Health-related quality of life and lifestyle behavior clusters in school-aged children from 12 countries

Dorothea Dumuid, Timothy Olds, Lucy K Lewis, Josep Antoni Martin-Fernández, Peter T Katzmarzyk, Tiago Barreira, Stephanie T Broyles, Jean-Philippe Chaput, Mikael Fogelholm, Gang Hu, Rebecca Kuriyan, Anura Kurpad, Estelle V Lambert, José Maia, Victor Matsudo, Vincent O Onywera, Olga L Sarmiento, Martyn Standage, Mark S Tremblay, Catrine Tudor-Locke & 4 others Pei Zhao, Fiona Gillison, Carol Maher, International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) research group

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Abstract

OBJECTIVE: To evaluate the relationship between children's lifestyles and health-related quality of life and to explore whether this relationship varies among children from different world regions.

STUDY DESIGN: This study used cross-sectional data from the International Study of Childhood Obesity, Lifestyle and the Environment. Children (9-11 years) were recruited from sites in 12 nations (n = 5759). Clustering input variables were 24-hour accelerometry and self-reported diet and screen time. Health-related quality of life was self-reported with KIDSCREEN-10. Cluster analyses (using compositional analysis techniques) were performed on a site-wise basis. Lifestyle behavior cluster characteristics were compared between sites. The relationship between cluster membership and health-related quality of life was assessed with the use of linear models.

RESULTS: Lifestyle behavior clusters were similar across the 12 sites, with clusters commonly characterized by (1) high physical activity (actives); (2) high sedentary behavior (sitters); (3) high screen time/unhealthy eating pattern (junk-food screenies); and (4) low screen time/healthy eating pattern and moderate physical activity/sedentary behavior (all-rounders). Health-related quality of life was greatest in the all-rounders cluster.

CONCLUSIONS: Children from different world regions clustered into groups of similar lifestyle behaviors. Cluster membership was related to differing health-related quality of life, with children from the all-rounders cluster consistently reporting greatest health-related quality of life at sites around the world. Findings support the importance of a healthy combination of lifestyle behaviors in childhood: low screen time, healthy eating pattern, and balanced daily activity behaviors (physical activity and sedentary behavior).

TRIAL REGISTRATION: ClinicalTrials.gov: NCT01722500.

Original languageEnglish
Pages (from-to)178-183
JournalJournal of Pediatrics
Volume183
Early online date10 Jan 2017
DOIs
Publication statusPublished - 30 Apr 2017

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Life Style
Quality of Life
Exercise
Cluster Analysis
Accelerometry
Pediatric Obesity
Linear Models
Cross-Sectional Studies
Eating
Diet
Food

Cite this

Dumuid, D., Olds, T., Lewis, L. K., Martin-Fernández, J. A., Katzmarzyk, P. T., Barreira, T., ... International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) research group (2017). Health-related quality of life and lifestyle behavior clusters in school-aged children from 12 countries. Journal of Pediatrics, 183, 178-183. https://doi.org/10.1016/j.jpeds.2016.12.048

Health-related quality of life and lifestyle behavior clusters in school-aged children from 12 countries. / Dumuid, Dorothea; Olds, Timothy; Lewis, Lucy K; Martin-Fernández, Josep Antoni; Katzmarzyk, Peter T; Barreira, Tiago; Broyles, Stephanie T; Chaput, Jean-Philippe; Fogelholm, Mikael; Hu, Gang; Kuriyan, Rebecca; Kurpad, Anura; Lambert, Estelle V; Maia, José; Matsudo, Victor; Onywera, Vincent O; Sarmiento, Olga L; Standage, Martyn; Tremblay, Mark S; Tudor-Locke, Catrine; Zhao, Pei; Gillison, Fiona; Maher, Carol; International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) research group.

In: Journal of Pediatrics, Vol. 183, 30.04.2017, p. 178-183.

Research output: Contribution to journalArticle

Dumuid, D, Olds, T, Lewis, LK, Martin-Fernández, JA, Katzmarzyk, PT, Barreira, T, Broyles, ST, Chaput, J-P, Fogelholm, M, Hu, G, Kuriyan, R, Kurpad, A, Lambert, EV, Maia, J, Matsudo, V, Onywera, VO, Sarmiento, OL, Standage, M, Tremblay, MS, Tudor-Locke, C, Zhao, P, Gillison, F, Maher, C & International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) research group 2017, 'Health-related quality of life and lifestyle behavior clusters in school-aged children from 12 countries', Journal of Pediatrics, vol. 183, pp. 178-183. https://doi.org/10.1016/j.jpeds.2016.12.048
Dumuid D, Olds T, Lewis LK, Martin-Fernández JA, Katzmarzyk PT, Barreira T et al. Health-related quality of life and lifestyle behavior clusters in school-aged children from 12 countries. Journal of Pediatrics. 2017 Apr 30;183:178-183. https://doi.org/10.1016/j.jpeds.2016.12.048
Dumuid, Dorothea ; Olds, Timothy ; Lewis, Lucy K ; Martin-Fernández, Josep Antoni ; Katzmarzyk, Peter T ; Barreira, Tiago ; Broyles, Stephanie T ; Chaput, Jean-Philippe ; Fogelholm, Mikael ; Hu, Gang ; Kuriyan, Rebecca ; Kurpad, Anura ; Lambert, Estelle V ; Maia, José ; Matsudo, Victor ; Onywera, Vincent O ; Sarmiento, Olga L ; Standage, Martyn ; Tremblay, Mark S ; Tudor-Locke, Catrine ; Zhao, Pei ; Gillison, Fiona ; Maher, Carol ; International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) research group. / Health-related quality of life and lifestyle behavior clusters in school-aged children from 12 countries. In: Journal of Pediatrics. 2017 ; Vol. 183. pp. 178-183.
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abstract = "OBJECTIVE: To evaluate the relationship between children's lifestyles and health-related quality of life and to explore whether this relationship varies among children from different world regions.STUDY DESIGN: This study used cross-sectional data from the International Study of Childhood Obesity, Lifestyle and the Environment. Children (9-11 years) were recruited from sites in 12 nations (n = 5759). Clustering input variables were 24-hour accelerometry and self-reported diet and screen time. Health-related quality of life was self-reported with KIDSCREEN-10. Cluster analyses (using compositional analysis techniques) were performed on a site-wise basis. Lifestyle behavior cluster characteristics were compared between sites. The relationship between cluster membership and health-related quality of life was assessed with the use of linear models.RESULTS: Lifestyle behavior clusters were similar across the 12 sites, with clusters commonly characterized by (1) high physical activity (actives); (2) high sedentary behavior (sitters); (3) high screen time/unhealthy eating pattern (junk-food screenies); and (4) low screen time/healthy eating pattern and moderate physical activity/sedentary behavior (all-rounders). Health-related quality of life was greatest in the all-rounders cluster.CONCLUSIONS: Children from different world regions clustered into groups of similar lifestyle behaviors. Cluster membership was related to differing health-related quality of life, with children from the all-rounders cluster consistently reporting greatest health-related quality of life at sites around the world. Findings support the importance of a healthy combination of lifestyle behaviors in childhood: low screen time, healthy eating pattern, and balanced daily activity behaviors (physical activity and sedentary behavior).TRIAL REGISTRATION: ClinicalTrials.gov: NCT01722500.",
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T1 - Health-related quality of life and lifestyle behavior clusters in school-aged children from 12 countries

AU - Dumuid, Dorothea

AU - Olds, Timothy

AU - Lewis, Lucy K

AU - Martin-Fernández, Josep Antoni

AU - Katzmarzyk, Peter T

AU - Barreira, Tiago

AU - Broyles, Stephanie T

AU - Chaput, Jean-Philippe

AU - Fogelholm, Mikael

AU - Hu, Gang

AU - Kuriyan, Rebecca

AU - Kurpad, Anura

AU - Lambert, Estelle V

AU - Maia, José

AU - Matsudo, Victor

AU - Onywera, Vincent O

AU - Sarmiento, Olga L

AU - Standage, Martyn

AU - Tremblay, Mark S

AU - Tudor-Locke, Catrine

AU - Zhao, Pei

AU - Gillison, Fiona

AU - Maher, Carol

AU - International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) research group

N1 - Copyright © 2016 Elsevier Inc. All rights reserved.

PY - 2017/4/30

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N2 - OBJECTIVE: To evaluate the relationship between children's lifestyles and health-related quality of life and to explore whether this relationship varies among children from different world regions.STUDY DESIGN: This study used cross-sectional data from the International Study of Childhood Obesity, Lifestyle and the Environment. Children (9-11 years) were recruited from sites in 12 nations (n = 5759). Clustering input variables were 24-hour accelerometry and self-reported diet and screen time. Health-related quality of life was self-reported with KIDSCREEN-10. Cluster analyses (using compositional analysis techniques) were performed on a site-wise basis. Lifestyle behavior cluster characteristics were compared between sites. The relationship between cluster membership and health-related quality of life was assessed with the use of linear models.RESULTS: Lifestyle behavior clusters were similar across the 12 sites, with clusters commonly characterized by (1) high physical activity (actives); (2) high sedentary behavior (sitters); (3) high screen time/unhealthy eating pattern (junk-food screenies); and (4) low screen time/healthy eating pattern and moderate physical activity/sedentary behavior (all-rounders). Health-related quality of life was greatest in the all-rounders cluster.CONCLUSIONS: Children from different world regions clustered into groups of similar lifestyle behaviors. Cluster membership was related to differing health-related quality of life, with children from the all-rounders cluster consistently reporting greatest health-related quality of life at sites around the world. Findings support the importance of a healthy combination of lifestyle behaviors in childhood: low screen time, healthy eating pattern, and balanced daily activity behaviors (physical activity and sedentary behavior).TRIAL REGISTRATION: ClinicalTrials.gov: NCT01722500.

AB - OBJECTIVE: To evaluate the relationship between children's lifestyles and health-related quality of life and to explore whether this relationship varies among children from different world regions.STUDY DESIGN: This study used cross-sectional data from the International Study of Childhood Obesity, Lifestyle and the Environment. Children (9-11 years) were recruited from sites in 12 nations (n = 5759). Clustering input variables were 24-hour accelerometry and self-reported diet and screen time. Health-related quality of life was self-reported with KIDSCREEN-10. Cluster analyses (using compositional analysis techniques) were performed on a site-wise basis. Lifestyle behavior cluster characteristics were compared between sites. The relationship between cluster membership and health-related quality of life was assessed with the use of linear models.RESULTS: Lifestyle behavior clusters were similar across the 12 sites, with clusters commonly characterized by (1) high physical activity (actives); (2) high sedentary behavior (sitters); (3) high screen time/unhealthy eating pattern (junk-food screenies); and (4) low screen time/healthy eating pattern and moderate physical activity/sedentary behavior (all-rounders). Health-related quality of life was greatest in the all-rounders cluster.CONCLUSIONS: Children from different world regions clustered into groups of similar lifestyle behaviors. Cluster membership was related to differing health-related quality of life, with children from the all-rounders cluster consistently reporting greatest health-related quality of life at sites around the world. Findings support the importance of a healthy combination of lifestyle behaviors in childhood: low screen time, healthy eating pattern, and balanced daily activity behaviors (physical activity and sedentary behavior).TRIAL REGISTRATION: ClinicalTrials.gov: NCT01722500.

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