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; Pei Zhao; Fiona Gillison; Carol Maher; International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) research group

doi:10.1016/j.jpeds.2016.12.048

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-LockePei 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 language	English
Pages (from-to)	178-183.e2
Number of pages	6
Journal	Journal of Pediatrics
Volume	183
Early online date	10 Jan 2017
DOIs	https://doi.org/10.1016/j.jpeds.2016.12.048
Publication status	Published - 1 Apr 2017

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.1016/j.jpeds.2016.12.048

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Author_Accepted_Manuscript_TJPAccepted author manuscript, 790 KBLicence: CC BY-NC-ND

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Dumuid, D., Olds, T., Lewis, L. K., Martin-Fernández, J. A., Katzmarzyk, P. T., Barreira, T., Broyles, S. T., Chaput, J.-P., Fogelholm, M., Hu, G., Kuriyan, R., Kurpad, A., Lambert, E. V., Maia, J., Matsudo, V., Onywera, V. O., Sarmiento, O. L., Standage, M., Tremblay, M. S., ... 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.e2. https://doi.org/10.1016/j.jpeds.2016.12.048

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.e2. https://doi.org/10.1016/j.jpeds.2016.12.048

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

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.",

author = "Dorothea Dumuid and Timothy Olds and Lewis, \{Lucy K\} and Martin-Fern{\'a}ndez, \{Josep Antoni\} and Katzmarzyk, \{Peter T\} and Tiago Barreira and Broyles, \{Stephanie T\} and Jean-Philippe Chaput and Mikael Fogelholm and Gang Hu and Rebecca Kuriyan and Anura Kurpad and Lambert, \{Estelle V\} and Jos{\'e} Maia and Victor Matsudo and Onywera, \{Vincent O\} and Sarmiento, \{Olga L\} and Martyn Standage and Tremblay, \{Mark S\} and Catrine Tudor-Locke and Pei Zhao and Fiona Gillison and Carol Maher and \{International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) research group\}",

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doi = "10.1016/j.jpeds.2016.12.048",

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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

PY - 2017/4/1

Y1 - 2017/4/1

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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UR - https://www.scopus.com/pages/publications/85009188408

U2 - 10.1016/j.jpeds.2016.12.048

DO - 10.1016/j.jpeds.2016.12.048

M3 - Article

C2 - 28081885

SN - 0022-3476

VL - 183

SP - 178-183.e2

JO - Journal of Pediatrics

JF - Journal of Pediatrics

ER -

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

Abstract

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Fiona Gillison

Martyn Standage

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

Abstract

UN SDGs

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Fiona Gillison

Martyn Standage

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