Dorothea Dumuid1, Carol Maher2, Lucy K Lewis2,3, Tyman E Stanford4,5, Josep Antoni Martín Fernández6, Julie Ratcliffe7, Peter T Katzmarzyk8, Tiago V Barreira8,9, Jean-Philippe Chaput10, Mikael Fogelholm11, Gang Hu8, José Maia12, Olga L Sarmiento13, Martyn Standage14, Mark S Tremblay10, Catrine Tudor-Locke15, Timothy Olds2. 1. Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia. dorothea.dumuid@mymail.unisa.edu.au. 2. Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia. 3. School of Health Sciences, Flinders University, Adelaide, Australia. 4. LBT Innovations, Adelaide, Australia. 5. School of Mathematical Sciences, The University of Adelaide, Adelaide, Australia. 6. Department of Computer Science, Applied Mathematics and Statistics, University of Girona, Girona, Spain. 7. Institute for Choice, University of South Australia, Adelaide, Australia. 8. Pennington Biomedical Research Center, Baton Rouge, USA. 9. School of Education, Syracuse University, New York, USA. 10. Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada. 11. Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland. 12. Faculty of Sport, University of Porto, Porto, Portugal. 13. Faculty of Medicine, University of Los Andes, Bogotá, Colombia. 14. Department for Health, University of Bath, Bath, UK. 15. Department of Kinesiology, University of Massachusetts Amherst, Amherst, USA.
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.
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.
Entities:
Keywords:
Compositional data; Human development index; Physical activity; Sedentary behavior; Sleep
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