Association between 24-hour movement behaviors and health-related quality of life in children

Abstract

Purpose To assess the associations between adherence to 24-hour movement behaviors guidelines and child general health and functional status measured by health-related quality of life. Methods The Longitudinal Study of Australian Children (2004Children ( -2016 a nationally representative sample with data available for children aged 2-15 years was used. Physical activity time, recreational screen time, and sleep time were calculated from time use diaries and classified as 'meeting guidelines' or 'not' based on the age-specific 24-h movement guidelines. Child general health and functional status were measured using the multidimensional Pediatric Quality of Life Inventory (PedsQL). Associations between meeting guidelines and PedsQL were assessed using linear mixed effects models. Results 8919 children were included. Each additional guideline met was associated with a 0.52 (95% confidence interval [CI] 0.39-0.65) increase in PedsQL total score. Compared with meeting no guidelines, the effect of meeting physical activity guidelines alone (β = 0.93, 95% CI 0.42-1.44) was larger compared to meeting screen (β = 0.66, 95% CI 0.06-1.27) or sleep time (β = 0.47, 95% CI 0.04-0.89) guidelines alone. The highest increment was observed in meeting both screen time and physical activity guidelines (β = 1.89, 95% CI 1.36-2.43). Associations were stronger in children from lower-income families (β for meeting all versus none = 2.88, 95% CI 1.77-3.99) and children aged 14-15 years (β = 4.44, 95% CI 2.49-6.40). Conclusions The integration of screen time and physical activity guidelines is associated with the highest PedsQL improvement. The association between guidelines adherence and PedsQL appears stronger for adolescents and those from low-income families.

Impact of Virtual vs. In-Person School on Children Meeting the 24-h Movement Guidelines during the COVID-19 Pandemic

“…The guidelines have been adopted by several countries and agencies for multiple age groups [ 2 , 3 , 4 , 5 ], and many researchers have integrated the guidelines in their research designs for both observational and intervention-based research [ 6 ]. Meeting the youth 24-h movement guidelines is associated with lower adiposity [ 7 ], higher fitness [ 8 ], better dietary patterns [ 9 ], mental health [ 10 ], and health-related quality of life [ 11 ]. While the 24-h movement guidelines are important for children to achieve daily, the pandemic mitigation strategy of closing schools to slow the spread of the novel SARS-2 COVID virus may have had an unintended impact on children’s MVPA, sleep, and time spent watching screens.…”

Barriers and Facilitators of 24-Hour Movement Behaviours in 3 to 4-year-old Children from Low-Income Families: A Study Protocol

“…Much of the previous research has provided some insights into the barriers and facilitators for building a better day which provides useful directions. However, many of these studies have involved the participation of middle to high-income families (Feng et al, 2021;Sampasa-Kanyinga et al, 2017;Tapia-Serrano et al, 2022;Xiong et al, 2022). It is imperative that we gain a deeper understanding of the barriers and facilitators experienced by low-income families when trying to build a better day.…”

Associations between Parents’ Digital Media Habits, Engagement, Awareness, and Movement Guidelines among Preschool-Age Children: International Ipreschooler Surveillance Study

“…Nevertheless, many children across the globe do not engage in adequate amounts of moderate-intensity to vigorous-intensity PA (MVPA) [ 8 , 9 ], spend much of their time on screen-viewing [ 10 , 11 ], and sleep late at night or for short durations [ 12 , 13 ]. Such behaviors have been noted to have an adverse impact on the physical and mental health of children [ 14 , 15 , 16 ]. For these reasons, strategies to boost adherence to the 24-h MG among children are imperative and useful.…”