H Sampasa-Kanyinga1, M Standage2, M S Tremblay3, P T Katzmarzyk4, G Hu4, R Kuriyan5, C Maher6, J Maia7, T Olds6, O L Sarmiento8, C Tudor-Locke9, J-P Chaput10. 1. School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Canada. 2. Department for Health, University of Bath, Bath, United Kingdom. 3. Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada. 4. Pennington Biomedical Research Center, Baton Rouge, LA, USA. 5. Department of Nutrition, St. John's Research Institute, Bangalore, India. 6. Alliance for Research in Exercise Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia. 7. CIFI2D, Faculdade de Desporto, University of Porto, Porto, Portugal. 8. School of Medicine, Universidad de Los Andes, Bogotá, Colombia. 9. Department of Kinesiology, University of Massachusetts Amherst, Amherst, MA, USA. 10. Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada. Electronic address: jpchaput@cheo.on.ca.
Abstract
OBJECTIVES: To examine whether meeting vs not meeting movement/non-movement guidelines (moderate-to-vigorous physical activity [MVPA], screen time, sleep duration), and combinations of these recommendations, are associated with health-related quality of life (HRQoL) in children from 12 countries in five major geographic regions of the world and explore whether the associations vary by study site. STUDY DESIGN: Observational, multinational cross-sectional study. METHODS: This study included 6106 children aged 9-11 years from sites in Australia, Brazil, Canada, China, Colombia, Finland, India, Kenya, Portugal, South Africa, the United Kingdom, and the United States. Participants completed the KIDSCREEN-10 to provide a global measure of their HRQoL. Sleep duration and MVPA were assessed using 24-h accelerometry. Screen time was assessed through self-report. Meeting the recommendations was defined as ≥60 min/day for MVPA, ≤2 h/day for screen time, and between 9 and 11 h/night for sleep duration. Age, sex, highest parental education, unhealthy diet pattern score, and body mass index z-score were included as covariates in statistical models. RESULTS: In the full sample, children meeting the screen time recommendation, the screen time + sleep recommendation, and all three recommendations had significantly better HRQoL than children not meeting any of these guidelines. Differences in HRQoL scores between sites were also found within combinations of movement/non-movement behaviors. For example, while children in Australia, Canada, and USA self-reported better HRQoL when meeting all three recommendations, children in Kenya and Portugal reported significantly lower HRQoL when meeting all three recommendations (relative to not meeting any). CONCLUSIONS: Self-reported HRQoL is generally higher when children meet established movement/non-movement recommendations. However, differences between study sites also suggest that interventions aimed at improving lifestyle behaviors and HRQoL should be locally and culturally adapted.
OBJECTIVES: To examine whether meeting vs not meeting movement/non-movement guidelines (moderate-to-vigorous physical activity [MVPA], screen time, sleep duration), and combinations of these recommendations, are associated with health-related quality of life (HRQoL) in children from 12 countries in five major geographic regions of the world and explore whether the associations vary by study site. STUDY DESIGN: Observational, multinational cross-sectional study. METHODS: This study included 6106 children aged 9-11 years from sites in Australia, Brazil, Canada, China, Colombia, Finland, India, Kenya, Portugal, South Africa, the United Kingdom, and the United States. Participants completed the KIDSCREEN-10 to provide a global measure of their HRQoL. Sleep duration and MVPA were assessed using 24-h accelerometry. Screen time was assessed through self-report. Meeting the recommendations was defined as ≥60 min/day for MVPA, ≤2 h/day for screen time, and between 9 and 11 h/night for sleep duration. Age, sex, highest parental education, unhealthy diet pattern score, and body mass index z-score were included as covariates in statistical models. RESULTS: In the full sample, children meeting the screen time recommendation, the screen time + sleep recommendation, and all three recommendations had significantly better HRQoL than children not meeting any of these guidelines. Differences in HRQoL scores between sites were also found within combinations of movement/non-movement behaviors. For example, while children in Australia, Canada, and USA self-reported better HRQoL when meeting all three recommendations, children in Kenya and Portugal reported significantly lower HRQoL when meeting all three recommendations (relative to not meeting any). CONCLUSIONS: Self-reported HRQoL is generally higher when children meet established movement/non-movement recommendations. However, differences between study sites also suggest that interventions aimed at improving lifestyle behaviors and HRQoL should be locally and culturally adapted.
Authors: Michelle D Guerrero; Joel D Barnes; Jeremy J Walsh; Jean-Philippe Chaput; Mark S Tremblay; Gary S Goldfield Journal: Pediatrics Date: 2019-08-14 Impact factor: 7.124
Authors: Peter T Katzmarzyk; Jean-Philippe Chaput; Mikael Fogelholm; Gang Hu; Carol Maher; Jose Maia; Timothy Olds; Olga L Sarmiento; Martyn Standage; Mark S Tremblay; Catrine Tudor-Locke Journal: Nutrients Date: 2019-04-15 Impact factor: 5.717
Authors: Siphesihle Nqweniso; Cheryl Walter; Rosa du Randt; Larissa Adams; Johanna Beckmann; Jan Degen; Stefanie Gall; Nandi Joubert; Christin Lang; Kurt Z Long; Ivan Müller; Madeleine Nienaber; Uwe Pühse; Harald Seelig; Danielle Smith; Peter Steinmann; Jürg Utzinger; Markus Gerber Journal: Int J Environ Res Public Health Date: 2021-02-21 Impact factor: 3.390
Authors: Mark S Tremblay; Jean-Philippe Chaput; Kristi B Adamo; Salomé Aubert; Joel D Barnes; Louise Choquette; Mary Duggan; Guy Faulkner; Gary S Goldfield; Casey E Gray; Reut Gruber; Katherine Janson; Ian Janssen; Xanne Janssen; Alejandra Jaramillo Garcia; Nicholas Kuzik; Claire LeBlanc; Joanna MacLean; Anthony D Okely; Veronica J Poitras; Mary-Ellen Rayner; John J Reilly; Margaret Sampson; John C Spence; Brian W Timmons; Valerie Carson Journal: BMC Public Health Date: 2017-11-20 Impact factor: 3.295
Authors: Ryan E Rhodes; Michelle D Guerrero; Leigh M Vanderloo; Kheana Barbeau; Catherine S Birken; Jean-Philippe Chaput; Guy Faulkner; Ian Janssen; Sheri Madigan; Louise C Mâsse; Tara-Leigh McHugh; Megan Perdew; Kelly Stone; Jacob Shelley; Nora Spinks; Katherine A Tamminen; Jennifer R Tomasone; Helen Ward; Frank Welsh; Mark S Tremblay Journal: Int J Behav Nutr Phys Act Date: 2020-06-16 Impact factor: 6.457