Resilience and lifestyle-related factors as predictors for health-related quality of life among early adolescents: a cross-sectional study

Abstract

To examine whether lifestyle-related factors and resilience predict health-related quality of life (HRQoL) in a sample of early adolescents. Methods: A total of 611 eighth grade pupils (response rate: 79%) participated in this crosssectional study. The variables measured were physical activity (accelerometer), cardiorespiratory fitness (Andersen test) and a questionnaire assessing dietary habits, sleep disturbance, resilience (Resilience Scale for Adolescents) and HRQoL (KIDSCREEN-27). Results: A total of 36% of the sample met the official recommendations of 60 minutes of daily physical activity. Univariate analysis identified physical activity, dietary habits, sleep disturbances, body mass index (BMI), cardiorespiratory fitness and resilience, but not sedentary time, as predictors of HRQoL. Multivariate regression analysis identified resilience as a positive predictor (b 0.18 to 0.27) of all HRQoL domains and sleep disturbance as a negative predictor (b À0.65 to À0.24) of four HRQoL domains. BMI (b ¼ À0.27) and cardiorespiratory fitness (b ¼ 0.021) were predictors of the HRQoL domain physical well-being. Adherence to dietary recommendations was both a positive and a negative predictor of HRQoL (b À0.45 to 0.59). Conclusion: Resilience and sleep disturbances were the main predictors of HRQoL.

Effect of Resilience on Health-Related Quality of Life during the COVID-19 Pandemic: A Cross-Sectional Study

“…One important aspect of QoL is the socioeconomic status (income, o education) of individuals, which is an important variable that should be sideration when assessing the resilience during a specific shocking event the presence of infectious diseases [18,19]. For instance, households in Ch Several studies have been carried out to investigate the mediating role of resilience in the relationship between negative factors and different aspects of an individual's well-being [12,13]. For instance, indicators of psychological illness like depression and anxiety are associated with poor resilience [14], whereas the absence of psychological illness is known to be correlated to a higher level of resilience [15].…”

“…For instance, indicators of psychological illness like depression and anxiety are associated with poor resilience [14], whereas the absence of psychological illness is known to be correlated to a higher level of resilience [15]. Furthermore, the relationship between resilience and QoL in a stressful environments or a fatal disease had previously been proven [10,12]. Published studies have shown that, resilience impacts QoL in certain populations with some diseases such as cancer [16], multiple sclerosis [10] and Parkinson's disease [17] amongst others.…”

Do subjective and objective resilience measures assess unique aspects and what is their relationship to adolescent well‐being?

“…The WHO has recognized the key dimensions of general health and well‐being as being physical, psychological, and social well‐being and functioning as per the multidimensional Health‐Related Quality of Life (HRQoL) construct (Bottolfs et al, 2020). There is limited research available examining HRQoL among young people.…”

“…There is limited research available examining HRQoL among young people. A Norwegian study of 611 Year 8 students reported that resilience was a positive predictor of HRQoL ( β , 0.18–0.27), providing a protective factor against the risk of disease and enabling positive outcomes for adolescents (Bottolfs et al, 2020). An earlier study of 1100 Norwegian adolescents reported moderately strong relationships between resilience and physical health, where higher scores of resilience factors were associated with structured, well‐organized, and frequent physical activity (Moljord et al, 2014).…”

Is Culture Important to the Relationship Between Quality of Life and Resilience? Global Implications for Preparing Communities for Environmental and Health Disasters

“…Furthermore, the choice of variables assessed within them suggested a predominantly psycho-social model. Although research has linked resilience to well-being and QoL (e.g., Bottolfs et al, 2020 ), it is not known whether this model is “universal.” Such information could be valuable to vulnerable cultures and also to policy-makers seeking to prepare local communities for disaster, e.g., from climate change or pandemic. The availability of international data and methods offers an opportunity for original research.…”