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Canseco-Prado G, González-López BS, Robles-Bermeo NL, Márquez-Corona MDL, Minaya-Sánchez MI, Bermeo-Escalona J, Zárate-Díaz C, Cabrera-Ortega AA, Medina-Solís CE, Maupomé G. Psychometric Properties of the Iowa Fluoride Study Oral Health Questionnaire in Mexican Adolescents. Cureus 2023; 15:e51165. [PMID: 38283445 PMCID: PMC10813596 DOI: 10.7759/cureus.51165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/26/2023] [Indexed: 01/30/2024] Open
Abstract
BACKGROUND AND OBJECTIVE The perception of quality of life about health status is subjective; assessment of the impact includes well-being while eating, speaking, smiling, interacting with others, and feeling good about the esthetic appearance of teeth and mouth. The objective of the present study was to cross-culturally adapt and determine the validity and reliability of the Mexican version of the Iowa Fluoride Study Oral Health for adolescents. MATERIAL AND METHODS A cross-sectional study was carried out in a sample of 240 Mexican adolescents aged 15 to 19 years. The questionnaire was translated, back-translated, and administered through the Google Forms platform. The cultural adaptation consisted of the evaluation of the grammatical, conceptual, and linguistic equivalences. The evaluation of the utility and acceptability was carried out through an analysis of semantic equivalence. The utility of the questionnaire was also evaluated by analyzing its grammatical readability. Reliability tests, Kaiser-Meyer-Olkin (KMO), factor analysis, and Pearson's correlation were performed. RESULTS The mean age of all participants was 16.4±1.4; 65.3% (n=158) were female. Face validity was considered adequate. The wording of the objective and instructions of the questionnaire were improved. The confidentiality assurances were highlighted. The questions were clear, understandable, and pertinent, and they showed adequate syntax. The INFLESZ index corresponds to a "fairly easy" level of readability. In the quantitative validation, the correlation of items was greater than 0.4. The KMO was 0.930 (p=0.001), and Bartlett sphericity was 2466.5 (p=0.001). Through the exploratory factorial analysis, we evaluated the emotional well-being (12 items), social welfare (five items), and oral symptoms (OS) (three items) dimensions. Internal consistency was high (Cronbach's α=0.942). CONCLUSION The culturally translated and adapted questionnaire is valid and reliable for use in research on Mexican adolescents.
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Affiliation(s)
- Gabriel Canseco-Prado
- School of Behavioral Sciences, Autonomous University of the State of Mexico, Toluca, MEX
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, MEX
| | - Blanca S González-López
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - Norma L Robles-Bermeo
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - María de L Márquez-Corona
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, MEX
| | | | - Josué Bermeo-Escalona
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - Chrisel Zárate-Díaz
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - Adriana A Cabrera-Ortega
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - Carlo E Medina-Solís
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, MEX
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - Gerardo Maupomé
- Department of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University, Indianapolis, USA
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Mastorci F, Lazzeri MFL, Piaggi P, Doveri C, Casu A, Trivellini G, Marinaro I, Vassalle C, Pingitore A. Relationship between eating disorders perception and psychosocial profile in school-dropout adolescents. J Eat Disord 2023; 11:59. [PMID: 37041596 PMCID: PMC10091672 DOI: 10.1186/s40337-023-00783-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 03/29/2023] [Indexed: 04/13/2023] Open
Abstract
BACKGROUND In body-mind relationship field, eating disorders (ED) are considered disabling disorders that can alter physical health status, inducing profound alterations in psychosocial, cognitive and emotional dimensions. These disorders, characterized by a strong comorbidity with other diseases, usually begin during childhood or adolescence, and include anorexia nervosa, bulimia nervosa and binge eating. Aim of this study was to investigate the associations between eating disorders perception and dimensions of health-related quality of life (HRQoL) and well-being perception (WBP) in school-dropout adolescents. METHODS Data were collected in 450 adolescents (19 ± 2 years, male 308), and HRQoL, WBP, and ED were assessed by means a battery of standardized questionnaire. RESULTS EDs are more pronounced in females than in males (p < 0.05) and are associated with lower HRQoL (p < 0.001) and lower well-being perception (p < 0.001). EDs are associated with an impairment of physical (p < 0.05) and psychological well-being perception (p < 0.001), emotional responses (p < 0.001), self-perception (p < 0.001), and a reduction of general well-being (p < 0.05). CONCLUSIONS Although it is complicated to distinguish between causes and consequences, these findings suggest a complex and multifaceted, association between ED and HRQoL domains. Thus, multiple factors need taking into account in the policy of EDs prevention, identifying all the components of well-being to focus and personalize healthy programs in adolescences.
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Affiliation(s)
| | | | - Paolo Piaggi
- Department of Information Engineering, University of Pisa, Pisa, Italy
| | - Cristina Doveri
- Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124, Pisa, Italy
| | - Anselmo Casu
- Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124, Pisa, Italy
| | | | - Irene Marinaro
- Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124, Pisa, Italy
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Mastorci F, Lazzeri MFL, Piaggi P, Doveri C, Trivellini G, Casu A, Marinaro I, Bianchin E, Pozzi M, Pingitore A. Schoolteachers' well-being: A pilot study from the AVATAR project during COVID-19 school closure. Work 2023; 75:1-8. [PMID: 36683483 DOI: 10.3233/wor-220267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Teachers are a category at high risk for co-occurring mental diseases. OBJECTIVES The purpose was to assess well-being of schoolteachers and psychological effects of coronavirus disease 2019 (COVID-19). METHOD Data were collected in April 2021, during the partial re-opening of public schools in Italy, from 838 schoolteachers who complete a battery of psychological tests on a multimedia platform. RESULTS In females, school closure increases anxiety (BAI, p < 0.001), depression (BDI-II, p < 0.05), stress-related insomnia (FIRST, p < 0.001), and perceived stress (PSS, p < 0.05). In males, on the contrary, rises perceived health (p < 0.001) and vitality (p < 0.001), also in terms of total score (PWBI p < 0.05). In addition, having a family member with COVID in the past month increased anxiety (BAI, p < 0.05), reduced perceived physical health (PWBI, p < 0.05) and vitality (PWBI, p < 0.05). CONCLUSION The main results of this pilot study showed that female teachers had a worse well-being perception with respect to men, in terms of health and vitality and an increase in negative emotional reactivity, that impaired when a family member was affected by COVID. The results emphasize the need to invest in prevention and wellness promotion programs in this professional category.
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Affiliation(s)
| | | | - Paolo Piaggi
- Department of Information Engineering, University of Pisa, Pisa, Italy
| | | | | | | | | | - Elisa Bianchin
- Department of addictions, ASFO - Azienda Sanitaria Friuli Occidentale, Pordenone, Italy
| | - Marta Pozzi
- Department of addictions, ASFO - Azienda Sanitaria Friuli Occidentale, Pordenone, Italy
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Lazzeri MFL, Mastorci F, Piaggi P, Doveri C, Casu A, Trivellini G, Marinaro I, Bardelli A, Pingitore A. The Impact of Unhealthy Behaviors on Personalized Well-Being Index in a Sample of School Dropout Adolescents. Children (Basel) 2022; 9. [PMID: 36010035 DOI: 10.3390/children9081144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 07/21/2022] [Accepted: 07/27/2022] [Indexed: 11/22/2022]
Abstract
(1) Background: here is a growing need for integrated and multidimensional approaches to health, especially in a particular category of populations, school-dropout (SD) adolescents, who are traditionally more prone to risky behavior. This study aimed to describe the association between possible risk factors (substance use, eating disorders, social addiction) and well-being perception through the application of a personalized well-being index (PWBI) in SD youths. (2) Methods: Data were collected in 450 school-dropout adolescents (19 ± 2 years, male 308); the health-related quality of life (HRQoL) and risk behaviors were assessed by means of a battery of standardized questions. (3) Results: The results revealed an altered perception of well-being in association with eating disorders (p < 0.001), the use of psychotropic drugs (p < 0.001), and the amount of their consumption (p < 0.05). In particular, there was a decrease in emotional state (p < 0.001) and PWBI (p < 0.001) in the presence of eating disorders, and an impairment in all PWBI components, emotional states (p < 0.001), lifestyle habits (p < 0.05), and social contexts (p < 0.001) when taking psychotropic drugs. (4) Conclusions: risk or unhealthy behaviors significantly worsen individual well-being. This study highlights the change of paradigm from a disease-oriented model to an educationally strength-based model when monitoring psychosocial well-being in order to define preventive and health promotion strategies in a vulnerable category of the population.
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Mastorci F, Lazzeri MFL, Piaggi P, Doveri C, Casu A, Trivellini G, Marinaro I, Bardelli A, Pingitore A. Gender Differences for Health Indicators in a Sample of School Dropout Adolescents: A Pilot Study. IJERPH 2022; 19:ijerph19137852. [PMID: 35805512 PMCID: PMC9266147 DOI: 10.3390/ijerph19137852] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 06/14/2022] [Accepted: 06/24/2022] [Indexed: 12/10/2022]
Abstract
Background: The ever-increasing prevalence of school dropout (SD) highlights the need to gain insight into risk factors for dropout causes and consequences. The aim of this study was to evaluate the gender differences for health indicators in a sample of school dropout adolescents. Methods: Data were collected regarding 450 adolescent’s SD (19 ± 2 years; 308 males), and health-related quality-of-life (HRQoL) and risk behaviors were assessed by means of a standardized questionnaire. Results: The results revealed that the female population was characterized by a compromised health indicator profile in terms of both risk behaviors and HRQoL dimensions. Conclusion: These findings indicate that SD is a multidimensional phenomenon, for which the implementation of multiple educational, social, and psychological policies aimed at mitigating the issue are recommended.
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Affiliation(s)
- Francesca Mastorci
- Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124 Pisa, Italy; (F.M.); (M.F.L.L.); (C.D.); (A.C.); (G.T.); (I.M.); (A.B.)
| | - Maria Francesca Lodovica Lazzeri
- Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124 Pisa, Italy; (F.M.); (M.F.L.L.); (C.D.); (A.C.); (G.T.); (I.M.); (A.B.)
| | - Paolo Piaggi
- Department of Information Engineering, University of Pisa, 56126 Pisa, Italy;
| | - Cristina Doveri
- Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124 Pisa, Italy; (F.M.); (M.F.L.L.); (C.D.); (A.C.); (G.T.); (I.M.); (A.B.)
| | - Anselmo Casu
- Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124 Pisa, Italy; (F.M.); (M.F.L.L.); (C.D.); (A.C.); (G.T.); (I.M.); (A.B.)
| | - Gabriele Trivellini
- Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124 Pisa, Italy; (F.M.); (M.F.L.L.); (C.D.); (A.C.); (G.T.); (I.M.); (A.B.)
| | - Irene Marinaro
- Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124 Pisa, Italy; (F.M.); (M.F.L.L.); (C.D.); (A.C.); (G.T.); (I.M.); (A.B.)
| | - Andrea Bardelli
- Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124 Pisa, Italy; (F.M.); (M.F.L.L.); (C.D.); (A.C.); (G.T.); (I.M.); (A.B.)
| | - Alessandro Pingitore
- Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124 Pisa, Italy; (F.M.); (M.F.L.L.); (C.D.); (A.C.); (G.T.); (I.M.); (A.B.)
- Correspondence: ; Tel.: +39-050312605
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Stavropoulos V, Ratan R, Lee KM. Editorial: User-Avatar Bond: Risk and Opportunities in Gaming and Beyond. Front Psychol 2022; 13:923146. [PMID: 35677117 PMCID: PMC9169888 DOI: 10.3389/fpsyg.2022.923146] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 04/27/2022] [Indexed: 11/29/2022] Open
Affiliation(s)
| | - Rabindra Ratan
- Department of Media and Information, Michigan State University, East Lansing, MI, United States
| | - Kwan Min Lee
- User-Experience Lab, Nanyang Technological University, Singapore, Singapore
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Mastorci F, Piaggi P, Trivellini G, Doveri C, Casu A, Bastiani L, Marinaro I, Vassalle C, Pingitore A. Development of a Web-Based School Support System Within the AVATAR Project for Psychosocial Well-being in Adolescents: Pilot Feasibility Study. JMIR Form Res 2021; 5:e24840. [PMID: 34860668 PMCID: PMC8686459 DOI: 10.2196/24840] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 05/31/2021] [Accepted: 07/06/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Health and well-being promotions are key points of educational programs for adolescents within schools. There are several health education programs mainly based on lifestyle habit changes; however, social and emotional dimensions should be considered within these educational strategies. OBJECTIVE This study aimed to (1) develop a new web-based school support system to assess and analyze individual, classroom, and scholastic institute data on lifestyle habits, social context, emotional status, and scholastic performance; (2) create a web tool for managing the well-being of adolescents through a dynamic and personalized interface that provides immediate feedback that allows the school to monitor progress; and (3) evaluate, in a pilot study, the feasibility of this web-based school support system in order to build health programs that are specific to the needs of the studied population. METHODS The AVATAR (a new purpose for the promotion and evaluation of health and well-being among healthy teenagers) method consists of integrating the information coming from different questionnaires. In particular, to allow planning didactic and educational actions based on the results obtained, the AVATAR approach allows subdivision of the results of the different observed variables and the 4 components into the following 3 percentile categories: modify, improve, and maintain. The AVATAR web platform was designed to collect data on lifestyle, emotional status, and social context from junior high schools in terms of the fundamental aspects of adolescent daily life, with free use by the scholastic community (scholars, teachers, and parents). In this pilot/feasibility study, data from 331 students were acquired between 2018 and 2019 at the beginning of the scholastic year (pre) and at the end following the school-based program (post). RESULTS Preliminary results showed that after school planning and specific program implementation, defined after AVATAR feedback, students reported better well-being perception characterized by higher perception in psychological well-being (P=.001), mood (P=.001), self-perception (P=.006), and autonomy (P=.001), and an increase in the perception of financial resources (P=.001), which helped in developing healthy lifestyle habits (P=.007). In the social context assessment, students reported stronger relationships with family (P=.02) and peers (P=.001), and a lower perception of bullying (P=.001). CONCLUSIONS The AVATAR web-based platform is a feasible and flexible tool for the health and well-being management of adolescents from epidemiological, preventive, and educational points of view. In particular, it can be used to (1) promote information campaigns aimed at modifying risk behaviors in the student population, (2) sensitize students and put them at the center of their growth path, (3) inform institutions about the health and well-being of the school population, (4) ensure health programs are acceptable and feasible to users before launching on a large scale, and (5) improve the relationship of users (school) and educational agencies with research groups.
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Affiliation(s)
- Francesca Mastorci
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), Pisa, Italy
| | - Paolo Piaggi
- Department of Information Engineering, University of Pisa, Pisa, Italy
| | - Gabriele Trivellini
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), Pisa, Italy
| | - Cristina Doveri
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), Pisa, Italy
| | - Anselmo Casu
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), Pisa, Italy
| | - Luca Bastiani
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), Pisa, Italy
| | - Irene Marinaro
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), Pisa, Italy
| | | | - Alessandro Pingitore
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), Pisa, Italy
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Mastorci F, Ait-Ali L, Festa P, Martini M, Gagliardi L, Calabri G, La Marca G, Trivellini G, Casu A, Dalmiani S, Marcheschi P, Celi S, Pingitore A. A New Web Score to Predict Health Status in Paediatric Patients with Chronic Diseases: Design and Development of the PENSAMI Study. Children (Basel) 2021; 8:children8121094. [PMID: 34943290 PMCID: PMC8700591 DOI: 10.3390/children8121094] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 11/20/2021] [Accepted: 11/23/2021] [Indexed: 06/14/2023]
Abstract
Paediatric chronic diseases (CD) are characterised by their ongoing duration and the fact that they are often managed throughout the lifespan, with the need to adjust lifestyle and expectations with the limitations coming from the CD. The aim of the PENSAMI study is to not only cure the disease, but to also care for the person from a clinical and psychosocial perspective. Data will be collected from 150 paediatric patients affected by heart disease, diabetes, and asthma admitted during in-hospital stay or outpatient visits, and from 200 healthy control subjects. The protocol will consist of two phases. The first one will aim at elaborating the predictive model by detecting (clinical, anthropometric at birth, environmental, lifestyle, social context, emotional state, and mental abilities) in order to develop a model predictive of the events considered: (1) re-hospitalisation; (2) severity and progression of the disease; (3) adherence to therapy; (4) HRQoL; (5) obesity and metabolic syndrome; (6) illness-stress related; (7) school drop-out; (8) school performance. The second one will address validating the previous predictive model. This model will aim to: (1) understand, prevent, and halt the progression of childhood CD; (2) develop new and improved diagnostic tools; (3) pave the way for innovative treatments and additional therapies to traditional clinical practice; and (4) create truly personalised therapeutic and preventive strategies in various sectors, such as cardiology, diabetes, and respiratory diseases.
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Affiliation(s)
- Francesca Mastorci
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), 56124 Pisa, Italy; (F.M.); (L.A.-A.); (G.T.); (A.C.)
| | - Lamia Ait-Ali
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), 56124 Pisa, Italy; (F.M.); (L.A.-A.); (G.T.); (A.C.)
| | - Pierluigi Festa
- Fondazione G. Monasterio, Regione Toscana, 56226 Pisa, Italy; (P.F.); (S.D.); (P.M.); (S.C.)
| | - Marco Martini
- Pediatric Allergology and Pulmonology, San Donato Hospital, 52100 Arezzo, Italy;
| | - Luigi Gagliardi
- Pediatric Unit, Usl Nord Ovest Toscana, 55041 Viareggio, Italy;
| | - Giovanni Calabri
- Unit of Pediatric Cardiology, Azienda Ospedaliero-Universitaria Meyer, 50139 Firenze, Italy;
| | - Giancarlo La Marca
- Newborn Screening, Clinical Chemistry and Pharmacology Lab Meyer Children’s Hospital, 50139 Firenze, Italy;
| | - Gabriele Trivellini
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), 56124 Pisa, Italy; (F.M.); (L.A.-A.); (G.T.); (A.C.)
| | - Anselmo Casu
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), 56124 Pisa, Italy; (F.M.); (L.A.-A.); (G.T.); (A.C.)
| | - Stefano Dalmiani
- Fondazione G. Monasterio, Regione Toscana, 56226 Pisa, Italy; (P.F.); (S.D.); (P.M.); (S.C.)
| | - Paolo Marcheschi
- Fondazione G. Monasterio, Regione Toscana, 56226 Pisa, Italy; (P.F.); (S.D.); (P.M.); (S.C.)
| | - Simona Celi
- Fondazione G. Monasterio, Regione Toscana, 56226 Pisa, Italy; (P.F.); (S.D.); (P.M.); (S.C.)
| | - Alessandro Pingitore
- Clinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), 56124 Pisa, Italy; (F.M.); (L.A.-A.); (G.T.); (A.C.)
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Mastorci F, Piaggi P, Doveri C, Trivellini G, Marinaro I, Casu A, Pingitore A, Vassalle C. Relationship between Weight Status and Health-Related Quality of Life in a Sample of Early Adolescents from Central and Northern Italy: A Cross-Sectional Study of the AVATAR Project Participants. Int J Environ Res Public Health 2021; 18:8782. [PMID: 34444531 DOI: 10.3390/ijerph18168782] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 08/11/2021] [Accepted: 08/18/2021] [Indexed: 11/17/2022]
Abstract
Among the various factors that could influence health-related quality of life (HRQoL) in adolescence, body mass index (BMI) seems to play a key role as a main anthropometric parameter. The aim of this cross-sectional study was to determine, in a sample of Italian adolescents, whether HRQoL is associated with the different weight status categories (underweight, normal weight, overweight, obese), according to BMI cut-off points for children, even considering sex differences. Data were collected from 1707 adolescents (n = 828 males) in seven schools. HRQoL was analyzed using the Italian version of KIDSCREEN-52. Males were more overweight and obese than females (13% vs. 10% and 4% vs. 2%, p < 0.05, respectively). In females, BMI categories are associated with physical well-being (p < 0.05), emotion/mood (p < 0.05), self-perception (p < 0.001), financial resources (p < 0.05), and bullying behavior (p < 0.05). In males, weight status is linked to physical well-being dimension (p < 0.001) and perception of self (p < 0.05). Our results may suggest that there is an association between weight status categories and HRQoL, more pronounced in females than in males. Interestingly, the weight status correlated more with the psychological dimension mainly in females, whereas in males, a stronger association between weight and physical status was observed, suggesting that given the complex, multifaceted, and dynamic nature of relationship between health-related quality of life and weight status in adolescents, multiple factors must be considered.
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Mastorci F, Bastiani L, Trivellini G, Doveri C, Casu A, Pozzi M, Marinaro I, Vassalle C, Pingitore A. Well-Being Perception during COVID-19 Pandemic in Healthy Adolescents: From the Avatar Study. Int J Environ Res Public Health 2021; 18:ijerph18126388. [PMID: 34204811 PMCID: PMC8296203 DOI: 10.3390/ijerph18126388] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 06/10/2021] [Accepted: 06/11/2021] [Indexed: 01/01/2023]
Abstract
The COVID-19 pandemic provided an extraordinary and naturalistic context to observe young people’s psychosocial profiles and to study how a condition of environmental deprivation and lack of direct social contact, affects the well-being and health status of adolescents. The study explored whether the COVID-19 outbreak changes, in the short term, the acute well-being perception in adolescents, as measured by a Personalized Well-Being Index (PWBI) and the four components affecting health (i.e., lifestyle habits, social context, emotional status, mental skills), in a sample of early adolescent students. Data from 10 schools were collected on 1019 adolescents (males 48.3%, mean age 12.53 ± 1.25 y). Measurements were obtained at two time points, in September/October 2019, (baseline condition, BC) as part of the “A new purpose for promotion and eVAluation of healTh and well-being Among healthy teenageRs” (AVATAR) project and during the Italian Lockdown Phase (mid–late April 2020, LP), with the same students using an online questionnaire. During COVID-19 quarantine, adolescents showed a lower PWBI (p < 0.001) as compared to the BC. Considering the four health-related well-being components, lifestyle habits (p < 0.001), social context (p < 0.001), and emotional status (p < 0.001), showed significantly lower values during LP than BC. However, mental skills, in LP, displayed a significant increase as compared to BC (p < 0.001). In this study, we have provided data on the personalized well-being index and the different components affecting health in adolescents during the COVID-19 lockdown, showing a general decrease in well-being perception, expressed in lifestyle habits, social, and emotional components, demonstrating detrimental effects in the first phase of quarantine on adolescents’ psychosocial profiles. Our results shed new light on adolescence as a crucial period of risk behavior, especially when social support is lacking.
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Affiliation(s)
- Francesca Mastorci
- National Research Council Institute of Clinical Physiology, 56124 Pisa, Italy; (F.M.); (L.B.); (G.T.); (C.D.); (A.C.); (I.M.)
| | - Luca Bastiani
- National Research Council Institute of Clinical Physiology, 56124 Pisa, Italy; (F.M.); (L.B.); (G.T.); (C.D.); (A.C.); (I.M.)
| | - Gabriele Trivellini
- National Research Council Institute of Clinical Physiology, 56124 Pisa, Italy; (F.M.); (L.B.); (G.T.); (C.D.); (A.C.); (I.M.)
| | - Cristina Doveri
- National Research Council Institute of Clinical Physiology, 56124 Pisa, Italy; (F.M.); (L.B.); (G.T.); (C.D.); (A.C.); (I.M.)
| | - Anselmo Casu
- National Research Council Institute of Clinical Physiology, 56124 Pisa, Italy; (F.M.); (L.B.); (G.T.); (C.D.); (A.C.); (I.M.)
| | - Marta Pozzi
- Department of Addictions, ASFO—Azienda Sanitaria Friuli Occidentale, 33072 Pordenone, Italy;
| | - Irene Marinaro
- National Research Council Institute of Clinical Physiology, 56124 Pisa, Italy; (F.M.); (L.B.); (G.T.); (C.D.); (A.C.); (I.M.)
| | | | - Alessandro Pingitore
- National Research Council Institute of Clinical Physiology, 56124 Pisa, Italy; (F.M.); (L.B.); (G.T.); (C.D.); (A.C.); (I.M.)
- Correspondence: ; Tel.: +39-050312605
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Mastorci F, Piaggi P, Doveri C, Trivellini G, Casu A, Pozzi M, Vassalle C, Pingitore A. Health-Related Quality of Life in Italian Adolescents During Covid-19 Outbreak. Front Pediatr 2021; 9:611136. [PMID: 33996676 PMCID: PMC8116526 DOI: 10.3389/fped.2021.611136] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 02/08/2021] [Indexed: 01/21/2023] Open
Abstract
Coronavirus disease 2019 (COVID-19) outbreak represented an experience of social isolation potentially leading to changes in the health quality of life. The aim of this study is to investigate the health-related quality of life during quarantine in early adolescents. Data were collected from 1,289 adolescents (mean age, 12.5; male, 622), at the beginning of the school year (September 2019, Standard Condition, SC) as part of the AVATAR project and during Phase 1 of the Italian lockdown (mid-late April 2020) (COVID-19 Quarantine, CQ) using an online questionnaire. In the CQ period, with respect to SC, adolescents showed lower perception in the dimensions, such as psychological (p = 0.001), physical well-being (p = 0.001), mood/emotion (p = 0.008), autonomy (p = 0.001), and financial resources (p = 0.018). Relationship with the family (p = 0.021) and peers (p = 0.001), as well as the perception of bullying (p = 0.001) were reduced. In lifestyle, adolescents developed higher adherence to the Mediterranean diet (p = 0.001). Adolescents living in the village had greater reduction in both autonomy (p = 0.002) and peer relationships (p = 0.002). Moreover, the perception of physical well-being was lower in those living in the city instead of those living in the countryside (p = 0.03), in an apartment instead of a detached house (p = 0.002), and in those who did not have green space (p = 0.001). Gender effect emerged for the psychological (p = 0.007) and physical well-being (p = 0.001), mood/emotion (p = 0.001), and self-perception (p = 0.001). The study showed that health-related quality of life during quarantine changed in its psychosocial dimensions, from mood and self-esteem to social relationships, helping to define the educational policies at multiple points in the promotion process of health.
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Affiliation(s)
| | - Paolo Piaggi
- Department of Information Engineering, University of Pisa, Pisa, Italy
| | - Cristina Doveri
- Clinical Physiology Institute, National Research Council, Pisa, Italy
| | | | - Anselmo Casu
- Clinical Physiology Institute, National Research Council, Pisa, Italy
| | - Marta Pozzi
- Department of Addictions, Azienda Sanitaria Friuli Occidentale, Pordenone, Italy
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Mastorci F, Vienna A, Pingitore A. A Modern Framework of Adolescence Health Programs. Health (London) 2021. [DOI: 10.4236/health.2021.137052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Mastorci F, Bastiani L, Doveri C, Trivellini G, Casu A, Vassalle C, Pingitore A. Adolescent Health: A Framework for Developing an Innovative Personalized Well-Being Index. Front Pediatr 2020; 8:181. [PMID: 32457853 PMCID: PMC7223052 DOI: 10.3389/fped.2020.00181] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Accepted: 03/30/2020] [Indexed: 11/13/2022] Open
Abstract
Adolescence is not only typically considered a time of good health but also characterized by an emergence of risk factors that may have long-term consequences for well-being that represents strong predictors of adverse health outcomes. The aim of the study is to assess adolescence well-being through the development of an integrated Well-Being Index (WBI) including variables of lifestyle habits, social context, emotional status, and mental skills. One thousand two hundred forty-eight healthy adolescents (Female 48%; Male 52%; mean age 13 years) were recruited from five Italian junior high schools, by KIDSCREEN-52 and cognitive processing using the Stroop Test. School performance was estimated by questions concerning the scholastic achievement. Social context was the most important predictor of perceived well-being (β = 0.972, SE = 0.014, p < 0.0001), with parent relation (p < 0.0001) as the most observed variable. Subsequently, WBI was strongly represented by lifestyle habits (β = 0.954, SE = 0.017, p < 0.000) with autonomy (p < 0.0001), and emotional status (β = 0.949, SE = 0.017, p < 0.000) with psychological well-being perception (p < 0.0001). Finally, mental skills (β= -0.1417, SE = 0.031, p < 0.0.00) was the least important predictor for the WBI index (p < 0.0001). Personalised (P) WBI was obtained by the sum of each centered and scaled WBI variable, weighted by the corresponding ratio between factor loading and residual variance. Social context was the more important predictor of WBI, followed by lifestyle, emotional factors, and lastly mental skills. PWBI provides an integrated and personalized perspective of adolescents' well-being, on the basis of a cooperation between school, family, and community with the common intent to promote and protect adolescent health.
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