Illness and determinants of health-related quality of life in a cross-sectional sample of schoolchildren in different weight categories

Kesztyüs, Dorothea; Schreiber, Anja; Kobel, Susanne; Wartha, Olivia; Kesztyüs, Tibor; Kilian, Reinhold; Steinacker, Jürgen M.

doi:10.3205/000189

Cited by 6 publications

(2 citation statements)

References 31 publications

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“…In this sense, another study reported poorer HRQoL in schoolchildren who had more central obesity classified by WtHR [ 12 ]. Similarly, a cross-sectional study that evaluated the associations between central obesity and HRQoL showed that central obesity is linked to different HRQoL dimensions [ 55 ]. In this way, there is evidence that the negative link between weight status and poor HRQoL is mediated by physical fitness that includes HGS, countermovement jumps, core body strength, and agility [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

The Mediating Role of the Muscle Quality Index in the Relation of Screen Time and Abdominal Obesity with Health-Related Quality of Life in Chilean Schoolchildren

et al. 2023

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Screen time (ST) and abdominal obesity have a negative effect on health-related quality of life (HRQoL). However, there is little information regarding the mediating role of the muscle quality index (MQI) in these relationships. The aim of the present study was to investigate the association between HRQoL, physical status (i.e., anthropometrics and fitness), lifestyle (i.e., ST and physical activity), and the MQI, and then to determine the potential mediating role of the MQI in the relation of ST and abdominal obesity with HRQoL in Chilean schoolchildren. The cross-sectional study included 750 schoolchildren (girls, n = 332 and boys, n = 418) aged between 10 and 14 years (11.73 ± 1.08 y). MQI, lifestyle, fitness parameters, waist-to-height ratio (WtHR) and HRQoL were measured. HRQoL presented a significant correlation with WtHR (r: −0.19), VO2max (r: 0.20), physical activity after school (r: 0.26), ST (r: −0.26) and MQI (r: 0.15). According to MQI, the high-MQI group reported higher HRQoL than the low-MQI group (low MQI: 36.10 ± 3.63 vs. high MQI: 37.43 ± 4.00, p < 0.001). In the mediation model, ST and abdominal obesity were negatively linked to HRQoL; the indirect effect confirmed that MQI is a partial mediator in the relation between ST and HRQoL (indirect effect = −0.04; SE = 0.02; 95% CI: −0.09, −0.01) and in the relation between abdominal obesity and HRQoL (indirect effect = −1.81; SE = 0.83; 95% CI: −3.41, −0.40). In conclusion, MQI is related to better HRQoL in schoolchildren, and the negative relation of ST and abdominal obesity with HRQoL is mediated by MQI.

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Section: Discussionmentioning

confidence: 99%

The Mediating Role of the Muscle Quality Index in the Relation of Screen Time and Abdominal Obesity with Health-Related Quality of Life in Chilean Schoolchildren

et al. 2023

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“…It was also pointed out that even in severe obesity in children and adolescents, an intensive one-year lifestylefocused treatment led to significant long-term improvements in quality of life, suggesting that improvements in HRQoL are related to a high weight loss, even if some weight is regained [68]. It was highlighted that abdominal obesity is a major factor affecting several aspects of children's lives, including emotional, family, and social aspects, ultimately contributing to a decline in HRQoL [69,70], and that muscle quality plays a significant role in how screen time and abdominal obesity affect the quality of life of schoolchildren [71]. Beyond the individual sphere, the weight status of parents was implicated as a contributory factor, shaping an environment conducive to poor healthy eating and inefficient physical activity [72].…”

Section: Discussionmentioning

confidence: 99%

Perceived Quality of Life Is Related to a Healthy Lifestyle and Related Outcomes in Spanish Children and Adolescents: The Physical Activity, Sedentarism, and Obesity in Spanish Study

Ródenas-Munar,

Monserrat-Mesquida,

Gómez

et al. 2023

Nutrients

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Background: Maintaining a healthy lifestyle is crucial for safeguarding the well-being and quality of life perception, appropriate growth, and development of children and adolescents, while also mitigating the risk of future adult-onset diseases. Objective: To assess associations between perceived quality of life and healthy lifestyle and related outcomes in Spanish children and adolescents. Methods: Cross-sectional analysis of 8–16-year-old children and adolescents (n = 3534) were included in the nationwide study of Physical Activity, Sedentarism, and Obesity in Spanish Youth (PASOS). Data were collected through (1) questionnaires on health-related quality of life (HRQoL), healthy lifestyle outcomes (dietary intake, physical fitness, sleep, and screen time), and (2) anthropometric measurements for weight status assessment. Data were analysed by logistic regression, using the health-related quality of life (HRQoL) as the grouping variable. Results: Participants with a lower HRQoL were those with a lower adherence to the MedDiet and lower achievement of the recommended daily intake of fruit and vegetables. They were also less likely to follow the recommendations for screen time and sleep (with the exception of the weekend) compared to participants with a higher HRQoL. Participants with a lower HRQoL showed a lower healthy weight status and poorer physical fitness than those with a higher HRQoL. Conclusions: Healthy eating habits, healthy weight status (normal weight), appropriate sleep time, physical fitness, and limited screen time play a crucial role in the perceived quality of life in children and adolescents.

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Correlates of longitudinal changes in the waist-to-height ratio of primary school children: Implications for prevention

Kesztyüs

Traub

Lauer

et al. 2016

Preventive Medicine Reports

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ObjectiveTo investigate correlates of changes in waist-to-height ratio (WHtR) in primary school children in order to identify modifiable factors usable for prevention.MethodsOutcome evaluation of a statewide health promotion program in Baden-Württemberg, Germany. Baseline (2010) and follow-up (2011) measurements provided data for the calculation of changes in WHtR. Further information on the health and living conditions of the children were assessed in parental questionnaires. Anthropometric measures were taken in 1733 (50.8% male) first and second grade children (age at baseline 7.1 ± 0.6 years) by staff trained according to ISAK-standards. Stepwise linear regression analysis was applied to identify variables with influence on changes in WHtR.ResultsAccording to the resulting regression model, changes in WHtR towards an increase were influenced by at least one parent being overweight/obese, at least one parent who smoked, low household income, higher age of the child and the skipping of breakfast. There was no clustering effect in schools observed.ConclusionA promising target for prevention of gain in WHtR in primary school children is to ensure the regularity of breakfast. Smoking cessation as well as dietary improvements would not only help children's health but also the health of their parents. The socioeconomic influence on the development of an unhealthy weight status has already been acknowledged and should be extensively targeted by all of society and policy makers.

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Illness and determinants of health-related quality of life in a cross-sectional sample of schoolchildren in different weight categories

Cited by 6 publications

References 31 publications

The Mediating Role of the Muscle Quality Index in the Relation of Screen Time and Abdominal Obesity with Health-Related Quality of Life in Chilean Schoolchildren

The Mediating Role of the Muscle Quality Index in the Relation of Screen Time and Abdominal Obesity with Health-Related Quality of Life in Chilean Schoolchildren

Perceived Quality of Life Is Related to a Healthy Lifestyle and Related Outcomes in Spanish Children and Adolescents: The Physical Activity, Sedentarism, and Obesity in Spanish Study

Correlates of longitudinal changes in the waist-to-height ratio of primary school children: Implications for prevention

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