Health-Related Quality of Life in Spanish Schoolchildren and Its Association with the Fitness Status and Adherence to the Mediterranean Diet (original) (raw)
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European journal of public health, 2018
Physical fitness (PF) and adherence to the Mediterranean diet are important indicators of healthy lifestyles. The purpose of this study is to analyze the independent and combined associations between PF and adherence to Mediterranean diet with health-related quality of life (HRQoL) in adolescents. This is a cross-sectional analysis with 956 Portuguese adolescents aged 12-18 years. HRQoL was measured with the Kidscreen-10 questionnaire. PF was assessed with the ALPHA health-related fitness battery. The 20-m shuttle run test was used for the estimation of cardiorespiratory fitness; handgrip strength and standing long jump tests were applied for the assessment of muscular fitness and the 4 × 10 m shuttle run test for the assessment of motor fitness (speed and agility). The results of the PF tests (cardiorespiratory fitness, muscular fitness and motor fitness) were transformed into standardized values (Z-scores) by age and sex. Adherence to the Mediterranean diet was assessed with the K...
Jornal de Pediatria, 2017
Objective The aim of this research was to examine the association between body mass index, physical activity, adherence to the Mediterranean diet, and health‐related quality of life in a sample of Spanish adolescents. Method The study involved 456 adolescents aged between 11 and 14 years. They completed questionnaires on the Mediterranean diet (KIDMED), physical activity (Physical Activity Questionnaire for Older Children [PAQ‐C]), and quality of life (KIDSCREEN‐27). Body mass index was calculated. Hierarchical linear regression analyses were used to determine whether health‐related quality of life could be predicted by the measured variables. The variables were analyzed in a stepwise manner, with Mediterranean diet entered in the first step, body mass index in the second, and physical activity in the third. Results Mediterranean diet accounted for 4.6% of the variance in adolescent's health‐related quality of life, with higher adherence to the Mediterranean diet predicting higher health‐related quality of life‐scores. Body mass index accounted for a further 4.1% of the variance, with a higher body mass index predicting lower health‐related quality of life scores. Finally, physical activity explained an additional 11.3% of the variance, with a higher level of physical activity being associated with higher health‐related quality of life scores. Together, these variables explained 20% of the variance in the adolescents’ health‐related quality of life. Conclusions Physical activity, body mass index, and adherence to the Mediterranean diet are important components to consider when targeting improvements in the health‐related quality of life of adolescents, with physical activity representing the component with the greatest influence.
Health-related quality of life, obesity, and fitness in schoolchildren: the Cuenca study
Quality of Life Research, 2012
Purpose The purpose of this study was to analyze the association of weight status and physical fitness with health-related quality of life (HRQoL) and to examine the independent association of body mass index (BMI), cardiorespiratory fitness (CRF) and musculoskeletal fitness (MF) with HRQoL in schoolchildren. Methods Cross-sectional study of 1,158 schoolchildren, 8-11 years, from 20 schools in the Cuenca province, Spain. We measured weight, height, and physical fitness, measured by CRF (20-m shuttle run test) and MF index by summing the age-sex z scores of handgrip strength test/ weight ? standing broad jump test. Self-reported HRQoL was measured by KIDSCREEN-52 questionnaire. Results Normal weight boys scored better in physical well-being, mood and emotions, autonomy, and social support and peers dimensions than overweight/obese boys. The mean in self-perception dimensions was lower in obese girls compared to normal weight or overweight girls. Higher levels of CRF and MF were associated with better physical well-being in both genders. Multiple linear regression models showed that the influence of MF in boys and CRF in girls on HRQoL was greater than that of overweight. Conclusions This is one of the first studies that assess the association of CRF and MF with HRQoL while controlling for BMI. CRF and MF are closely related to HRQoL, in particular to physical well-being. Improving fitness could be a strategy of particular interest for improving the HRQoL of schoolchildren. Keywords Health-related quality of life Á Schoolchildren Á Cardiorespiratory fitness Á Musculoskeletal fitness Á Obesity Abbreviations BMI Body mass index CRF Cardiorespiratory fitness HRQoL Health-related quality of life MF Musculoskeletal fitness MFI Musculoskeletal fitness index Background Childhood obesity is an important public health problem in Spain [1] and worldwide [2]. Overweight and obesity prevalence based on measured weights and heights in In addition to the above, the Cuenca study group is formed
HEALTH-RELATED PHYSICAL FITNESS, REGULAR PHYSICAL ACTIVITY AND DIET QUALITY AMONG SPANISH CHILDREN
Objective: to study the relationship between physical fitness (PF), physical activity (PA) patterns and diet quality (DQ) in primary school children. Methods: 261 students aged 8–12 years participated in a cross-sectional study. Health-related PF was assessed by ALPHA-Fitness Battery, Krece Plus test was implemented to assessed PA level and DQ index (KIDMED). Kolmogorov-Smirnovstatisticaltest,apartialcorrelationanalysiscontrolledfor age and sex, and an analysis of variance were performed. Results: Highervaluesofmanualdynamometry,longitudinaljump,overallPF and PA were correlated with higher DQ index, while higher values in 4x10 m runningtestwererelatedwithpoorerDQ(r=−,135p<.05).TheCF-ALPHA was related with DQ (F=6.095, p<.01). DQ correlated with PA (F=4.289, p<.05). Conclusions: The Results of this study suggest that increasing PF levels among children could have beneficial effects on several health markers
Nutrition, 2017
Objective The aim of this study was to assess adherence to the Mediterranean diet (MD) within a population of children from Santiago, Chile. A secondary aim was to examine the relationship between MD adherence, body composition, physical fitness, self-esteem, and other lifestyle factors. Methodology A cross-sectional study of a sample of children (N = 515; 10.6 ± 0.5 y) was conducted. Weight, body mass index, skinfolds, and waist circumference were measured. Physical fitness was determined using aspects of the Assessing Levels of Physical Activity health fitness test battery for children. Adherence to the MD was assessed using the Mediterranean Diet Quality Index for children and adolescents questionnaire. Self-esteem was evaluated using the Rosenberg scale and the Five-Factor Self-Concept Questionnaire measured self-concept. Participants completed the Physical Activity Questionnaire for Older Children and also were asked to report the number of hours per day they spent watching various screen-based devices. Results All findings were significant at the level P < 0.001. Adherence to an MD was consistently and negatively associated with percentage body fat (r = −0.302) and subscapular skinfold thickness (r = −0.329). Positive associations were found with PAQ-C (r = 0.277), self-esteem (r = 0.301) and self-concept (r = 0.234), and for physical fitness, especially for explosive power of the legs (r = 0.355). Positive correlations with handgrip strength were found in boys (r = 0.323), whereas negative correlations with screen time were found in girls (r = −0.511). Conclusion Given its relation to a healthier body composition, physical fitness, healthier lifestyle behaviors, and mental wellness, the MD should be promoted amongst youngsters.
Nutrients
Children’s dietary habits can have a key role in contributing to an improvement in their Health-Related Quality of Life (HRQoL). This study aims to assess the connection between Mediterranean diet adherence and HRQoL in a sample of Greek students, utilizing data from the DIATROFI program. The parents of 3774 students (mean age 7.8 (2.6) years) reported their children’s HRQoL and level of adherence to the Mediterranean dietary pattern at the beginning and end of the 2021–2022 school year. At baseline, most students’ adherence was characterized as moderate (55.2%) or high (25.1%). Students with moderate or high adherence tο the Mediterranean diet were less likely to report a total HRQoL below the median at baseline (OR = 0.56, 95%CI = 0.44, 0.70), along with all its dimensions (physical, emotional, social, and school functions). A one-unit improvement in KIDMED score (beginning–end of schoolyear) was associated with the likelihood of an improvement in total HRQoL (beginning–end of sch...
This paper examines adolescent physical fitness and nutritional behaviours. It is a descriptive study of the analysis of health-related physical fitness nutritional behaviours based on a food consumption frequency questionnaire. A total of 194 male participants were divided into subsamples 1, 2, 3 and 4. Anthropometric and physical fitness and nutritional variables were measured. Kolmogorov–Smirnov goodness-of-fit, visual and analytical univariate analyses and Pearson's correlation coefficient were calculated to determine the inter-variable relationships, confirmed by multiple linear regressions. High fitness test scores were found in subsamples 1 and 2, low in subsample 3 and very low in subsample 4; above average protein and fat consumption, below average carbohydrate intake and total Kcal requirements were met in subsamples 1 and 2 only. The study reveals that the physical fitness score and nutritional behaviours are the highest in 14 and 15-year olds, which declines with increasing age.
Nutrients, 2021
The Mediterranean diet (MD), despite its multiple benefits, presents low levels of adherence among children. Moreover, childhood is a key stage in the acquisition of healthy habits. The aim of this study was to describe adherence to MD in school-age children from Asturias, Spain, and to evaluate the association with weight status and several lifestyle behaviors. A cross-sectional study was conducted on 309 children aged between 8 and 13 years old. The level of adherence to MD was evaluated through the KIDMED questionnaire. Descriptive analysis and logistic regression models were used to analyze the association between adherence to MD and weight status, frequency of out-of-school exercise, frequency of school canteen attendance, and sleep habits. We found that 54.4% of children had optimal adherence to MD and 29.9% of the sample was overweight or obese. Frequency of exercise practice was positively associated with optimal adherence to MD (95% CI: 1.02, 1.33). A positive association w...
Retos
Lifestyle affects the health of children and adolescents, especially those living with socio-economic disadvantages. The purpose of this study was to evaluate nutritional status, level of fitness, and diet in children and adolescents from different socio-economic environments. To evaluate nutritional status and nutritional habits, Body Mass Index Z-score, Waist-to-Height Index and the Mediterranean Diet Quality Index, were chosen. To measure physical fitness, Eurofit battery was used. Participants were 290 healthy children and adolescents of two groups. Group 1 (78) was part of a social integration project through sport; group 2 (212) belonged to a private school with a high socio-economic status. Differences between groups were found in the nutritional status and physical fitness tests. There were no differences in the total score of the Kid Med Test (p=.42), but data suggested a better quality of food consumption in group 2. Even though both groups exhibited healthy values, resu...
International Journal of Mental Health Promotion, 2017
During adolescence individuals experience a number of cognitive, physical, psychological and emotional changes which can impinge on their health and wellbeing. The aim of this study was to identify associations with five components of health-related quality of life (HRQoL) in children. Data were collected from 456 children attending one of five schools in Granada, Spain in a cross-sectional design. Females reported engaging in less physical activity than males. Females reported lower HRQoL in terms of lower physical well-being, family relationships and autonomy and perceived school environment in secondary school. Males only reported lower perceptions of their school environment in secondary school. Physical activity was strongly associated with HRQoL, whereas Mediterranean diet was not. Physical activity interventions should be prioritised when positive HRQoL of children is a main target. Special consideration should be given to support the positive development of females, especially during the early years of secondary school.