Predictors of quality of life in children

Pere A. Borras, Josep Vidal, Xavier Ponseti, Jaume Cantallops, Pere Palou

Abstract

The aim of this study was to explore the relationship between Health related quality of life (HRQoL) in children reported by parents, cardiorespiratory fitness, physical activity levels, screen time and body mass index of a population of 302 eleven and twelve years old children. The objective was to investigate the relation of cardiorespiratory fitness with some domains of quality of life to determine if fitness is a key factor rather than physical activity, to ensure future quality of life in children, Child health and Illness Profile-Child Edition/Parent Repot Form (CHIP-CE/PRF) was used to measure HRQoL, 20m shuttle run test, for fitness. SHAPES, Physical activity module was used to measure weekly physical activity and screen time. Height and weight was reported by parents. Results show a strong correlation with Fitness and HRQoL, and screen time with HRQoL, but not with Physical activity. The findings of this study suggest that Fitness in children is a more important predictor, than PA in disease prevention.

Keywords

Cardiorespiratory fitness; Screen time; Physical activity; BMI

References

Aires, L., Andersen, L.B., Mendoça, D., Martins, C., Silva, G., Mota, J. A 3-year longitudinal analysis of changes in fitness, physical activity, fatness and screen time. Acta Paediatrica. 2010; 99:140-144. https://doi.org/10.1111/j.1651-2227.2009.01536.x

Anderson, S.E., Economos, C.D., Must, A. Active play and screen time in US children aged 4 to 11 years in relation to sociodemographic and weight status characteristics: a nationally representative cross-sectional analysis. BMC Public Health. 2008; 8:366-378. https://doi.org/10.1186/1471-2458-8-366

Chen, X., Sekine, M., Hamanishi, S., Wang, H., Gaina, A., Yamagami, T., Kagamimori, S. Lifestyles and health-related quality of life in Japanese school children: a cross-sectional study. Preventive Medicine. 2005; 40:668-678. https://doi.org/10.1016/j.ypmed.2004.09.034

Estrada, M.D., Rajmil, L., Serra-Sutton, V. et al. Reliability and validity of the Spanish version of the Child Health and Illness Profile (CHIP) Child-Edition, Parent Report Form (CHIP-CE/PRF). Health and Quality of Life Outcomes. 2010; 8:78-88. https://doi.org/10.1186/1477-7525-8-78

Herman, K.M., Hopman, W.M. Are youth BMI and physical activity associated with better or worse than expected health-related quality of life in adulthood? The Physical Activity Longitudinal Study. Qual Life Res. 2010; 19: 339-349. https://doi.org/10.1007/s11136-010-9586-8

Jackson, D.M., Djafarian, K., Stewart, J., Speakman, J.R. Increased television viewing is associated with elevated body fatness but not with lower total energy expenditure in children. Am J Clin Nutr. 2009; 89: 1031-1036. https://doi.org/10.3945/ajcn.2008.26746

Jansen, I., Leblanc, A.G. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phy Act. 2010; 7(4):2-16. https://doi.org/10.1186/1479-5868-7-40

Leartherdale, S.T., Manske, S., Wong, S.L., Cameron, R. Integrating research, policy and practice in school-based physical activity prevention programming: The School Health Action, Planning and Evaluation System (SHAPES) physical activity module. Health Promot Pract. 2008; 10(2):254-261. https://doi.org/10.1177/1524839906298499

Leatherdale, S.T., Faulkner, G., Arbour-Nicitopoulos, K. School and student characteristics associated with screen-time sedentary behavior among students in Grades 5-8, Ontario, Canada, 2007-2008. Pre Chronic Dis. 2010; 7(6):122-128.

Leatherdale, S.T., Wong, S.L. Modifiable characteristics with sedentary behaviors among youth. Int J Pediatr Obes. 2008; 3(2):93-101. https://doi.org/10.1080/17477160701830879

Mota, J., Gomes, H., Almaeida, M., Ribeiro, J.C., Santos, M.P. Leisure time physical activity, screen time, social background, and environmental variables in adolescents. Pediatr Exerc Sci. 2007;19:279-290. https://doi.org/10.1123/pes.19.3.279

Mota, J., Ribeiro, J.C., Carvalho, J., Santos, M.P., Martins, J. Television viewing and changes in body mass index and Cardiorespiratory Fitness over a two-year period in schoolchildren. Pediatr Exerc Sci. 2010; 22:245-253. https://doi.org/10.1123/pes.22.2.245

Ortega, F.B., Ruiz, J.R., Castillo, M.J., Sjöström, M. Physical fitness in childhood and adolescence: a powerful marker of health. Int J Obesity. 2008; 32:1-11. https://doi.org/10.1038/sj.ijo.0803774

Parfit, G., Eston, R.G. The relationship between children's habitual activity level and psychological well-being. Acta Paediatrica. 2005; 94:1791-1797. https://doi.org/10.1111/j.1651-2227.2005.tb01855.x

Riddoch, C.J., Andersen, L.B., Weddeerkopp, N, et al. Physical activity levels and patterns of 9-and 15-yr old European children. Med Sci Sport Exer. 2004; 36(1):86-92. https://doi.org/10.1249/01.MSS.0000106174.43932.92

Riley, A.W., Coghill, D., Forrest, C.B., Lorenzo, M.J., Ralston, S.J., Spiel, G. Factors related to health-related quality of life (WRQoL) among children with ADHD in Europe at entry into treatment. Eur Child Adoles Psy. 2006; 15 (Suppl 1):138-45. https://doi.org/10.1007/s00787-006-1006-9

Riley, A.W., Forrest, C.F., Starfield, B., Rebok, G.W., Robertson, J., Green, B. The parent report form of the CHIP-Child Edition. Reliability and validity. Med Care. 2004; 42:210-220. https://doi.org/10.1097/01.mlr.0000114909.33878.ca

Ruiz, J., Castro-Piñero, J., España-Romero, V., Artero, E.G., Ortega, F.B., Cuenca, M.M, et al. Field-Based fitness assessment in young people: the ALPHA health-related fitness test battery for children and adolescents. Br J Sports Med. 2011; 46(6):518-524. https://doi.org/10.1136/bjsm.2010.075341

Swallen, K.C., Reiter, E.N., Hass, S.A., Meier, A.M. Overweight, obesity, and Health-Related Quality of Life among adolescents: the national longitudinal study of adolescent health. Pediatrics. 2005; 115:40-347. https://doi.org/10.1542/peds.2004-0678

Tsiros, M.D., Olds, T., Buckley, J.D., Grimshaw, P., Brennan, L., Walkley, J., Hills, A.P., Howe, P.R., Coates, A.M. Health-related quality of life in obese children and adolescents. Int J Obesity. 2009; 33: 387-400. https://doi.org/10.1038/ijo.2009.42

Wong, S.L., Leatherdale, S.T., Manske, S.R. Reliability and validity of a School-Based Physical Activity Questionnaire. Med Sci Sports Exerc. 2006; 38(9):1593-1600. https://doi.org/10.1249/01.mss.0000227539.58916.35




DOI: https://doi.org/10.4100/jhse.2011.64.08