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Abstract
Background: Identifying lifestyle behaviors that can influence health-related quality of life (HRQoL) in the young population is necessary for the design and implementation of more effective educational and public health interventions. Objective: To investigate the individual and combined effects of a set of lifestyle behaviors, including physical activity, sedentary behavior, sleep and food consumption, on the HRQoL of a sample of Brazilian adolescents. Methods: It is a school-based observational study with the participation of 308 adolescents aged 14 to 18 years. A questionnaire with structured questions was applied to gather demographic and lifestyle behavior data. A healthy lifestyle index was created including positive scores for each individual behavior. HRQoL was measured using the KIDSCREEN-27 questionnaire. Analysis of covariance and linear regression models were used for statistical analysis of the data. Results: Adolescents who reported ≤ 2 hours/day of screen-based sedentary behavior (F = 5.496; p = 0.016) and sleep duration between 8-10 hours/night (F = 6.542; p = 0.009) had significantly higher HRQoL. Adolescents who reported simultaneous adhesion in ≥ 3 healthy lifestyle behaviors demonstrated approximately two [OR = 2.12; 95%CI 1.27 – 4.79] to three times [OR = 3.04; 95%CI 1.93 – 5.62] more odds to have higher perceptions of HRQoL compared to those fulfilling none. Conclusion: Although healthy lifestyle behaviors had a positive individual effect on HRQoL, simultaneous adhesion to healthy behaviors enhances the cumulative effect. The findings reinforce the importance of promoting a healthy lifestyle to ensure HRQoL and well-being in adolescence, with repercussions throughout adulthood.
References
Ravens-Sieberer U, Herdman M, Devine J, Otto C, Bullinger M, Rose M, et al. The European KIDSCREEN approach to measure quality of life and well-being in children: development, current application, and future advances. Qual life Res. 23(3):791-803, 2014.
Hays R, Reeve B. Measurement and modeling of health-related quality of life. In: Killewo JZJ, Heggenhougen K, Quah SR (Eds.). Epidemiology and Demography in Public Health. Cambridge: Academic Press. 2010.
Valderas JM, Kotzeva A, Espallargues M, Guyatt G, Ferrans CE, Halyard MY, et al. The impact of measuring patient-reported outcomes in clinical practice: a systematic review of the literature. Qual Life Res. 17(2):179-93, 2008.
Varni J, Burwinkle T, Lane M. Health-related quality of life measurement in pediatric clinical practice: an appraisal and precept for future research and application. Health Qual Life Outcomes. 3:34, 2005.
Palacio-Vieira JA, Villalonga-Olives E, Valderas JM, Espallargues M, Herdman M, Berra S, et al. Chances in health-related quality of life (HRQoL) in a population- based sample of children and adolescents after 3 years of follow-up. Qual Life Res. 17:1207-15, 2008.
Wu XY, Han LH, Zhang JH, Luo S, Hu JW, Sun K. The influence of physical activity, sedentary behavior on health-related quality of life among the general population of children and adolescents: a systematic review. PLoS One. 12(11):e0187668, 2017.
Zhang T, Lu G, Wu XY. Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis. BMC Public Health. 20(1):1343, 2020.
Matos MG, Marques A, Gaspar T, Paiva T. Perception of quantity and quality of sleep and their association with health related quality of life and life satisfaction during adolescence. Health Edu Care. 2(2):1-6, 2017.
Wu XY, Zhuang LH, Li W, Guo HW, Zhang JH, Zhao YK, et al. The influence of diet quality and dietary behavior on health-related quality of life in the general population of children and adolescents: a systematic review and meta-analysis. Qual Life Res. 28(8):1989-2015, 2019.
Gopinath B, Hardy LL, Baur LA, Burlutsky G, Mitchell P. Physical activity and sedentary behaviors and health-related quality of life in adolescents. Pediatrics. 130(1):e167-74, 2012.
Mireku MO, Barker MM, Mutz J, Dumontheil I, Thomas MSC, Röösli M, et al. Night-time screen-based media device use and adolescents’ sleep and health- related quality of life. Environ Int. 124:66-78, 2019.
Burdette AM, Needham BL, Taylor MG, Hill TD. Health lifestyles in adolescence and self-rated health into adulthood. J Health Social Behav. 58(4):520-36, 2017.
Pronk NP, Anderson LH, Crain AL, Martinson BC, O’Connor PJ, Sherwood NE, et al. Meeting recommendations for multiple healthy lifestyle factors: prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. Am J Prev Med. 27(2 Suppl):25-33, 2004.
May AM, Romaguera D, Travier N, Ekelund U, Bergmann MM, Kaaks R, et al. Combined impact of lifestyle factors on prospective change in body weight and waist circumference in participants of the EPIC-PANACEA Study. PLoS One. 7(11):e50712, 2012.
Atallah N, Adjibade M, Lelong H, Hercberg S, Galan P, Assmann KE, et al. How healthy lifestyle factors at midlife relate to healthy aging. Nutrients. 10(7):20, 2018.
Veronese N, Li Y, Manson JE, Willett WC, Fontana L, Hu FB. Combined associations of body weight and lifestyle factors with all cause and cause specific mortality in men and women: prospective cohort study. BMJ (Online). 355:854, 2016.
Qin Z, Wang N, Ware RS, Sha Y, Xu F. Lifestyle-related behaviors and health- related quality of life among children and adolescents in China. Health Qual Life Outcomes. 19(1):8, 2021.
Solera‑Sanchez A, Adelantado‑Renau MA, Moliner‑Urdiales D, Beltran‑Valls MR. Health‑related quality of life in adolescents: individual and combined impact of health‑related behaviors (DADOS study). Qual Life Res. 30(4):1093-101, 2021.
Burdette AM, Needham BL, Taylor MG, Hill TD. Health lifestyles in adolescence and self-rated health into adulthood. J Health Soc Behav. 58(4):520-36, 2017.
Ravens-Sieberer U, Gosh A, Erhart M, von Rueden U, Nickel J, Kurth B-M. The KIDSCREEN questionnaires: quality of life questionnaires for children and adolescents. Lengerich: Handbook. 2006
Associação Brasileira de Empresas de Pesquisa – ABEP. Critério de Classificação Econômica Brasil. São Paulo: Associação Brasileira de Empresas de Pesquisa. 2019.
Farias Júnior JC, Loch MR, Lima Neto AJ, Sales JM, Ferreira FELL. Reproducibility, internal consistency, and construct validity of kidscreen-27 in Brazilian adolescents. Cad Saude Publica. 33(9):e00131116, 2017.
WHO – World Health Organization. WHO Guidelines on physical activity and sedentary behaviour for children and adolescents, adults and older adults. Geneva: World Health Organization. 2020.
American Academy of Pediatrics; Council on Communications and Media. Children, adolescents, obesity, and the media. Pedriatrics. 128:201-8, 2011.
Chaput JP, Gray CE, Poitras VJ, Carson V, Gruber R, Olds T, et al. Systematic review of the relationships between sleep duration and health indicators in school-aged children and youth. Appl Physiol Nutr Metab. 41(6 Suppl 3):S266-82, 2016.
WHO – World Health Organization. Diet, Nutrition, and the Prevention of Chronic Diseases Report of a Joint WHO/FAO Expert Consultation. Geneva:World Health Organization, 2003.
Field A. Discovering statistics using SPSS statistics. London: Sage Publications Ltd. 2005.
Hrafnkelsdottir SM, Brychta RJ, Rognvaldsdottir V, Gestsdottir S, Chen KY, Johannsson E, et al. Less screen time and more frequent vigorous physical activity is associated with lower risk of reporting negative mental health symptoms among Icelandic adolescents. PLoS One. 13(4):e0196286, 2018.
Tarp J, Child A, White T, Westgate K, Bugge A, Grøntved A, et al. Physical activity intensity, bout-duration, and cardiometabolic risk markers in children and adolescents. Int J Obes. 42(9):1639-50, 2018.
Brand S, Kalak N, Gerber M, Clough PJ, Lemola S, Sadeghi-Bahmani D, et al. During early to mid-adolescence, moderate to vigorous physical activity is associated with restoring sleep, psychological functioning, mental toughness and male gender. J Sports Sci. 35(5):426-34, 2017.
Prochaska JJ, Spring B, Nigg CR. Multiple health behavior change research: an introduction and overview. Prev Med. 46(3):181-8, 2008.
Iannotti RJ, Kogan MD, Janssen I, Boyce WF. Patterns of adolescent physical activity, screen-based media use, and positive and negative health indicators in the U.S. and Canada. J Adolesc Health. 44(5):493-9, 2009.
Lacy KE, Allender SE, Kremer PJ, De Silva-Sanigorski AM, Millar LM, Moodie ML, et al. Screen time and physical activity behaviours are associated with health-related quality of life in Australian adolescents. Qual Life Res. 21(6):1085- 99, 2012.
Page AS, Cooper AR, Griew P, Jago R. Children’s screen viewing is related to psychological difficulties irrespective of physical activity. Pediatrics. 126(5):e1011- 7, 2010.
Moore M, Meltzer LJ. The sleepy adolescent: causes and consequences of sleepiness in teens. Paediatr Respir Rev. 9(2):114-20, 2008.
Bruce ES, Lunt L, McDonagh JE. Sleep in adolescents and young adults. Clin Med (Lond). 17(5):424-28, 2017.
Owens J, Au R, Carskadon M, Millman R, Wolfson A, Braverman PK, et al. Insufficient sleep in adolescents and young adults: an update on causes and consequences. Pediatrics. 134(3):e921-32, 2014.
Dewald JF, Meijer AM, Oort FJ, Kerkhof GA, Bögels SM. The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: a meta-analytic review. Sleep Med Rev. 14(3):179-89, 2010.
Albani V, Butler LT, Traill WB, Kennedy OB. Understanding fruit and vegetable consumption in children and adolescents. The contributions of affect, self-concept and habit strength. Appetite. 120:398-408, 2018.
Burdette AM, Needham BL, Taylor MG, Hill TD. Health lifestyles in adolescence and self-rated health into adulthood. J Health Soc Behav. 58(4):520-36, 2017.
Aura A, Sormunen M, Tossavainen K. The relation of socio-ecological factors to adolescents’ health-related behaviour: a literature review. Health Educ. 116(2):177-201, 2016.
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