. This study attempted to introduce a process mining framework which analyzes the environmental health status in swimming pools. In this context, a new numerical index namely Swimming Pool Environmental Health Index (SPEHI) was developed through which, big data extracted from checklists of environmental health inspection of swimming pools were analyzed in fuzzy environment. The methodology comprises MCDM (Multi- Criteria Decision-Making) approach including fuzzy TOPSIS (Technique for Order Preference by Similarity to Ideal Solution) and fuzzy OWA (Ordered Weighting Average). The performance of this index was evaluated through an applied example on 12 swimming pools in Shiraz, Iran that was run for a three-year sequence from 2015 to 2017. Among 30 evaluation criteria used in this index, the greatest (0.61) and lowest (0.35) group weights were dedicated to "Residual chlorine biological water quality" and "existence of drinking water facilities", respectively. For the study area, SPEHI showed a wide range of environmental health conditions between 37.8 (Relatively good) to 98.19 (Excellent). The extended index could shrink swimming pool's big data to concise values which are interpretable for health experts and managers of sport sector. It helps figuring out the trends of hygiene conditions in a swimming pool over the time and easy access to compare a city's swimming pools as well. The methodology is flexible in structure and thus, it could be applied for other sporting places.
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Affiliation(s)
- Mohammad Ali Baghapour
- Department of Environmental Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zohre Moeini
- Department of Environmental Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Reza Shooshtarian
- Department of Environmental Health Engineering, School of Health, Larestan University of Medical Sciences, Larestan, Iran
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Tanaka C, Abe T, Takenaga R, Suzuki T, Noi S, Tanaka S, Miyachi M, Inoue S, Hatamoto Y, Reilly JJ. Compliance with a physical activity guideline among junior high school students. Pediatr Int 2021; 63:1514-1520. [PMID: 33788345 DOI: 10.1111/ped.14716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 03/16/2021] [Accepted: 03/26/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND There were no nationwide moderate- to vigorous-intensity physical activity (MVPA) data relating to Japanese adolescents. This study assessed compliance with an MVPA guideline by adolescents, using a random sampling survey in Japan. The factors associated with compliance with the guideline were also examined. METHODS Participants were first- to third-grade Japanese junior high school students (307 boys and 255 girls). We analyzed data from the National Sports-Life Survey of Teens 2019, which used the Japanese version of physical activity (PA) questions in the World Health Organization Health Behavior in School-aged Children survey and potential correlates of MVPA. RESULTS Compliance with the PA guideline by the World Health Organization for Japanese students was 19.0% (95% confidence interval (CI), 15.8-22.3). The compliance of boys was significantly higher than that of girls (23.1%; 95% CI, 18.4-27.8; vs 14.1%; 95% CI, 9.8-18.4). The odds of meeting the PA guideline were significantly higher for boys in the second grade than boys in the first grade (odds ratio (OR) 1.78; 95% CI, 1.02-3.09), liking PA (for all: OR: 2.97; 95% CI, 1.32-6.69; for girls: OR: 2.99; 95% CI, 1.01-8.81), and sports participation (for all: OR: 4.77; 95% CI, 2.32-9.80; for boys: OR: 6.00; 95% CI, 1.81-19.89; for girls: OR: 4.08; 95% CI, 1.63-10.21). CONCLUSIONS The results suggest that more than 80% of junior high school students were insufficiently physically active in Japan. Preferences for PA and sports participation may be important correlates of sufficient PA.
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Affiliation(s)
- Chiaki Tanaka
- Department of Human Nutrition, Tokyo Kasei Gakuin University, Tokyo, Japan
| | - Takafumi Abe
- Center for Community-Based Healthcare Research and Education (CoHRE), Shimane University, Matsue, Shimane, Japan
| | - Rie Takenaga
- Institute of Sports Policy, Sasakawa Sports Foundation, Tokyo, Japan
| | - Takahiro Suzuki
- Institute of Sports Policy, Sasakawa Sports Foundation, Tokyo, Japan
| | - Shingo Noi
- Research Institute for Health and Sport Science, Nippon Sport Science University, Tokyo, Japan
| | - Shigeho Tanaka
- Laboratory of Physical Activity and Metabolism, Faculty of Nutrition, Kagawa Nutrition University, Sakado City, Saitama, Japan
| | - Motohiko Miyachi
- Department of Physical Activity Research, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan
| | - Shigeru Inoue
- Department of Preventive Medicine and Public Health, Tokyo Medical University, Tokyo, Japan
| | - Youichi Hatamoto
- Department of Nutrition and Metabolism, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan
| | - John J Reilly
- Physical Activity for Health Group, School of Psychological, Sciences and Health, University of Strathclyde, Glasgow, UK
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Health-Related Quality of Life and Frequency of Physical Activity in Spanish Students Aged 8-14. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179418. [PMID: 34502002 PMCID: PMC8430964 DOI: 10.3390/ijerph18179418] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 09/01/2021] [Accepted: 09/05/2021] [Indexed: 12/22/2022]
Abstract
The study of health-related quality of life (HRQoL) in children and adolescents has important implications in terms of policy, education, and health. Data on the time spent in physical activity (PA) and in sedentary activities in this population are worrying. We aim to analyze possible differences in HRQoL and PA levels between sexes and age groups in Spanish students aged between 8 and 14 years, as well as to assess the relationship between HRQoL and the frequency of PA in this population. A total of 3197 participants (1610 boys and 1587 girls) from 8 to 14 years old were recruited. Mquality and Mapping Child Health Utility instrument (Chu9d) were used as HRQoL indicators. A medium positive association between PA and HRQoL concerning the Spanish school population was found. HRQoL was higher among students aged 8 to 12 than 13 to 14. Moreover, when children start secondary education, both sexes seem to lose the quality of life. Similarly, PA decreases among girls over the years, although it seems to increase among boys. Thus, PA levels and HRQoL are directly associated in Spanish schoolchildren aged between 8 and 14 years. However, this HRQoL decreases in children over the years. Practical implications include the need to support education and physical activity programs to improve HRQoL in children and adolescents.
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Villafaina S, Tapia-Serrano MÁ, Vaquero-Solís M, León-Llamas JL, Sánchez-Miguel PA. The Role of Physical Activity in the Relationship between Satisfaction with Life and Health-Related Quality of Life in School-Age Adolescents. Behav Sci (Basel) 2021; 11:bs11090121. [PMID: 34562959 PMCID: PMC8467321 DOI: 10.3390/bs11090121] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 08/26/2021] [Accepted: 08/30/2021] [Indexed: 12/30/2022] Open
Abstract
(1) Background: Adolescence is a critical stage in the development of healthy habits. In this regard, physical activity has emerged as a useful tool to improve satisfaction with life and health-related quality of life in adolescents. Therefore, the aim of the present study was to examine the mediating role of physical activity in the relationship between satisfaction with life and health-related quality of life in adolescent boys and girls. Also, we aimed to investigate the differences between sexes in the HRQoL, physical activity level, and satisfaction with life. (2) Methods: A total of 297 adolescents, ranging in age from 11 to 12 years (11.46 ± 1.63), participated in this cross-sectional study. The Satisfaction with life scale, Physical activity Questionnaire for Adolescents and the KIDSCREEN-10 questionnaires were employed. (3) Results: The estimated indirect effect showed that physical activity level was a mediator of the positive effect of satisfaction with life on health-related quality of life (β = 0.105, 95% CI = 0.031; 0.202). However, the index of moderated mediation showed that sex is not a significant moderator of the mediating role of physical activity in the relationship between satisfaction with life and HRQoL (β = -0.033, 95% CI = -0.023, 0.136). Furthermore, significant differences in satisfaction with life were found, with girls manifesting lower values (p-value = 0.026). (4) Conclusion: This study shows the importance of physical activity during adolescence and the association of this behavior with the health-related quality of life of adolescents.
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Affiliation(s)
- Santos Villafaina
- Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, University of Extremadura, Avd. de la Universidad S/N, 10003 Cáceres, Spain; (S.V.); (J.L.L.-L.)
| | - Miguel Ángel Tapia-Serrano
- Department of Didactics of Music, Plastic and Body Expression, Teacher Training College, University of Extremadura, Avd. de la Universidad S/N, 10003 Cáceres, Spain; (M.V.-S.); (P.A.S.-M.)
- Correspondence:
| | - Mikel Vaquero-Solís
- Department of Didactics of Music, Plastic and Body Expression, Teacher Training College, University of Extremadura, Avd. de la Universidad S/N, 10003 Cáceres, Spain; (M.V.-S.); (P.A.S.-M.)
| | - Juan Luis León-Llamas
- Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, University of Extremadura, Avd. de la Universidad S/N, 10003 Cáceres, Spain; (S.V.); (J.L.L.-L.)
| | - Pedro Antonio Sánchez-Miguel
- Department of Didactics of Music, Plastic and Body Expression, Teacher Training College, University of Extremadura, Avd. de la Universidad S/N, 10003 Cáceres, Spain; (M.V.-S.); (P.A.S.-M.)
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13
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Martins E, Fernandes R, Mendes F, Magalhães C, Araújo P. Food intake, physical activity and quality of life among children and youth. Work 2021; 69:475-484. [PMID: 34120928 DOI: 10.3233/wor-213492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The health-related quality of life construct (QoL) implies a relationship with eating habits (EA) and physical activity (PA). Sociodemographic and anthropometric variables (gender, age and Body Mass Index - BMI) are highlighted in the definition of healthy lifestyle habits promotion strategies. OBJECTIVE We aim to characterize and relate PA, EA and QoL in children/youth and explore gender, age and BMI influences. METHODS It is a non-experimental study, with 337 children/youth, ages between 8 and 17 years (12.61±2.96), mostly from the rural inland of Portugal. In data collection we used a sociodemographic and anthropometric questionnaire, a weekly register table of EA and Kid-Kindl (QoL). Statistical analysis (p < 0.05) were performed in SPSS-IBM 25. RESULTS Lower BMI was associated with better EA (p < 0.001), PA (p < 0.05) and self-esteem (p < 0.01) and worse scores on family subscale of QoL. Female showed higher fruit intake (p < 0.05). The older has shown better results. PA is positively correlated with QoL (p < 0.01) and EA (p < 0.05). CONCLUSIONS It is important to explore other relevant social and family dimensions, to promote intervention programs with parents, school and community, as well as healthy practices policies. The intervention in these age groups is critical for a longer-term impact in improving healthy life habits.
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Affiliation(s)
| | | | | | | | - Patrícia Araújo
- Ipam/Universidade Europeia -Laureate International Universities, Lisbon, Portugal
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14
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Huikari S, Junttila H, Ala-Mursula L, Jämsä T, Korpelainen R, Miettunen J, Svento R, Korhonen M. Leisure-time physical activity is associated with socio-economic status beyond income - Cross-sectional survey of the Northern Finland Birth Cohort 1966 study. ECONOMICS AND HUMAN BIOLOGY 2021; 41:100969. [PMID: 33429255 DOI: 10.1016/j.ehb.2020.100969] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 11/24/2020] [Accepted: 12/28/2020] [Indexed: 06/12/2023]
Abstract
We apply neoclassical economic modelling augmented with behavioral aspects to provide a detailed empirical investigation into indicators of socio-economic status (SES) as determinants of leisure-time physical activity. We utilize the data from the Northern Finland Birth Cohort 1966 obtained at the most recent time point during 2012-2014 (response rate 67 %), at which time the participants were approximately 46 years old. Our final study sample consists of 3,335 employed participants (1520 men, 1815 women; 32.3 % of the target population). We apply logistic regression methods for estimating how the probability of being physically active is related to various indicators of socio-economic status, taking into account physical activity at work and individual lifestyle, family- and health-related factors. Overall, our findings show that belonging to a higher socio-economic group, whether defined by income level, educational attainment, or occupational status, is associated with higher leisure-time physical activity. However, when we analyze different socio-economic groups, defined in terms of education, income and occupation, separately, we find that income is not a significant determinant of leisure-time physical activity within any of the particular SES groups. Further, we find that leisure-time physical activity is negatively associated with higher screen time (i.e., watching TV and sitting at a computer), and other aspects of unhealthy lifestyle, and positively associated with self-assessed health. In addition, we note that proxies for individual motivational factors and childhood physical activity, such as the grade point average and the grade achieved in physical education when leaving basic education, are strongly correlated with leisure-time physical activity in middle age among men, but not among women. Our results are in line with behavioral economics reasoning that social comparisons and environments affect behaviors. We emphasize the importance of considering behavioral economic factors when designing policies to promote physical activity.
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Affiliation(s)
- Sanna Huikari
- Department of Economics, Accounting and Finance, University of Oulu, P.O. Box 4600, FIN-90014, University of Oulu, Finland.
| | - Hanna Junttila
- Department of Physical Medicine and Rehabilitation, University of Oulu, P.O. Box 4600, FIN-90014, University of Oulu, Finland
| | - Leena Ala-Mursula
- Center for Life Course Health Research, P.O. Box 5000, FIN-90014, University of Oulu, Finland
| | - Timo Jämsä
- Medical Research Center, Oulu University Hospital and University of Oulu, P.O. Box 5000, 90014, Oulu, Finland; Research Unit of Medical Imaging, Physics and Technology, University of Oulu, P.O. Box 5000, FIN-90014, University of Oulu, Finland; Department of Diagnostic Radiology, Oulu University Hospital, Kajaanintie 50, FIN-90220, Oulu, Finland
| | - Raija Korpelainen
- Center for Life Course Health Research, P.O. Box 5000, FIN-90014, University of Oulu, Finland; Medical Research Center, Oulu University Hospital and University of Oulu, P.O. Box 5000, 90014, Oulu, Finland; Department of Sport and Exercise Medicine, Oulu Deaconess Institute Foundation sr, Albertinkatu 18A, P.O. Box 365, 90100, Oulu, Finland
| | - Jouko Miettunen
- Center for Life Course Health Research, P.O. Box 5000, FIN-90014, University of Oulu, Finland; Medical Research Center, Oulu University Hospital and University of Oulu, P.O. Box 5000, 90014, Oulu, Finland
| | - Rauli Svento
- Department of Economics, Accounting and Finance, University of Oulu, P.O. Box 4600, FIN-90014, University of Oulu, Finland
| | - Marko Korhonen
- Department of Economics, Accounting and Finance, University of Oulu, P.O. Box 4600, FIN-90014, University of Oulu, Finland
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15
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Radman I, Sorić M, Mišigoj-Duraković M. Agreement between the SHAPES Questionnaire and a Multiple-Sensor Monitor in Assessing Physical Activity of Adolescents Using Categorial Approach: A Cross-Sectional Study. SENSORS 2021; 21:s21061986. [PMID: 33799839 PMCID: PMC8000722 DOI: 10.3390/s21061986] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2020] [Revised: 03/08/2021] [Accepted: 03/10/2021] [Indexed: 11/16/2022]
Abstract
This study aimed to evaluate the agreement between a 7-day recall questionnaire and multiple-sensor monitor in identifying sufficiently active adolescents. A total of 282 students involved in the CRO-PALS study were randomly selected for a device-based measurement of physical activity (PA) using the SenseWear Armband device (SWA) no more than three weeks before or after having fulfilled the SHAPES questionnaire. Valid data was obtained from 150 participants (61 boys; 89 girls) and included in the analysis. In boys, SHAPES exhibited high specificity (92.3%), overall percent agreement (85.0%), and significant agreement (κ = 0.32, p = 0.014) with the SWA in recognising sufficiently active individuals. Conversely, no agreement was detected for quartiles of PA, although boys that were classified in the first and in the fourth quartile by SHAPES differed in device-based measured duration of MVPA (134 [95%CI: 109–160] vs. 87 [95%CI: 65–108], p = 0.032); and VPA (39 [95%CI: 23–56] vs. 14 [95%CI: 6–22], p = 0.011). In girls, no significant agreement between the two methods was found in any of the analyses. It appears that the SHAPES questionnaire is effective to identify individuals that comply with PA recommendations and to distinguish between the most active and the least active individuals for adolescent boys, but not for girls.
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Affiliation(s)
- Ivan Radman
- Faculty of Kinesiology, University of Zagreb, 10000 Zagreb, Croatia; (M.S.); (M.M.-D.)
- Correspondence: ; Tel.: +385-1-365-8132
| | - Maroje Sorić
- Faculty of Kinesiology, University of Zagreb, 10000 Zagreb, Croatia; (M.S.); (M.M.-D.)
- Faculty of Sport, University of Ljubljana, 1000 Ljubljana, Slovenia
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16
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Relationship between Sedentary Time, Physical Activity, and Health-Related Quality of Life in Spanish Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052702. [PMID: 33800169 PMCID: PMC7967425 DOI: 10.3390/ijerph18052702] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Revised: 02/27/2021] [Accepted: 03/05/2021] [Indexed: 01/08/2023]
Abstract
Higher sedentary time and lower physical activity (PA) are associated with a poor health-related quality of life (HRQoL) in children. The aims of this study were: (1) to analyze the sedentary time, objectively measured PA levels (light, moderate, vigorous, and moderate-to-vigorous physical activity (MVPA)), and HRQoL dimensions (physical well-being, emotional well-being, self-esteem, family, friends, school, and total score) in children; and (2) to examine the association between sedentary time, PA levels, and HRQoL in children separately by sex. A total of 459 children (8.4 ± 0.4 years old, 50.54% males) from 15 schools in Granada (Spain) participated in the study. A tri-axial accelerometer was used to measure PA levels in the children for 7 consecutive days. The Revidierter KINDer Lebensqualitätsfragebogen (KINDL-R) questionnaire was used to determine the children’s HRQoL dimensions. The results showed that males presented more minutes engaged in MVPA than females. Both sedentary time and PA levels were associated with self-esteem and total score (all p < 0.05). In males, moderate and vigorous PA levels were associated with higher HRQoL, whereas light PA was associated with higher HRQoL in females. Future studies should take into account the use of activities with difference intensities in order to increase HRQoL in males and females.
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17
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Sriram K, Mulder HS, Frank HR, Santanam TS, Skinner AC, Perrin EM, Armstrong SC, Peterson ED, Pencina MJ, Wong CA. The Dose-Response Relationship Between Physical Activity and Cardiometabolic Health in Adolescents. Am J Prev Med 2021; 60:95-103. [PMID: 33341183 PMCID: PMC7769140 DOI: 10.1016/j.amepre.2020.06.027] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 06/14/2020] [Accepted: 06/22/2020] [Indexed: 01/06/2023]
Abstract
INTRODUCTION This study examines the dose-response relationship between moderate-to-vigorous physical activity and cardiometabolic measures in adolescents. METHODS Cross-sectional spline analyses were performed using 2003-2016 National Health and Nutrition Examination Survey data among adolescents (aged 12-19 years, N=9,195) on objectively measured (2003-2006) and self-reported (2007-2016) weekly mean minutes of moderate-to-vigorous physical activity and cardiometabolic measures (systolic and diastolic blood pressure, total cholesterol, high-density lipoprotein, BMI, and cardiorespiratory fitness). Inflection points were determined for nonlinear relationships. RESULTS For objective moderate-to-vigorous physical activity, female adolescents had significant nonlinear associations with inflection points at 90 minutes/week for BMI percentile and systolic blood pressure. Male adolescents had inflection points at 150 weekly minutes of objective activity for BMI percentile and cardiorespiratory fitness. BMI percentile was about 7% lower for female and male adolescents at 150 weekly minutes of objectively measured moderate-to-vigorous physical activity than at 0 minutes. For self-reported moderate-to-vigorous physical activity, inflection points were at 375 minutes/week (diastolic blood pressure for female adolescents) and 500 minutes/week (systolic blood pressure for male adolescents). CONCLUSIONS Among several significant dose-response relationships between physical activity and cardiometabolic health in adolescents, consistent and often nonlinear relationships were identified for BMI, with inflection points at 90-150 minutes of objective moderate-to-vigorous physical activity. Notable differences in associations and linearity were identified by sex and physical activity measure (objective or self-reported). These results support calls for any increase in physical activity among adolescents and suggest that recommendations closer to the adult guidelines of 150 weekly minutes of physical activity may be health promoting and more attainable for youth than the current recommendation of 420 weekly minutes.
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Affiliation(s)
| | | | | | - Taruni S Santanam
- Duke-Margolis Center for Health Policy, Duke University, Durham, North Carolina
| | - Asheley C Skinner
- Duke Clinical Research Institute, Durham, North Carolina; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina; Duke Center for Childhood Obesity Research, Duke University School of Medicine, Durham, North Carolina
| | - Eliana M Perrin
- Duke Center for Childhood Obesity Research, Duke University School of Medicine, Durham, North Carolina; Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina
| | - Sarah C Armstrong
- Duke Clinical Research Institute, Durham, North Carolina; Duke Center for Childhood Obesity Research, Duke University School of Medicine, Durham, North Carolina; Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina
| | | | - Michael J Pencina
- Duke University School of Medicine, Durham, North Carolina; Duke Clinical Research Institute, Durham, North Carolina
| | - Charlene A Wong
- Duke Clinical Research Institute, Durham, North Carolina; Duke Center for Childhood Obesity Research, Duke University School of Medicine, Durham, North Carolina; Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina; Duke Children's Health and Discovery Initiative, Duke University School of Medicine, Durham, North Carolina
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18
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Ishida M, Montagni I, Matsuzaki K, Shimamoto T, Cariou T, Kawamura T, Tzourio C, Iwami T. The association between depressive symptoms and self-rated health among university students: a cross-sectional study in France and Japan. BMC Psychiatry 2020; 20:549. [PMID: 33228615 PMCID: PMC7685657 DOI: 10.1186/s12888-020-02948-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Accepted: 11/07/2020] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Depressive disorders in University students have risen dramatically in the past few decades to the extent that students' mental health has become a current global public health priority. Obtaining information from University students about their mental health is challenging because of potential embarrassment of disclosing one's concerns and fear of stigmatization. Self-rated health might be a good solution to evaluate mental health state by a simple and neutral indicator. The aim of the study is to investigate the association between depressive symptoms and self-rated health by sex among University students in France and Japan. METHODS A cross-sectional study was conducted by using two large cohorts of students aged ≥18 years (n = 5655 in Bordeaux, France and n = 17,148 in Kyoto, Japan). Depressive symptoms (PHQ-2 scale), Likert scale of self-rated health, socio-demographic characteristics and health habits were collected through self-administered questionnaires. Multivariate logistic regression models were performed to describe the association between depressive symptoms and other variables including self-rated health, stratified by sex. RESULTS A high score of PHQ-2 (high depressive symptoms) was associated with poor self-rated health in both cohorts independently of all other variables (OR 2.82, 95%CI 1.99-4.01 in France, OR 7.10, 95%CI 5.76-8.74 in Japan). Although the prevalence of depressive symptoms between sexes was different in French students (males 15.4%, females 25.0%, p < 0.001), it was similar in Japanese students (males 3.5%, females 3.3%, p = 0.466), who reported less depressive symptoms than French students. The association between depressive symptoms and poor self-rated health was greater in Japanese females (OR 12.40, 95%CI 7.74-20.00) than in males (OR 6.30, 95%CI 4.99-7.95), whereas the strength of the association was almost similar in French students (OR 2.17, 95%CI 0.86-5.47 in males, OR 2.98, 95%CI 2.03-4.38 in females). CONCLUSIONS Depressive symptoms were associated with self-rated health among University students in both countries with slightly differences in sex. Self-rated health would be a simple, reliable and universal indicator for healthcare professionals and University staff to identify students at risk of depression.
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Affiliation(s)
- Mami Ishida
- grid.258799.80000 0004 0372 2033Department of Preventive Services, Kyoto University School of Public Health, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501 Japan
| | - Ilaria Montagni
- grid.412041.20000 0001 2106 639XTeam HEALTHY, UMR 1219, University of Bordeaux, Inserm, Bordeaux Population Health Research Center, F-33000 Bordeaux, France
| | - Keiichi Matsuzaki
- Kyoto University Health Service, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501, Japan.
| | - Tomonari Shimamoto
- grid.258799.80000 0004 0372 2033Kyoto University Health Service, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501 Japan
| | - Tanguy Cariou
- grid.412041.20000 0001 2106 639XTeam HEALTHY, UMR 1219, University of Bordeaux, Inserm, Bordeaux Population Health Research Center, F-33000 Bordeaux, France
| | - Takashi Kawamura
- grid.258799.80000 0004 0372 2033Kyoto University Health Service, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501 Japan
| | - Christophe Tzourio
- grid.412041.20000 0001 2106 639XTeam HEALTHY, UMR 1219, University of Bordeaux, Inserm, Bordeaux Population Health Research Center, F-33000 Bordeaux, France
| | - Taku Iwami
- grid.258799.80000 0004 0372 2033Kyoto University Health Service, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501 Japan
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Gall S, Walter C, du Randt R, Adams L, Joubert N, Müller I, Nqweniso S, Pühse U, Seelig H, Smith D, Steinmann P, Utzinger J, Gerber M. Changes in Self-Reported Physical Activity Predict Health-Related Quality of Life Among South African Schoolchildren: Findings From the DASH Intervention Trial. Front Public Health 2020; 8:492618. [PMID: 33102419 PMCID: PMC7555690 DOI: 10.3389/fpubh.2020.492618] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Accepted: 08/28/2020] [Indexed: 11/24/2022] Open
Abstract
Introduction: Regular physical activity is associated with multiple health benefits for children. Evidence from cross-sectional studies suggests that physical activity is positively associated with health-related quality of life (HRQoL). The promotion of physical activity, and hence HRQoL, through a school-based intervention is therefore an important endeavor, particularly in disadvantaged areas of low- and middle-income countries, including South Africa. Methods: We designed a multicomponent physical activity intervention that was implemented over a 20-week period in 2015 in eight disadvantaged primary schools of Port Elizabeth, South Africa. Overall, 758 children aged 8–13 years participated. HRQoL was measured with the 27-item KIDSCREEN questionnaire. Self-reported physical activity was assessed with a single item of the Health-Behavior of School-Aged Children test, and cardiorespiratory fitness with the 20-m shuttle run test. Post-intervention scores were predicted with mixed linear regression models, taking into consideration the clustered nature of the data. Results: Higher baseline levels as well as increasing levels of self-reported physical activity predicted all dimensions of children's HRQoL. Baseline levels and increases in cardiorespiratory fitness predicted children's self-perceived physical well-being (one of the HRQoL subscales). Participation in the multicomponent physical activity intervention did not affect children's HRQoL. Conclusion: Higher and increasing self-reported physical activity predict all assessed HRQoL dimensions, which underlines that the promotion of regular physical activity among children living in disadvantaged settings is an important public health measure. Policy makers should encourage schools to create physical activity friendly environments, while schools should implement regular physical education as proposed by the school curriculum.
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Affiliation(s)
- Stefanie Gall
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Cheryl Walter
- Department of Human Movement Science, Nelson Mandela University, Port Elizabeth, South Africa
| | - Rosa du Randt
- Department of Human Movement Science, Nelson Mandela University, Port Elizabeth, South Africa
| | - Larissa Adams
- Department of Human Movement Science, Nelson Mandela University, Port Elizabeth, South Africa
| | - Nandi Joubert
- Department of Human Movement Science, Nelson Mandela University, Port Elizabeth, South Africa.,Swiss Tropical and Public Health Institute, Basel, Switzerland.,University of Basel, Basel, Switzerland
| | - Ivan Müller
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland.,Swiss Tropical and Public Health Institute, Basel, Switzerland
| | - Siphesihle Nqweniso
- Department of Human Movement Science, Nelson Mandela University, Port Elizabeth, South Africa
| | - Uwe Pühse
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Harald Seelig
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Danielle Smith
- Department of Human Movement Science, Nelson Mandela University, Port Elizabeth, South Africa
| | - Peter Steinmann
- Swiss Tropical and Public Health Institute, Basel, Switzerland.,University of Basel, Basel, Switzerland
| | - Jürg Utzinger
- Swiss Tropical and Public Health Institute, Basel, Switzerland.,University of Basel, Basel, Switzerland
| | - Markus Gerber
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
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20
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Zhang T, Lu G, Wu XY. Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis. BMC Public Health 2020; 20:1343. [PMID: 32883275 PMCID: PMC7650260 DOI: 10.1186/s12889-020-09447-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Accepted: 08/25/2020] [Indexed: 01/02/2023] Open
Abstract
Background Self-rated health (SRH) is an indicator that captures a person’s perception of their overall health status. The relationship between physical activity (PA), sedentary behaviour (SB) and SRH has been investigated in systematic reviews among adult and elderly populations. No systematic review to date has synthesized the relationship between PA, SB and SRH among children and adolescents. The purpose of this systematic review and meta-analysis was to synthesize the associations between PA, SB and SRH in the general population of children and adolescents and to investigate the dose-response relationship between PA, SB and SRH. Methods We conducted a computer search for English language studies in the databases of MEDLINE, EMBASE and PSYCINFO that were published between 1946 and 2019. We searched PubMed, Google Scholar, and the references of the identified publications for additional studies. A meta-analysis was employed to synthesize the associations between PA, SB respectively and SRH. The dose-response association was tested using a random effects meta-regression model. The review was reported following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Results Sixty-eight published articles were included in the final review, including 59 cross-sectional and nine longitudinal studies. We found evidence that PA was associated with better SRH, and SB was associated with lower SRH among children and adolescents. A dose-response relationship between PA and SRH was observed, where a higher level of PA was associated with better SRH than a lower level of PA. The relationship between PA, SB and SRH was observed in both boys and girls, and did not show a significant gender difference. Conclusions The findings in the systematic review suggest that health intervention programmes targeting promoting PA and reducing SB among children and adolescents may enhance their overall health status. Future research is needed to expand prospective cohort and intervention studies to address directionality and causality in the relationships between PA, SB and SRH among children and youth. Trial registration PROSPERO - CRD42019142244. Registered on October 18, 2019.
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Affiliation(s)
- Tong Zhang
- School of Public Health, Weifang Medical University, 7166 Baotong West Street, Weifang, 261053, Shandong, China
| | - Guohua Lu
- School of Public Health, Weifang Medical University, 7166 Baotong West Street, Weifang, 261053, Shandong, China
| | - Xiu Yun Wu
- School of Public Health, Weifang Medical University, 7166 Baotong West Street, Weifang, 261053, Shandong, China.
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21
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Stranavska S, Husarova D, Michal J, Gorner K, Kopcakova J. Body Fat Mediates Association between Active Living and Health among Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E5715. [PMID: 32784688 PMCID: PMC7460414 DOI: 10.3390/ijerph17165715] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Revised: 08/04/2020] [Accepted: 08/05/2020] [Indexed: 02/02/2023]
Abstract
The aim of this study was to explore the association of moderate-to-vigorous physical activity and organized leisure-time activities with self-rated health among adolescents and whether these associations are mediated by body fat percentage. We used data on 888 adolescents (mean age 12.97, SD 1.20, 56.0% boys) from the Health Behaviour in School-aged Children (HBSC) study conducted in 2018 in Slovakia. We used logistic regression models to examine associations within self-reported data (moderate-to-vigorous physical activity and organized leisure-time activities with self-rated health) and their mediation by anthropometric data (body fat percentage). The adolescents who were sufficiently physically active and with normal body fat were more likely to report good or excellent health (odds ratios-OR/95% confidence intervals-95% CI: 3.52/1.50-8.27 and 3.66/2.37-5.68). Similarly, the adolescents who were engaged in individual/team sport and with normal body fat were more likely to report good or excellent health (OR/95% CI: 2.04/1.31-3.17 and 3.66/2.37-5.68). Adjustment for body fat percentage reduced the association between moderate-to-vigorous physical activity and self-rated health by 27.6% and the association between leisure-time activities and self-rated health by 30.7%. Active living and normal body fat might contribute to better health in adolescence. Programs and efforts to increase physical activity and leisure-time activities in childhood and adolescence need to identify which aspects of these activities are important, effective, and crucial for the population of adolescents.
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Affiliation(s)
- Stanislava Stranavska
- Department of Physical Education and Sport, Faculty of Arts, Matej Bel University, 974 01 Banska Bystrica, Slovakia; (J.M.); (K.G.)
| | - Daniela Husarova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P.J. Safarik University, 040 11 Kosice, Slovakia; (D.H.); (J.K.)
| | - Jiri Michal
- Department of Physical Education and Sport, Faculty of Arts, Matej Bel University, 974 01 Banska Bystrica, Slovakia; (J.M.); (K.G.)
| | - Karol Gorner
- Department of Physical Education and Sport, Faculty of Arts, Matej Bel University, 974 01 Banska Bystrica, Slovakia; (J.M.); (K.G.)
| | - Jaroslava Kopcakova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P.J. Safarik University, 040 11 Kosice, Slovakia; (D.H.); (J.K.)
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Marttila-Tornio K, Ruotsalainen H, Miettunen J, Männikkö N, Kääriäinen M. Clusters of health behaviours and their relation to body mass index among adolescents in Northern Finland. Scand J Caring Sci 2019; 34:666-674. [PMID: 31667874 DOI: 10.1111/scs.12769] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Accepted: 09/06/2019] [Indexed: 12/28/2022]
Abstract
AIMS To identify clusters of health behaviours among Finnish adolescents and examine whether these clusters are associated with body mass index (BMI). METHODS The data, drawn from the prospective population-based Northern Finland Birth Cohort 1986, comprised a total of 7182 adolescents who replied to a follow-up postal questionnaire at the age 15 to 16. The adolescents were asked about multiple health behaviours, such as physical activity, screen time, cigarette smoking, alcohol use and diet. Adolescents who answered the questions concerning all of these variables were included in the study, yielding a final sample of 4305 subjects. K-means cluster analysis was performed to identify group of adolescents with similar health behaviours. Chi-squared tests were performed to analyse the association between the clusters and BMI. RESULTS Two clusters - Healthy Lifestyle and Unhealthy Lifestyle - were identified for both genders. The values of all the studied variables differed significantly between the clusters identified for both boys and girls. No significant relationship between the identified clusters and BMI was found for either boys or girls. CONCLUSIONS It is important to consider multiple lifestyle-related behaviours and trying to identify groups that present probability for developing lifestyle diseases.
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Affiliation(s)
- Kaisa Marttila-Tornio
- Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
| | - Heidi Ruotsalainen
- Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.,Department of Social Services and Rehabilitation, Oulu University of Applied Sciences, Oulu, Finland
| | - Jouko Miettunen
- Center for Life Course Health Research, University of Oulu, Oulu, Finland
| | - Niko Männikkö
- Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.,Department of Social Services and Rehabilitation, Oulu University of Applied Sciences, Oulu, Finland
| | - Maria Kääriäinen
- Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
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Jodkowska M, Oblacińska A, Dzielska A, Nałęcz H, Fijałkowska A. Behavioural factors as predictors of self-rated health among polish adolescent girls. DEVELOPMENTAL PERIOD MEDICINE 2019. [PMID: 31280247 PMCID: PMC8522370 DOI: 10.34763/devperiodmed.20192302.109116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Introduction: Self-rated health (SRH), an indicator which is extensively used in population studies, constitutes a measure of health closely linked to morbidity, mortality and overall health status and enjoys popularity in surveys monitoring adolescents. Most studies show that at puberty girls assess their health as worse than boys do, and the difference widens with age. Moreover, puberty is a crucial period for health, since it is the time when health risk behaviours are often initiated or become established. Aim: To analyse the associations between high scores on self-rated health among 15-year-old girls, participants of the Healthy Me programme, and their selected health behaviours. PATIENTS AND METHODS Material and methods: The study covered a group of 1173 second-grade female students from 48 lower secondary schools located in rural and urban areas of 16 voivodeships all over Poland. The participants answered questions about chronic diseases or disability, self-rated health, diet, leisure activities, physical activity and health risk behaviours. In the statistical analysis, the association between self-rated health and individual indicators of health behaviour was examined using logistic regression. RESULTS Results: Two thirds of the girls assessed their health as excellent or good. Only approximately 5% of the respondents made the "extreme negative" assessment. In the final multivariate analysis, five factors remained important predictors of high self-rated health scores: regular participation in physical education classes, vigorous physical activity, daily breakfast consumption, consumption of fruit at least once a day and sleep for at least 8 hours a day. CONCLUSION Conclusions: Regular participation in physical education classes, vigorous physical activity, consumption of breakfast and fruit every day, as well as sleep for at least 8 hours a day are powerful predictors of high scores on self-rated health of 15-year-old adolescent girls. Public health activities aimed at adolescents should focus on the positive aspects of health and a lifestyle paying special attention on pro health behaviours.
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Affiliation(s)
- Maria Jodkowska
- Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland,Maria Jodkowska Zakład Zdrowia Dzieci i Młodzieży Instytut Matki i Dziecka ul. Kasprzaka 17 A, Warszawa, 01-211 tel: 22 32 77 410
| | - Anna Oblacińska
- Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland
| | - Anna Dzielska
- Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland
| | - Hanna Nałęcz
- Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland,Maria Jodkowska Zakład Zdrowia Dzieci i Młodzieży Instytut Matki i Dziecka ul. Kasprzaka 17 A, Warszawa, 01-211 tel: 22 32 77 410
| | - Anna Fijałkowska
- Department of Cardiology, Institute of Mother and Child, Warsaw, Poland
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Silva AOD, Diniz PR, Santos ME, Ritti‐Dias RM, Farah BQ, Tassitano RM, Oliveira LM. Health self‐perception and its association with physical activity and nutritional status in adolescents. JORNAL DE PEDIATRIA (VERSÃO EM PORTUGUÊS) 2019. [DOI: 10.1016/j.jpedp.2018.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Silva AOD, Diniz PRB, Santos MEP, Ritti-Dias RM, Farah BQ, Tassitano RM, Oliveira LMFT. Health self-perception and its association with physical activity and nutritional status in adolescents. J Pediatr (Rio J) 2019; 95:458-465. [PMID: 29957248 DOI: 10.1016/j.jped.2018.05.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2018] [Revised: 04/01/2018] [Accepted: 04/18/2018] [Indexed: 10/28/2022] Open
Abstract
OBJECTIVE To evaluate the association between total physical activities, physical activity in free time and nutritional status with self-perceived health in adolescents of both genders. METHODS This is a quantitative study that integrates the school-based, cross-sectional epidemiological survey with statewide coverage, whose sample consisted of 6261 adolescents (14-19 years old) selected by random conglomerate sampling. Data were collected using the Global School-based Student Health Survey. The chi-squared test (χ2) and the Poisson regression model with robust variance were used in the data analyses. RESULTS It was observed that 27.3% of the adolescents had a negative health self-perception, which was higher among girls (33.0% vs. 19.0%, p<0.001). After adjusting for potential confounding factors, it was observed that boys who did not practice physical activity during free time (PR=1.44, 95% CI: 1.15-1.81) and were classified as insufficiently active (PR=1.27, 95% CI: 1.04-1.56), as well as girls who did not practice physical activity during free time (PR=1.15, 95% CI: 1.02-1.29) and were classified as overweight (PR=1.27, 95% CI: 1.01-1.29) had a greater chance of negative health self-perception. CONCLUSION Behavioral issues may have different effects on health self-perception when comparing boys with girls. Negative health self-perception was associated with nutritional status in girls and a lower level of physical activity in boys, and the practice of physical activity in the free time was considered a protective factor against a negative health self-perception for adolescents of both genders.
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Affiliation(s)
| | - Paula R B Diniz
- Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil
| | - Maria E P Santos
- Centro Universitário Tabosa de Almeida (Asces-Unita), Caruaru, PE, Brazil
| | | | - Breno Q Farah
- Universidade Federal Rural de Pernambuco (UFRPE), Recife, PE, Brazil
| | | | - Luciano M F T Oliveira
- Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil; Centro Universitário Tabosa de Almeida (Asces-Unita), Caruaru, PE, Brazil
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Motamed-Gorji N, Heshmat R, Qorbani M, Motlagh ME, Soltani A, Shafiee G, Asayesh H, Ardalan G, Matin N, Mahdavi Gorabi A, Alizadeh M, Kelishadi R. Is the association of weight disorders with perceived health status and life satisfaction independent of physical activity in children and adolescents? The CASPIAN-IV Study. J Trop Pediatr 2019; 65:249-263. [PMID: 30053204 DOI: 10.1093/tropej/fmy042] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND Physical activity (PA) and weight status have been suggested as predictors of life satisfaction (LS) and perceived health status (PHS). Therefore the present study aims to investigate and compare the impacts of body mass index (BMI) and PA on LS and PHS in a population of Iranian children and adolescents. MATERIAL AND METHODS This study was conducted in 2011-12 as a nationwide population-based study among 14 880 students of age 6-18 years. Students were selected via a multistage cluster sampling method from 30 provinces of Iran. Information on demographics, PA, PHS and LS was obtained using the World Health Organization Global School-based Student Health Survey (WHO-GSHS) questionnaire. PA values were considered as low (<2 /week), moderate (2-4 h/week) and high (>2 h/week). RESULTS The current study has a participation rate of 90.6% (50.8% boys). PA was significantly associated with both LS and PHS [odds ratio (OR), 1.37 in both), while in BMI, this association was significant for only PHS (in underweight: OR, 0.65; 95% CI, 0.57-0.75; in excess weight: OR, 0.82; 95% CI, 0.73-0.93). In the combined group of BMI-PA, the influence of PA prevailed over the impact of BMI on PHS and LS, and therefore, PA was found to be the stronger factor. CONCLUSION Although BMI and PA could both significantly impact LS and PHS, the stronger influence of PA on LS and PHS suggests that upgrading the 'activity level' of children and adolescents should be underscored and included on the agenda, rather than merely focusing on their BMI and weight status.
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Affiliation(s)
- Nazgol Motamed-Gorji
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Ramin Heshmat
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mostafa Qorbani
- Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.,Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Akbar Soltani
- Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Gita Shafiee
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Hamid Asayesh
- Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran
| | - Gelayol Ardalan
- Child Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nassim Matin
- Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Armita Mahdavi Gorabi
- Department of Basic and Clinical Research, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Mahla Alizadeh
- Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
| | - Roya Kelishadi
- Child Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
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Kwon HJ, Lee YA, Shin CH, Kim K. Association between physical activity and self-rated health in pediatric patients with type 1 diabetes mellitus. J Exerc Rehabil 2019; 15:155-159. [PMID: 30899752 PMCID: PMC6416507 DOI: 10.12965/jer.1836576.288] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Accepted: 01/08/2019] [Indexed: 01/09/2023] Open
Abstract
Patients with type 1 diabetes mellitus (T1DM) tend to experience poor self-rated health. However, few studies have examined the association between physical activity and self-rated health in pediatric patients with T1DM. The purpose of this study was to investigate the association between regular physical activity, regular muscle strength exercise, and self-rated health in pediatric patients with T1DM who lacked diabetes care. The eligible participants for this study were 37 pediatric patients with T1DM aged 9 to 17 years. Physical activity was divided into regular physical activity and regular muscle strength exercise to analyze the relationship with self-rated health using binomial logistic regression analysis. The results showed that self-rated health of pediatric patients with T1DM who did not engage in regular muscle strength exercise was significantly lower than those who did (odds ratio [OR], 0.100; 95% confidence interval [CI], 0.012-0.855; P<0.05). However, the association between regular physical activity and self-rated health was not statistically significant (OR, 0.211; 95% CI, 0.041-1.088; P=0.06). In conclusion, regular muscle strength exercise in pediatric patients with T1DM who lacked diabetes care was effective in contributing to optimal self-rated health. Future research is needed to collect physical activity data using objective assessment methods and to analyze the association between variables applying diverse factors for pediatric patients with T1DM, which might be able to effect on their health.
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Affiliation(s)
- Hyun Jin Kwon
- Department of Kinesiology and Health, College of Education Human Development, Georgia State University, Atlanta, GA, USA
| | - Young Ah Lee
- Department of Pediatrics, College of Medicine, Seoul National University Children's Hospital, Seoul, Korea
| | - Choong Ho Shin
- Department of Pediatrics, College of Medicine, Seoul National University Children's Hospital, Seoul, Korea
| | - Kijeong Kim
- School of Exercise & Sport Science, College of Natural Sciences, University of Ulsan, Ulsan, Korea
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Wilson JJ, Blackburn NE, O'Reilly R, Kee F, Caserotti P, Tully MA. Association of objective sedentary behaviour and self-rated health in English older adults. BMC Res Notes 2019; 12:12. [PMID: 30635016 PMCID: PMC6330416 DOI: 10.1186/s13104-019-4050-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Accepted: 01/04/2019] [Indexed: 12/21/2022] Open
Abstract
Objective Reducing sedentary behaviour (SB) might improve the health of older adults. However, we know little about how objectively measured SB impacts on self-rated health in older adults. We aimed to explore the associations between objectively measured SB and self-rated health in English older adults. Results A random sub-sample of older adults (≥ 65 years old) from the 2008 Health Survey for England wore an ActiGraph GT1M accelerometer for 7 days. Self-rated health was measured using an item from the General Health Questionnaire. Linear regression and analysis of covariance were used to test the associations between percentage time spent in SB and mean daily minutes in SB and self-rated health (very good/good; fair; bad/very bad), adjusting for covariates. Valid accelerometry datasets were returned by 578 individuals. Significant negative associations between percentage time and mean daily minutes in SB and self-rated health were found. In particular, individuals spending reduced percentages of time being sedentary had higher self-rated health. In conclusion, SB appears to be associated with self-rated health in older people independently from MVPA. If longitudinal research could determine how changes in SB influence self-rated health as individuals’ age, this might be an important lifestyle variable to target for health improvement.
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Affiliation(s)
- Jason J Wilson
- Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK. .,UKCRC Centre of Excellence for Public Health, Belfast, UK.
| | - Nicole E Blackburn
- Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.,UKCRC Centre of Excellence for Public Health, Belfast, UK
| | - Rachel O'Reilly
- Active Belfast, Belfast Health Development Unit, Public Health Agency, Belfast, UK
| | - Frank Kee
- Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.,UKCRC Centre of Excellence for Public Health, Belfast, UK
| | - Paolo Caserotti
- Department of Sports Science and Clinical Biomechanics, Syddansk Universitet, Campusvej 55, 5230, Odense M, Denmark
| | - Mark A Tully
- Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.,UKCRC Centre of Excellence for Public Health, Belfast, UK.,Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey, UK
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Silva LCOSTAE, Teles J, Fragoso I. Youth sports injuries according to health-related quality of life and parental instruction. GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE 2019. [DOI: 10.23736/s0393-3660.18.03749-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Cummins S, Clark C, Lewis D, Smith N, Thompson C, Smuk M, Stansfeld S, Taylor S, Fahy A, Greenhalgh T, Eldridge S. The effects of the London 2012 Olympics and related urban regeneration on physical and mental health: the ORiEL mixed-methods evaluation of a natural experiment. PUBLIC HEALTH RESEARCH 2018. [DOI: 10.3310/phr06120] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background
There is limited evidence for public health policy-makers on the health impacts of urban regeneration programmes.
Objectives
To assess whether or not the London 2012 Olympic and Paralympic Games, and related urban regeneration, were associated with an increase in physical activity and mental health and well-being; to assess whether or not any benefits were sustained over time; and to capture the experiences of residents of the Olympic host boroughs.
Design
Quasi-experimental prospective cohort study of adolescents and their parents/carers, with a nested qualitative longitudinal study of families.
Setting
London boroughs of Newham, Barking and Dagenham, Tower Hamlets and Hackney.
Participants
A cohort of 2254 adolescents in 25 schools; a repeat cross-sectional study of parents/carers and a sample of 20 families for the qualitative study.
Intervention
The London 2012 Olympic and Paralympic Games, and urban regeneration primarily associated with the redevelopment of the Olympic Park for legacy use.
Primary outcome measures
Change in the proportion of respondents meeting physical activity recommendations (using self-reported physical activity); change in the proportion of respondents reporting depression and anxiety and change in well-being score.
Main results
At 6 months, adolescents who became inactive were less likely to come from the intervention borough (Newham) than from comparison boroughs [risk ratio (RR) = 0.69, 95% confidence interval (CI) 0.51 to 0.93]. At 18 months, there were no statistically significant differences between intervention and comparison boroughs for all adolescent physical activity and screen-time transitions. Those who visited the Olympic Park more than once a month were the least likely to remain inactive (RR 0.11, 95% CI 0.02 to 0.48) and the least likely to become inactive (RR 0.38, 95% CI 0.24 to 0.60) compared with those who were active at baseline and at the 18-month follow-up. No impacts on parental/carer physical activity were observed. Adolescents who were ‘no longer depressed’ (RR 1.53, 95% CI 1.07 to 2.20) or ‘remained depressed’ (RR 1.78, 95% CI 1.12 to 2.83) at 6 months were more likely to be from the intervention borough. For well-being, there was no association between boroughs and change in well-being between baseline and the 6-month follow-up. At 18 months’ follow-up, adolescents who ‘remained depressed’ (RR 1.93, 95% CI 1.01 to 3.70) were more likely to be from the intervention borough than from comparison boroughs. No associations were observed for well-being at 18 months. There was limited evidence of change for parental mental health and well-being. The qualitative study found that residents generally welcomed the unexpected chance to live in a cleaner, safer and more unified environment. The findings suggested that the Games temporarily alleviated certain stressors in the social and physical environment. Overall, the Games lessened participants’ sense of social exclusion and appeared to generate a sense of inclusion and respite, even if this was only temporary. Study limitations include the potential for adolescents to not be assigned the correct level of exposure to urban regeneration and the effect of reductions in central and local public budgets owing to the UK Government’s deficit reduction programme.
Conclusions
This study provided the highest quality data to date on the short- and medium-term social and health impacts of sporting mega-events. We found limited evidence that the London 2012 Olympic and Paralympic Games had a positive effect on adolescent or parental physical activity, mental health or well-being.
Funding
The National Institute for Health Research Public Health Research programme.
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Affiliation(s)
- Steven Cummins
- Department of Social and Environmental Health Research, London School of Hygiene & Tropical Medicine, London, UK
| | - Charlotte Clark
- Centre for Psychiatry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Daniel Lewis
- Department of Social and Environmental Health Research, London School of Hygiene & Tropical Medicine, London, UK
| | - Neil Smith
- Centre for Psychiatry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Claire Thompson
- Department of Social and Environmental Health Research, London School of Hygiene & Tropical Medicine, London, UK
| | - Melanie Smuk
- Centre for Psychiatry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Stephen Stansfeld
- Centre for Psychiatry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Stephanie Taylor
- Centre for Psychiatry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Amanda Fahy
- Centre for Psychiatry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | | | - Sandra Eldridge
- Centre for Psychiatry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
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Silva BRVS, Silva AOD, Passos MHPD, Soares FC, Valença PADM, Menezes VAD, Colares V, Santos CDFBF. Negative self-perceived health associated with school violence in adolescents. CIENCIA & SAUDE COLETIVA 2018; 23:2909-2916. [PMID: 30281729 DOI: 10.1590/1413-81232018239.12962018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2017] [Accepted: 05/14/2018] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To verify the association between negative self-perception of health and school violence in adolescent students of the Municipality of Olinda (PE), Brazil. METHODS This is a cross-sectional, analytical and school-based study with a sample consisting of 2,614 adolescents selected through a strategy of random sampling in conglomerates. The information was obtained through the questionnaire "Youth Risk Behavior Survey" from which the issues of violence and self-perceived health were retrieved. Data were tabulated by Epi-data version 3.1 program and transcribed for SPSS version 22. The Chi-square test and the stepwise binary logistic regression model were used for data analysis. RESULTS We observed that 26.7% of adolescents had a negative self-perception of health, and this was greater among girls. Concerning school violence, negative self-perception was associated with feelings of sadness, suicidal thoughts, bullying at school, robbery at school and safety at school. Gender and age were also associated (p < 0.05). CONCLUSION We reinforce the need for culture and peace actions in adolescence, involving the school environment to reflect on poor health assessed by adolescents and reduce the rate of violence.
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Affiliation(s)
- Bruno Rafael Vieira Souza Silva
- Programa de Pós-Graduação em Hebiatria, Universidade de Pernambuco (UPE). Av. Gov. Agamenon Magalhães, Santo Amaro. 50100-010 Recife PE Brasil.
| | | | - Muana Hiandra Pereira Dos Passos
- Programa de Pós-Graduação em Hebiatria, Universidade de Pernambuco (UPE). Av. Gov. Agamenon Magalhães, Santo Amaro. 50100-010 Recife PE Brasil.
| | - Fernanda Cunha Soares
- Programa de Pós-Graduação em Hebiatria, Universidade de Pernambuco (UPE). Av. Gov. Agamenon Magalhães, Santo Amaro. 50100-010 Recife PE Brasil.
| | - Paula Andréa de Melo Valença
- Programa de Pós-Graduação em Hebiatria, Universidade de Pernambuco (UPE). Av. Gov. Agamenon Magalhães, Santo Amaro. 50100-010 Recife PE Brasil.
| | - Valdenice Aparecida de Menezes
- Programa de Pós-Graduação em Hebiatria, Universidade de Pernambuco (UPE). Av. Gov. Agamenon Magalhães, Santo Amaro. 50100-010 Recife PE Brasil.
| | - Viviane Colares
- Programa de Pós-Graduação em Hebiatria, Universidade de Pernambuco (UPE). Av. Gov. Agamenon Magalhães, Santo Amaro. 50100-010 Recife PE Brasil.
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Jaakkola J, Rantanen A, Luopa P, Koivisto AM, Joronen K. Self-rated health, symptoms and health behaviour of upper secondary vocational students by field of study. Scand J Caring Sci 2018; 33:144-155. [PMID: 30273958 DOI: 10.1111/scs.12613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Accepted: 07/15/2018] [Indexed: 11/28/2022]
Abstract
This article examines the self-rated health, symptoms and health behaviour of upper secondary vocational students in Finland. The data consist of the responses of first- and second-year vocational students (n = 34 554) to the 2013 School Health Promotion Survey. The data were analysed statistically and processed separately for girls and boys. Associations between self-rated health, symptoms and health behaviour and fields of study were examined by cross-tabulation. Statistical significance was measured using the chi-squared test. Self-rated health, symptoms and health behaviour were found to have a statistically significant association with field of study (p < 0.001). Vocational students in different fields had different experiences of health, different symptoms and different health behaviours. The results complement existing evidence about disparities in well-being among young people in the context of education.
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Affiliation(s)
- Jenni Jaakkola
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland
| | - Anja Rantanen
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland
| | - Pauliina Luopa
- National Institute for Health and Welfare, Helsinki, Finland
| | - Anna-Maija Koivisto
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland
| | - Katja Joronen
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland
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Subjective neighborhood assessment and physical inactivity: An examination of neighborhood-level variance. Prev Med 2018; 111:336-341. [PMID: 29197527 PMCID: PMC5930117 DOI: 10.1016/j.ypmed.2017.11.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2017] [Revised: 11/14/2017] [Accepted: 11/26/2017] [Indexed: 11/21/2022]
Abstract
Research suggests a linkage between perceptions of neighborhood quality and the likelihood of engaging in leisure-time physical activity. Often in these studies, intra-neighborhood variance is viewed as something to be controlled for statistically. However, we hypothesized that intra-neighborhood variance in perceptions of neighborhood quality may be contextually relevant. We examined the relationship between intra-neighborhood variance of subjective neighborhood quality and neighborhood-level reported physical inactivity across 48 neighborhoods within a medium-sized city, Texas City, Texas using survey data from 2706 residents collected between 2004 and 2006. Neighborhoods where the aggregated perception of neighborhood quality was poor also had a larger proportion of residents reporting being physically inactive. However, higher degrees of disagreement among residents within neighborhoods about their neighborhood quality was significantly associated with a lower proportion of residents reporting being physically inactive (p=0.001). Our results suggest that intra-neighborhood variability may be contextually relevant in studies seeking to better understand the relationship between neighborhood quality and behaviors sensitive to neighborhood environments, like physical activity.
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Loprinzi PD, Frith E. Accelerometer-Assessed Physical Activity and School Absenteeism Due to Illness or Injury Among Children and Adolescents: NHANES 2003 to 2006. Am J Health Promot 2018; 32:571-577. [PMID: 29431510 DOI: 10.1177/0890117116684241] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
INTRODUCTION To examine the association between objectively measured moderate to vigorous physical activity (MVPA) and total physical activity with school absenteeism due to illness or injury among children and adolescents. DESIGN Cross-sectional study. SETTING National Health and Nutrition Examination Survey 2003 to 2006. PARTICIPANTS A total of 1249 children (aged 6-11 years) and 1747 adolescents (aged 12-17 years). MEASURES School absenteeism was categorized as no/minimal school absenteeism (0-8 missed school days in the past 12 months), moderate absenteeism (9-17 missed days), or severe absenteeism (18+ missed days). Physical activity was objectively measured via accelerometry. ANALYSIS Multinomial logistic regression. RESULTS Children in the most active quartile had 89% reduced odds of severe absenteeism relative to the least active quartile (odds ratio [OR]: 0.11; 0.95% confidence interval [CI]: 0.02-0.48); results were similar for MVPA. For adolescents, those in the most active quartile for MVPA had a 41% reduced odds of having moderate (vs no/minimal) absenteeism (OR = 0.59; 95% CI: 0.35-0.99). For children, a multiplicative interaction effect of MVPA and poverty level on severe absenteeism was observed (OR = 0.98, P = .02). CONCLUSION Higher levels of physical activity were associated with lower odds of severe school absenteeism. Such an observation is important, as school absenteeism strongly contributes to academic performance. Particular attention for promoting physical activity and closely monitoring school absenteeism among youth below the poverty level may be warranted.
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Affiliation(s)
- Paul D Loprinzi
- 1 Department of Health, Exercise Science and Recreation Management, The University of Mississippi, Oxford, MS, USA
| | - Emily Frith
- 1 Department of Health, Exercise Science and Recreation Management, The University of Mississippi, Oxford, MS, USA
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Dumuid D, Maher C, Lewis LK, Stanford TE, Martín Fernández JA, Ratcliffe J, Katzmarzyk PT, Barreira TV, Chaput JP, Fogelholm M, Hu G, Maia J, Sarmiento OL, Standage M, Tremblay MS, Tudor-Locke C, Olds T. Human development index, children's health-related quality of life and movement behaviors: a compositional data analysis. Qual Life Res 2018; 27:1473-1482. [PMID: 29362939 DOI: 10.1007/s11136-018-1791-x] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/20/2018] [Indexed: 10/18/2022]
Abstract
PURPOSE Health-related quality of life has been related to physical activity, sedentary behavior, and sleep among children from developed nations. These relationships have rarely been assessed in developing nations, nor have behaviors been considered in their true context, as mutually exclusive and exhaustive parts of the movement behavior composition. This study aimed to explore whether children's health-related quality of life is related to their movement behavior composition and if the relationship differs according to human development index. METHODS Children aged 9-11 years (n = 5855), from the 12-nation cross-sectional observational International Study of Childhood Obesity, Lifestyle and the Environment 2011-2013, self-reported their health-related quality of life (KIDSCREEN-10). Daily movement behaviors were from 24-h, 7-day accelerometry. Isometric log-ratio mixed-effect linear models were used to calculate estimates for difference in health-related quality of life for the reallocation of time between daily movement behaviors. RESULTS Children from countries of higher human development index reported stronger positive relationships between health-related quality of life and moderate-to-vigorous physical activity, relative to the remaining behaviors (r = 0.75, p = 0.005) than those from lower human development index countries. In the very high human development index strata alone, health-related quality of life was significantly related to the movement behavior composition (p = 0.005), with moderate-to-vigorous physical activity (relative to remaining behaviors) being positively associated with health-related quality of life. CONCLUSIONS The relationship between children's health-related quality of life and their movement behaviors is moderated by their country's human development index. This should be considered when 24-h movement behavior guidelines are developed for children around the world.
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Affiliation(s)
- Dorothea Dumuid
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia.
| | - Carol Maher
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia
| | - Lucy K Lewis
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia.,School of Health Sciences, Flinders University, Adelaide, Australia
| | - Tyman E Stanford
- LBT Innovations, Adelaide, Australia.,School of Mathematical Sciences, The University of Adelaide, Adelaide, Australia
| | | | - Julie Ratcliffe
- Institute for Choice, University of South Australia, Adelaide, Australia
| | | | - Tiago V Barreira
- Pennington Biomedical Research Center, Baton Rouge, USA.,School of Education, Syracuse University, New York, USA
| | | | - Mikael Fogelholm
- Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland
| | - Gang Hu
- Pennington Biomedical Research Center, Baton Rouge, USA
| | - José Maia
- Faculty of Sport, University of Porto, Porto, Portugal
| | | | | | - Mark S Tremblay
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada
| | - Catrine Tudor-Locke
- Department of Kinesiology, University of Massachusetts Amherst, Amherst, USA
| | - Timothy Olds
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia
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Yıldızer G, Bilgin E, Korur EN, Novak D, Demirhan G. The association of various social capital indicators and physical activity participation among Turkish adolescents. JOURNAL OF SPORT AND HEALTH SCIENCE 2018; 7:27-33. [PMID: 30356478 PMCID: PMC6180558 DOI: 10.1016/j.jshs.2017.10.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Revised: 08/25/2017] [Accepted: 10/01/2017] [Indexed: 05/24/2023]
Abstract
BACKGROUND Physical activity participation (PAP) has been proven to improve health and promote optimal growth among adolescents. However, most adolescents do not meet the current physical activity (PA) recommendations in Turkey. The role of the social environment and social factors on PAP is being increasingly recognized. Although social capital (SC) indicators have been examined in high-income countries, there are few studies on developing countries. The aim of this study was to examine the relationship between SC indicators and PAP among Turkish adolescents. METHODS A survey was conducted among 19 high schools in 4 different cities in Turkey in 2016. A total of 506 female and 729 male high school students participated in this study. The dependent variable was overall PAP, which was measured using the short form of the International Physical Activity Questionnaire. The independent variables included self-perceived family, neighborhood, and school SC. Self-rated health and obesity status, measured by body mass index, were other study covariates in multiple binary logistic regression models. Chi-square tests were used to assess the differences between genders. RESULTS PAP levels were significantly different between males and females. A higher percentage of males reported PAP (77.4%) compared to females (51.0%). Among males, teacher-student interpersonal trust and informal social control were inversely associated with PAP, while high students interpersonal trust was positively associated with increased odds of PAP. For females, students interpersonal trust was inversely associated with PAP. CONCLUSION Various SC indicators are associated with PAP for males and females. These associations are different from findings of studies conducted in developed countries. Therefore, health-promotion interventions and policies should consider gender and different social agents on the social and cultural background to improve PAP among Turkish adolescents.
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Affiliation(s)
- Günay Yıldızer
- Department of Physical Education and Sports Teaching, Anadolu University, Eskişehir 26555, Turkey
| | - Emre Bilgin
- Department of Physical Education and Sports Teaching, Hacettepe University, Ankara 06800, Turkey
| | - Ezel Nur Korur
- Department of Physical Education and Sports Teaching, Ordu University, Ordu 52200, Turkey
| | - Dario Novak
- Department of General and Applied Kinesiology, University of Zagreb, Zagreb 10110, Croatia
| | - Gıyasettin Demirhan
- Department of Physical Education and Sports Teaching, Hacettepe University, Ankara 06800, Turkey
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The influence of physical activity, sedentary behavior on health-related quality of life among the general population of children and adolescents: A systematic review. PLoS One 2017; 12:e0187668. [PMID: 29121640 PMCID: PMC5679623 DOI: 10.1371/journal.pone.0187668] [Citation(s) in RCA: 295] [Impact Index Per Article: 42.1] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2017] [Accepted: 10/24/2017] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND The association between physical activity, sedentary behavior and health-related quality of life in children and adolescents has been mostly investigated in those young people with chronic disease conditions. No systematic review to date has synthesized the relationship between physical activity, sedentary behavior and health-related quality of life in the general healthy population of children and adolescents. The purpose of this study was to review systematically the existing literature that evaluated the relations between physical activity, sedentary behavior and health-related quality of life in the general population of children and adolescents. METHODS We conducted a computer search for English language literature from databases of MEDLINE, EMBASE, PSYCINFO and PubMed-related articles as well as the reference lists of existing literature between 1946 and the second week of January 2017 to retrieve eligible studies. We included the studies that assessed associations between physical activity and/or sedentary behavior and health-related quality of life among the general population of children and adolescents aged between 3-18 years. The study design included cross-sectional, longitudinal and health intervention studies. We excluded the studies that examined associations between physical activity, sedentary behavior and health-related quality of life among children and adolescents with specific chronic diseases, and other studies and reports including reviews, meta-analyses, study protocols, comments, letters, case reports and guidelines. We followed up the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement in the reporting of this review. The risk of bias of the primary studies was assessed by the Newcastle-Ottawa Scale. We synthesized the difference in health-related quality of life scores between different levels of physical activity and sedentary time. RESULTS In total, 31 studies met the inclusion criteria and were synthesized in the review. Most of the included studies used a cross-sectional design (n = 21). There were six longitudinal studies and three school-based physical activity intervention studies. One study used both cross-sectional and longitudinal designs. We found that higher levels of physical activity were associated with better health-related quality of life and increased time of sedentary behavior was linked to lower health-related quality of life among children and adolescents. A dose-response relation between physical activity, sedentary behavior and health-related quality of life was observed in several studies suggesting that the higher frequency of physical activity or the less time being sedentary, the better the health-related quality of life. CONCLUSIONS The findings in this study suggest that school health programs promoting active lifestyles among children and adolescents may contribute to the improvement of health-related quality of life. Future research is needed to extend studies on longitudinal relationships between physical activity, sedentary behavior and health-related quality of life, and on effects of physical activity interventions on health-related quality of life among children and youth.
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Bhandari R, Kasim A, Warren J, Akhter N, Bambra C. Geographical inequalities in health in a time of austerity: Baseline findings from the Stockton-on-Tees cohort study. Health Place 2017; 48:111-122. [PMID: 29055266 DOI: 10.1016/j.healthplace.2017.10.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2016] [Revised: 09/27/2017] [Accepted: 10/03/2017] [Indexed: 11/25/2022]
Abstract
Stockton-on-Tees has the highest geographical inequalities in health in England with the life expectancy at birth gap between the most and deprived neighbourhoods standing at over 17 years for men and 11 years for women. In this study, we provide the first detailed empirical examination of this geographical health divide by: estimating the gap in physical and general health (as measured by EQ. 5D, EQ. 5D-VAS and SF8PCS) between the most and least deprived areas; using a novel statistical technique to examining the causal role of compositional and contextual factors and their interaction; and doing so in a time of economic recession and austerity. Using a stratified random sampling technique, individual-level survey data was combined with secondary data sources and analysed using multi-level models with 95% confidence intervals obtained from nonparametric bootstrapping. The main findings indicate that there is a significant gap in health between the two areas, and that compositional level material factors, contextual factors and their interaction appear to be the major explanations of this gap. Contrary to the dominant policy discourse in this area, individual behavioural and psychosocial factors did not make a significant contribution towards explaining health inequalities in the study area. The findings are discussed in relation to geographical theories of health inequalities and the context of austerity.
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Affiliation(s)
- R Bhandari
- Department of Geography, Durham University, DH1 3LE, United Kingdom
| | - A Kasim
- Wolfson Research Institute for Health and Wellbeing, Durham University, Stockton on Tees, United Kingdom
| | - J Warren
- Institute for Health and Society, Faculty of Medical Sciences, Newcastle University, United Kingdom
| | - N Akhter
- Wolfson Research Institute for Health and Wellbeing, Durham University, Stockton on Tees, United Kingdom
| | - C Bambra
- Institute for Health and Society, Faculty of Medical Sciences, Newcastle University, United Kingdom
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Meinck F, Cosma AP, Mikton C, Baban A. Psychometric properties of the Adverse Childhood Experiences Abuse Short Form (ACE-ASF) among Romanian high school students. CHILD ABUSE & NEGLECT 2017; 72:326-337. [PMID: 28869880 DOI: 10.1016/j.chiabu.2017.08.016] [Citation(s) in RCA: 50] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Revised: 08/10/2017] [Accepted: 08/15/2017] [Indexed: 05/12/2023]
Abstract
Child abuse is a major public health problem. In order to establish the prevalence of abuse exposure among children, measures need to be age-appropriate, sensitive, reliable and valid. This study aimed to investigate the psychometric properties of the Adverse Childhood Experiences Questionnaire Abuse Short Form (ACE-ASF). The ACE-ASF is an 8-item, retrospective self-report questionnaire measuring lifetime physical, emotional and sexual abuse. Data from a nationally representative sample of 15-year-old, school-going adolescents (n=1733, 55.5% female) from the Romanian Health Behavior in School-Based Children Study 2014 (HBSC) were analyzed. The factorial structure of the ACE-ASF was tested with Exploratory Factor Analysis (EFA) and confirmed using Confirmatory Factor Analysis (CFA). Measurement invariance was examined across sex, and internal reliability and concurrent criterion validity were established. Violence exposure was high: 39.7% physical, 32.2% emotional and 13.1% sexual abuse. EFA established a two-factor structure: physical/emotional abuse and sexual abuse. CFA confirmed this model fitted the data well [χ2(df)=60.526(19); RMSEA=0.036; CFI/TLI=0.990/0.986]. Metric invariance was supported across sexes. Internal consistency was good (0.83) for the sexual abuse scale and poor (0.57) for the physical/emotional abuse scale. Concurrent criterion validity confirmed hypothesized relationships between childhood abuse and health-related quality of life, life satisfaction, self-perceived health, bullying victimization and perpetration, externalizing and internalizing behaviors, and multiple health complaints. Results support the ACE-ASF as a valid measure of physical, emotional and sexual abuse in school-aged adolescents. However, the ACE-ASF combines spanking with other types of physical abuse when this should be assessed separately instead. Future research is needed to replicate findings in different youth populations and across age groups.
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Affiliation(s)
- Franziska Meinck
- Centre for Evidence-Based Intervention, Department of Social Policy & Intervention, University of Oxford Barnett House, 32 Wellington Square, Oxford, OX1 2ER, United Kingdom; OPTENTIA, School of Behavioural Sciences, North-West University, 1174 Hendrick Van Eck Boulevard, 1900 Vanderbeijlpark, South Africa.
| | - Alina Paula Cosma
- School of Medicine, University of St. Andrews, Medical & Biological Sciences, North Hough, St. Andrews, Fife, KY16 9TF, United Kingdom.
| | - Christopher Mikton
- Department of Health and Social Sciences, University of the West of England, Glenside Campus, Blackberry Hill, Stapleton, Bristol, BS16 1DD, United Kingdom.
| | - Adriana Baban
- Department of Psychology, Babes Bolyai University, 37 Republicii, 400015 Cluj Napoca, Romania.
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Wong M, Lycett K, Olds T, Gold L, Wake M. Use of time and adolescent health-related quality of life/well-being: a scoping review. Acta Paediatr 2017; 106:1239-1245. [PMID: 28520104 DOI: 10.1111/apa.13929] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2016] [Revised: 02/02/2017] [Accepted: 05/15/2017] [Indexed: 12/27/2022]
Abstract
Time use could profoundly affect adolescents' health-related quality of life (HRQL). Ideally, overall time use patterns would be considered, because activities within a 24-hour day are inherently correlated (more in one activity means less in another). This review focused on the associations of (i) overall time use patterns and (ii) components of time use patterns with HRQL in adolescents. CONCLUSION More physical activity, less screen time and more/adequate sleep, in isolation, are associated with better profile-based HRQL subscales. Greater understanding of adolescents' overall time use patterns and HRQL is, therefore, a priority for policy development.
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Affiliation(s)
- Monica Wong
- The University of Melbourne; Melbourne VIC Australia
- Murdoch Childrens Research Institute; Melbourne VIC Australia
| | - Kate Lycett
- Murdoch Childrens Research Institute; Melbourne VIC Australia
| | - Tim Olds
- Murdoch Childrens Research Institute; Melbourne VIC Australia
- Alliance for Research in Exercise; Nutrition and Activity (ARENA); University of South Australia; Adelaide SA Australia
| | - Lisa Gold
- Murdoch Childrens Research Institute; Melbourne VIC Australia
- School of Health and Social Development; Deakin University; Geelong VIC Australia
| | - Melissa Wake
- The University of Melbourne; Melbourne VIC Australia
- Murdoch Childrens Research Institute; Melbourne VIC Australia
- Department of Paediatrics and the Liggins Institute; The University of Auckland; Auckland New Zealand
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Novak D, Štefan L, Emeljanovas A, Mieziene B, Milanović I, Janić SR, Kawachi I. Factors associated with good self-rated health in European adolescents: a population-based cross-sectional study. Int J Public Health 2017; 62:971-979. [PMID: 28698897 DOI: 10.1007/s00038-017-1015-0] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2016] [Revised: 06/19/2017] [Accepted: 07/03/2017] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES The aim of the present study was to investigate self-reported health status and associated factors. METHODS In this cross-sectional study, the participants were 6501 adolescents (52% females) aged 14-19 years from three European countries: Croatia, Lithuania and Serbia. Self-rated health was assessed by using one item question: "How would you perceive your health?" The answers were arranged along a 5-point Likert-type scale: (1) very poor, (2) poor, (3) fair, (4) good and (5) excellent. The outcome was binarized as "good" (fair, good and excellent) and "poor" health (very poor and poor). Potential factors associated with self-rated health included demographic (age, gender, socioeconomic status and body-mass index), social (social capital) and lifestyle (physical activity and psychological distress) variables. RESULTS In both univariate and multivariate models, being older, being a boy, having higher level of family, neighbourhood and school social capital, participating in moderate-to-vigorous physical activity more frequently and having low psychological distress were associated with good self-rated health. CONCLUSIONS Our findings suggest strong associations between social and lifestyle factors and self-rated health. Other explanatory variables will require future research.
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Affiliation(s)
- Dario Novak
- Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
| | - Lovro Štefan
- Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia.
| | - Arunas Emeljanovas
- Faculty of Sports Education, Lithuanian Sports University, Kaunas, Lithuania
| | - Brigita Mieziene
- Faculty of Sports Education, Lithuanian Sports University, Kaunas, Lithuania
| | | | | | - Ichiro Kawachi
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
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El Ansari W, Suominen S, Draper S. Correlates of Achieving the Guidelines of Four Forms of Physical Activity, and the Relationship between Guidelines Achievement and Academic Performance: Undergraduate Students in Finland. Cent Eur J Public Health 2017; 25:87-95. [DOI: 10.21101/cejph.a4387] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2015] [Accepted: 12/09/2016] [Indexed: 11/15/2022]
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Paulis WD, Palmer M, Chondros P, Kauer S, van Middelkoop M, Sanci LA. Health profiles of overweight and obese youth attending general practice. Arch Dis Child 2017; 102:434-439. [PMID: 27836827 DOI: 10.1136/archdischild-2016-311404] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2016] [Revised: 10/20/2016] [Accepted: 10/22/2016] [Indexed: 11/03/2022]
Abstract
BACKGROUND Literature suggests that overweight and obese young people use healthcare services more often, but this awaits confirmation in primary care. OBJECTIVE To identify health profiles of underweight, overweight and obese young people attending general practice and compare them to normal-weight youth and also to explore the weight-related health risks of eating and exercise behaviour in the four different weight categories. METHODS This study used a cross-sectional design with baseline data from a trial including 683 young people (14-24 years of age) presenting to general practice. Through computer-assisted telephone interviews data were obtained on number and type of health complaints and consultations, emotional distress, health-related quality of life (HRQoL) and eating and exercise behaviour. RESULTS General practitioners (GPs) were consulted more often by overweight (incidence rate ratio (IRR): 1.28, 95% CI (1.04 to 1.57)) and obese youth (IRR: 1.54, 95% CI (1.21 to 1.97), but not for different health problems compared with normal-weight youth. The reason for presentation was seldom a weight issue. Obese youth reported lower physical HRQoL. Obese and underweight youth were less likely to be satisfied with their eating behaviour than their normal-weight peers. Exercise levels were low in the entire cohort. CONCLUSIONS Our study highlights the need for effective weight management given that overweight and obese youth consult their GP more often. Since young people do not present with weight issues, it becomes important for GPs to find ways to initiate the discussion about weight, healthy eating and exercise with youth. TRIAL REGISTRATION NUMBER ISRCTN16059206.
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Affiliation(s)
- Winifred D Paulis
- Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
| | - Millicent Palmer
- General Practice and Primary Health Care Academic Centre, The University of Melbourne, Melbourne, Australia
| | - Patty Chondros
- General Practice and Primary Health Care Academic Centre, The University of Melbourne, Melbourne, Australia
| | - Sylvia Kauer
- General Practice and Primary Health Care Academic Centre, The University of Melbourne, Melbourne, Australia
| | - Marienke van Middelkoop
- Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
| | - Lena A Sanci
- General Practice and Primary Health Care Academic Centre, The University of Melbourne, Melbourne, Australia
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Bermejo-Cantarero A, Álvarez-Bueno C, Martinez-Vizcaino V, García-Hermoso A, Torres-Costoso AI, Sánchez-López M. Association between physical activity, sedentary behavior, and fitness with health related quality of life in healthy children and adolescents: A protocol for a systematic review and meta-analysis. Medicine (Baltimore) 2017; 96:e6407. [PMID: 28328839 PMCID: PMC5371476 DOI: 10.1097/md.0000000000006407] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Health related quality of life (HRQoL) is a subjective, multidimensional and changing over time construct. When HRQoL is decreased, a child is less likely to be able to develop normally and mature into a healthy adult. Physical inactivity is a priority public health problem. Evidence suggests how even moderate levels of physical activity or high fitness levels are associated with benefits for the health in children and adolescents. The aims of this systematic review are to examine the evidence about the relationship between physical activity, sedentary behavior, and fitness with HRQoL, and estimate the effects of interventions that have tested the effectiveness of the increase of the physical activity, the improvement of the physical fitness or the avoidance of sedentary behaviors in HRQoL in healthy subjects aged under 18 years old. METHODS This systematic review and meta-analysis protocol was conducted following the preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) statement. To identify relevant studies, the following electronic databases will be searched: MEDLINE, EMBASE, Cochrane Database, Web of Science, and PEDro. Reference lists of relevant studies will be examined for links to potential related articles. The methodological quality of the observational included studies will be scored using a quality assessment checklist. For the intervention studies, the risk of bias will be estimated using The Cochrane Collaboration tool for assessing risk of bias. Reviewers will determine whether a meta-analysis is possible when data have been extracted. If it is, subgroup analyses will be carried out by age and socioeconomic status, and by the different dimensions of the HRQoL. If is not possible, a descriptive analysis will be conducted. CONCLUSION To our knowledge, this systematic review and meta-analysis will be the first that synthesizes the existing results about the relationship between physical activity, sedentary behavior, physical fitness, and HRQoL, and the effect of physical activity interventions on HRQoL, in healthy subjects under 18 years old. This study will clarify this relationship and will provide evidence for decision-making. Limitations may include the quality of the selected studies and their characteristics. Only studies published in English and Spanish will be included. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42015025823.
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Affiliation(s)
| | - Celia Álvarez-Bueno
- Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca
| | - Vicente Martinez-Vizcaino
- Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca
| | - Antonio García-Hermoso
- Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, USACH, Santiago, Chile
| | | | - Mairena Sánchez-López
- Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca
- School of Education, Universidad de Castilla-La Mancha, Ciudad Real, Castilla-La Mancha, Spain
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Matin N, Kelishadi R, Heshmat R, Motamed-Gorji N, Djalalinia S, Motlagh ME, Ardalan G, Arefirad T, Mohammadi R, Safiri S, Qorbani M. Joint association of screen time and physical activity on self-rated health and life satisfaction in children and adolescents: the CASPIAN-IV study. Int Health 2016; 9:58-68. [PMID: 27836949 DOI: 10.1093/inthealth/ihw044] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Revised: 05/27/2016] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND Self-rated health and life satisfaction are two subjective measures for assessing overall health status. This study aims to investigate the association of self-rated health and life satisfaction with physical activity and screen time. METHODS As part of the fourth survey of a national surveillance program in Iran (CASPIAN-IV study), 14 880 students aged 6 to 18 years were selected via multi-stage cluster sampling from 30 provinces. Data were obtained from the WHO Global School-Based Student Health Survey questionnaire. RESULTS A total of 13 486 students with mean age of 12.47 (SD 3.36) completed the study. In crude model both prolonged screen time and physical activity were associated with favorable life satisfaction and self-rated health. However, in multivariate analysis only high physical activity was associated with good self-rated health (OR 1.37) and life satisfaction (OR 1.39), while prolonged screen time was not associated with good self-rated health (OR 1.02) and life satisfaction (OR 0.94). For combined screen time-physical activity variable, low screen time-high physical activity combination had the highest OR for both good self-rated health (OR 1.37) and life satisfaction (OR 1.43) in multivariate analysis. CONCLUSIONS Our findings suggest that increasing physical activity is more crucial than emphasizing reducing screen time in improving the well-being of children and adolescents.
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Affiliation(s)
- Nassim Matin
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Roya Kelishadi
- Child Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ramin Heshmat
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Nazgol Motamed-Gorji
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Shirin Djalalinia
- Development of Research & Technology Center, Deputy of Research and Technology, Ministry of Health and Medical Education, Tehran, Iran
| | | | - Gelayol Ardalan
- Child Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Tahereh Arefirad
- Department of Exercise Physiology, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Rasool Mohammadi
- Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Saeid Safiri
- Managerial Epidemiology Research Center, Department of Public Health, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran
| | - Mostafa Qorbani
- Dietary Supplements and Probiotics Research Center, Alborz University of Medical Sciences, Karaj, Iran .,Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
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Husárová D, Veselská ZD, Sigmundová D, Gecková AM. Age and Gender Differences in Prevalence of Screen Based Behaviour, Physical Activity and Health Complaints among Slovak School-aged Children. Cent Eur J Public Health 2016; 23 Suppl:S30-6. [PMID: 26849541 DOI: 10.21101/cejph.a4177] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2014] [Accepted: 04/24/2015] [Indexed: 11/15/2022]
Abstract
AIM The aim of this study was to assess age and gender differences in prevalence of screen based behaviour, physical activity and health complaints among Slovak school-aged children. METHODS Data from the cross-sectional Health Behaviour of School-aged Children study collected in 2010 among Slovak children (age 11-15 years, N=8,042) was used. Logistic regression models adjusted to age and gender were used to analyse the associations between watching TV, working with a computer or playing computer games and physical activity and headache, backache, sleep difficulties, feeling low, irritability, and feeling nervous. RESULTS Around one-quarter of adolescents is spending more than three hours a day with screen-based activities. While the age was significantly associated with watching TV and computer use, gender was significantly associated only with excessive computer use. As for physical activity only 25% of adolescents reported being physically active every day as recommended, and this number decreases with increasing age. Boys used to be more often active in comparison with girls. A sizeable number of adolescents suffer with selected health complaints every week. Moreover, the prevalence of health complaints increases with age and is significantly higher among girls. CONCLUSIONS The prevalence of screen-based activities as well as insufficient physical activity and health complaints among adolescents is relatively high and it increases with age. Gender differences are also significant, except for watching TV.
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Affiliation(s)
- Daniela Husárová
- Department of Health Psychology, Faculty of Medicine, P. J. Šafárik University in Košice, Košice, Slovak Republic
| | - Zuzana Dankulincová Veselská
- Department of Health Psychology, Faculty of Medicine, P. J. Šafárik University in Košice, Košice, Slovak Republic
| | - Dagmar Sigmundová
- Centre for Kinanthropology Research, Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic
| | - Andrea Madarasová Gecková
- Department of Health Psychology, Faculty of Medicine, P. J. Šafárik University in Košice, Košice, Slovak Republic.,Olomouc University Social Health Institute, Palacký University Olomouc, Olomouc, Czech Republic
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Sharma B, Nam EW, Kim D, Yoon YM, Kim Y, Kim HY. Role of gender, family, lifestyle and psychological factors in self-rated health among urban adolescents in Peru: a school-based cross-sectional survey. BMJ Open 2016; 6:e010149. [PMID: 26842274 PMCID: PMC4746445 DOI: 10.1136/bmjopen-2015-010149] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVE We examined the role of gender, family, lifestyle and psychological factors in self-rated health. DESIGN Cross-sectional study. SETTING A total of 970 randomly selected students from 11 secondary schools in Lima and Callao, Peru, participated in 2014. MAIN OUTCOME MEASURE Self-rated health was measured with a single item: 'In general, how would you rate your health?' Responses were arranged along a five-point Likert-type scale: 'excellent', 'very good', 'good', 'fair' and 'poor'. The outcome variable was dichotomised as 'good' (excellent, very good or good) or 'poor/fair' (poor or fair). METHODS We calculated adjusted ORs (AORs) and 95% CIs for poor/fair self-rated health using multivariate logistic regression analyses at 3-graded levels. RESULTS 32.5% of the respondents had fair/poor self-rated health, 23.7% of the total males and 40.0% of the total female samples. Males were less likely to have poor/fair self-rated health (AOR 0.61; CI 0.41 to 0.91). Poor family support strongly increased the likelihood of having poor/fair self-rated health (no support, (AOR 3.15; CI 1.63 to 6.09); low support, (AOR 2.50; CI 1.29 to 4.85)). The other associated variables were missed meals due to a shortage of food (AOR 1.97; CI 1.15 to 3.36), television watching during leisure time (AOR 1.70; CI 1.09 to 2.67), low physical activity (AOR 1.49; CI 1.03 to 2.15), school absenteeism (AOR 1.54; CI 1.03 to 2.31) and perceived life satisfaction (AOR 0.28; CI 0.15 to 0.25). CONCLUSIONS Gender, missing meals due to a shortage of food, family support, physical activity and life satisfaction influenced self-rated health among adolescents in Peru. Interventions that focus on promoting physical activity for at least 1 h each day for 3 or more days per week, food security and strengthening supportive family roles may improve self-rated health during adolescence.
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Affiliation(s)
- Bimala Sharma
- Yonsei Global Health Center, Yonsei University, Wonju City, Gangwon-do, the Republic ofKorea
- Institute for Poverty Alleviation and International Development, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea
- Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea
| | - Eun Woo Nam
- Yonsei Global Health Center, Yonsei University, Wonju City, Gangwon-do, the Republic ofKorea
- Institute for Poverty Alleviation and International Development, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea
- Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea
| | - Dohyeong Kim
- Yonsei Global Health Center, Yonsei University, Wonju City, Gangwon-do, the Republic ofKorea
- Institute for Poverty Alleviation and International Development, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea
- Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea
| | - Young Min Yoon
- Yonsei Global Health Center, Yonsei University, Wonju City, Gangwon-do, the Republic ofKorea
- Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea
| | - Yeunju Kim
- Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea
| | - Ha Yun Kim
- Yonsei Global Health Center, Yonsei University, Wonju City, Gangwon-do, the Republic ofKorea
- Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea
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Swain MS, Henschke N, Kamper SJ, Gobina I, Ottová-Jordan V, Maher CG. Pain and Moderate to Vigorous Physical Activity in Adolescence: An International Population-Based Survey. PAIN MEDICINE 2015; 17:813-819. [PMID: 26350061 DOI: 10.1111/pme.12923] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Revised: 06/04/2015] [Accepted: 08/10/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To evaluate whether individual types of pain (headache, stomach-ache, and backache) or multiple pains affect the odds of young people achieving the recommended 60 minutes of moderate to vigorous physical activity (MVPA) per day in a large representative sample. DESIGN Multicenter cross-sectional survey. SETTING Twenty-eight countries across Europe and North America. SUBJECTS Adolescents (N = 242,103). METHODS An analysis of data collected in two waves (2001/02 and 2005/06) of the health behavior in school-aged children (HBSC) study was performed. Survey questions included the HBSC symptoms checklist and the amount of regular physical activity. Multilevel logistic regression was used to account for clustering effect of MVPA within countries. Models investigated the relationship between pain and physical activity, adjusted for the HBSC study year. Six models were conducted separately for gender and age-group (11, 13, and 15 years) strata. RESULTS In general, the presence of pain was associated with reduced physical activity. Headache alone was associated with reduced physical activity in all six strata (odd ratios 0.77-0.84), stomach-ache alone in five strata (0.77-0.92), and backache alone in four strata (0.86-0.96). In 11- and 13-year-old girls, headache, stomach-ache, and backache, individually and in combination, were associated with decreased odds of being physically active (odds ratios ranging from 0.73 to 0.91). Within the other four age and gender strata, the relationship was less consistent. CONCLUSION Pain is associated with reduced physical activity in adolescents but this association varies according to gender, age, and the type of pain experienced.
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Affiliation(s)
- Michael Steven Swain
- Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia.,Department of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia
| | - Nicholas Henschke
- Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia.,Institute of Public Health, Heidelberg Medical School, University of Heidelberg, Heidelberg, Germany
| | - Steven James Kamper
- Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia.,Department of Epidemiology and Biostatistics, EMGO+ Institute, VU University Medical Center, Amsterdam, The Netherlands
| | - Inese Gobina
- Department of Public Health and Epidemiology, Riga Stradinš University, Latvia
| | - Veronika Ottová-Jordan
- Department of Child and Adolescent Psychiatry, Research Unit Child Public Health, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Christopher Gerard Maher
- Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia
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Meireles AL, Xavier CC, de Souza Andrade AC, Proietti FA, Caiaffa WT. Self-Rated Health among Urban Adolescents: The Roles of Age, Gender, and Their Associated Factors. PLoS One 2015; 10:e0132254. [PMID: 26177464 PMCID: PMC4503396 DOI: 10.1371/journal.pone.0132254] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Accepted: 06/11/2015] [Indexed: 11/18/2022] Open
Abstract
Health status is often analyzed in population surveys. Self-rated health (SRH) is a single-item summary measure of the perception of one’s health. In Brazil, studies on the SRH of adolescents remain scarce, especially those aiming to understand the domains that compose this construct. Therefore, the aim of this study is to determine the prevalence of poor SRH and its associated factors among 11- to 13-year-olds and 14- to 17-year-olds living in a large urban center in Brazil. This cross-sectional study was conducted using a household survey across Belo Horizonte that included 1,042 adolescents. Stratified logistic regression models were used for each age group to assess the associations between worse SRH and the following variables: socio-demographic, social and family support, lifestyles, psychological health, and anthropometry. Approximately 11% (95% CIs = 8.7–13.6) of the studied adolescents rated their health as poor, and SHR decreased with age among males and females. This trend was more pronounced among girls (from 6.9% among 11- to 13-year-old girls to 16.9% among 14- to 17-year-old girls) than boys (from 8.3% among 11- to 13-year-old boys to 11% among 14- to 17-year-old boys). Worse SRH was associated with family support (as assessed by the absence of parent-adolescent conversations; odds ratio [OR] = 3.5 among 11- to 13-year-olds), family structure (OR = 2.8 among 14- to 17-year-olds), and argument reporting (OR = 8.2 among 14- to 17-year-olds). Among older adolescents, the consumption of fruit fewer than five times per week (OR = 2.4), life dissatisfaction (OR = 2.8), underweight status (OR = 6.7), and overweight status (OR = 2.7) were associated with poor SRH. As adolescents age, their universe expands from their relationship with their parents to include more complex issues, such as their lifestyles and life satisfaction. Therefore, these results suggest the importance of evaluating SRH across adolescent age groups and demonstrate the influence of the family environment (in addition to other factors) on negative health assessments, particularly among 14- to 17-year-olds.
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Affiliation(s)
- Adriana Lúcia Meireles
- Nutrition, Faculdade de Ciências da Saúde do Trairi, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
- Observatory for Urban Health of Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- * E-mail:
| | - César Coelho Xavier
- Observatory for Urban Health of Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Medicine, Faculdade de Saúde e Ecologia Humana, Vespasiano, Minas Gerais, Brazil
| | - Amanda Cristina de Souza Andrade
- Observatory for Urban Health of Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Fernando Augusto Proietti
- Observatory for Urban Health of Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Medicine, Faculdade de Saúde e Ecologia Humana, Vespasiano, Minas Gerais, Brazil
| | - Waleska Teixeira Caiaffa
- Observatory for Urban Health of Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Malinauskas R, Malinauskaiene V. Self-reported physical inactivity and health complaints: a cross-sectional study of Lithuanian adolescent schoolgirls. CAD SAUDE PUBLICA 2015; 31:981-8. [PMID: 26083173 DOI: 10.1590/0102-311x00080614] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2014] [Accepted: 12/04/2014] [Indexed: 11/22/2022] Open
Abstract
The study aimed to investigate the associations between physical inactivity and health complaints in relation to posttraumatic stress (PTS) symptoms, behavioral and nutritional factors, and sense of coherence (SOC) in eighth-grade girls enrolled in secondary schools in Kaunas, Lithuania. A random sample of girls (N = 862) was interviewed anonymously on health complaints, physical activity level, PTS symptoms, Antonovsky's SOC scale, health behaviors, and dietary patterns. All health complaints were significantly associated with physical inactivity. Crude odds ratio (OR) for physical inactivity and health complaints was 1.67 (95%CI: 1.09-2.56); after adjusting for PTS symptoms, the OR decreased to 1.57 (95%CI: 0.95-2.45); further adjustment for smoking, daily alcohol intake, daily consumption of fresh vegetables, and SOC decreased the OR to 1.25 (95%CI: 0.76-2.04). The effect of PTS symptoms and sense of coherence remained stable after all adjustments. The significant association between physical inactivity and health complaints was mediated by PTS symptoms.
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