Human development index, children's health-related quality of life and movement behaviors

a compositional data analysis

Dorothea Dumuid, Carol Maher, Lucy Kate Lewis, Tyman E Stanford, Josep Antoni Martín Fernández, Julie Ratcliffe, Peter T Katzmarzyk, Tiago V Barreira, Jean-Philippe Chaput, Mikael Fogelholm, Gang Hu, José A R Maia, Olga L Sarmiento, Martyn Standage, Mark S Tremblay, Catrine Tudor-Locke, Timothy Olds

Research output: Contribution to journalArticle

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Abstract

PURPOSE: Health-related quality of life has been related to physical activity, sedentary behavior, and sleep among children from developed nations. These relationships have rarely been assessed in developing nations, nor have behaviors been considered in their true context, as mutually exclusive and exhaustive parts of the movement behavior composition. This study aimed to explore whether children's health-related quality of life is related to their movement behavior composition and if the relationship differs according to human development index.

METHODS: Children aged 9-11 years (n = 5855), from the 12-nation cross-sectional observational International Study of Childhood Obesity, Lifestyle and the Environment 2011-2013, self-reported their health-related quality of life (KIDSCREEN-10). Daily movement behaviors were from 24-h, 7-day accelerometry. Isometric log-ratio mixed-effect linear models were used to calculate estimates for difference in health-related quality of life for the reallocation of time between daily movement behaviors.

RESULTS: Children from countries of higher human development index reported stronger positive relationships between health-related quality of life and moderate-to-vigorous physical activity, relative to the remaining behaviors (r = 0.75, p = 0.005) than those from lower human development index countries. In the very high human development index strata alone, health-related quality of life was significantly related to the movement behavior composition (p = 0.005), with moderate-to-vigorous physical activity (relative to remaining behaviors) being positively associated with health-related quality of life.

CONCLUSIONS: The relationship between children's health-related quality of life and their movement behaviors is moderated by their country's human development index. This should be considered when 24-h movement behavior guidelines are developed for children around the world.

Original languageEnglish
Pages (from-to)1473-1482
Number of pages9
JournalQuality of Life Research
Volume27
Issue number6
Early online date23 Jan 2018
DOIs
Publication statusPublished - 1 Jun 2018

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Human Development
Quality of Life
Exercise
Child Health
Accelerometry
Pediatric Obesity
Developed Countries
Developing Countries
Observational Studies
Life Style
Linear Models
Sleep
Guidelines

Keywords

  • Journal Article

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Dumuid, D., Maher, C., Lewis, L. K., Stanford, T. E., Martín Fernández, J. A., Ratcliffe, J., ... Olds, T. (2018). Human development index, children's health-related quality of life and movement behaviors: a compositional data analysis. Quality of Life Research, 27(6), 1473-1482. https://doi.org/10.1007/s11136-018-1791-x

Human development index, children's health-related quality of life and movement behaviors : a compositional data analysis. / Dumuid, Dorothea; Maher, Carol; Lewis, Lucy Kate; Stanford, Tyman E; Martín Fernández, Josep Antoni; Ratcliffe, Julie; Katzmarzyk, Peter T; Barreira, Tiago V; Chaput, Jean-Philippe; Fogelholm, Mikael; Hu, Gang; Maia, José A R; Sarmiento, Olga L; Standage, Martyn; Tremblay, Mark S; Tudor-Locke, Catrine; Olds, Timothy.

In: Quality of Life Research, Vol. 27, No. 6, 01.06.2018, p. 1473-1482.

Research output: Contribution to journalArticle

Dumuid, D, Maher, C, Lewis, LK, Stanford, TE, Martín Fernández, JA, Ratcliffe, J, Katzmarzyk, PT, Barreira, TV, Chaput, J-P, Fogelholm, M, Hu, G, Maia, JAR, Sarmiento, OL, Standage, M, Tremblay, MS, Tudor-Locke, C & Olds, T 2018, 'Human development index, children's health-related quality of life and movement behaviors: a compositional data analysis', Quality of Life Research, vol. 27, no. 6, pp. 1473-1482. https://doi.org/10.1007/s11136-018-1791-x
Dumuid, Dorothea ; Maher, Carol ; Lewis, Lucy Kate ; Stanford, Tyman E ; Martín Fernández, Josep Antoni ; Ratcliffe, Julie ; Katzmarzyk, Peter T ; Barreira, Tiago V ; Chaput, Jean-Philippe ; Fogelholm, Mikael ; Hu, Gang ; Maia, José A R ; Sarmiento, Olga L ; Standage, Martyn ; Tremblay, Mark S ; Tudor-Locke, Catrine ; Olds, Timothy. / Human development index, children's health-related quality of life and movement behaviors : a compositional data analysis. In: Quality of Life Research. 2018 ; Vol. 27, No. 6. pp. 1473-1482.
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AU - Stanford, Tyman E

AU - Martín Fernández, Josep Antoni

AU - Ratcliffe, Julie

AU - Katzmarzyk, Peter T

AU - Barreira, Tiago V

AU - Chaput, Jean-Philippe

AU - Fogelholm, Mikael

AU - Hu, Gang

AU - Maia, José A R

AU - Sarmiento, Olga L

AU - Standage, Martyn

AU - Tremblay, Mark S

AU - Tudor-Locke, Catrine

AU - Olds, Timothy

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N2 - PURPOSE: Health-related quality of life has been related to physical activity, sedentary behavior, and sleep among children from developed nations. These relationships have rarely been assessed in developing nations, nor have behaviors been considered in their true context, as mutually exclusive and exhaustive parts of the movement behavior composition. This study aimed to explore whether children's health-related quality of life is related to their movement behavior composition and if the relationship differs according to human development index.METHODS: Children aged 9-11 years (n = 5855), from the 12-nation cross-sectional observational International Study of Childhood Obesity, Lifestyle and the Environment 2011-2013, self-reported their health-related quality of life (KIDSCREEN-10). Daily movement behaviors were from 24-h, 7-day accelerometry. Isometric log-ratio mixed-effect linear models were used to calculate estimates for difference in health-related quality of life for the reallocation of time between daily movement behaviors.RESULTS: Children from countries of higher human development index reported stronger positive relationships between health-related quality of life and moderate-to-vigorous physical activity, relative to the remaining behaviors (r = 0.75, p = 0.005) than those from lower human development index countries. In the very high human development index strata alone, health-related quality of life was significantly related to the movement behavior composition (p = 0.005), with moderate-to-vigorous physical activity (relative to remaining behaviors) being positively associated with health-related quality of life.CONCLUSIONS: The relationship between children's health-related quality of life and their movement behaviors is moderated by their country's human development index. This should be considered when 24-h movement behavior guidelines are developed for children around the world.

AB - PURPOSE: Health-related quality of life has been related to physical activity, sedentary behavior, and sleep among children from developed nations. These relationships have rarely been assessed in developing nations, nor have behaviors been considered in their true context, as mutually exclusive and exhaustive parts of the movement behavior composition. This study aimed to explore whether children's health-related quality of life is related to their movement behavior composition and if the relationship differs according to human development index.METHODS: Children aged 9-11 years (n = 5855), from the 12-nation cross-sectional observational International Study of Childhood Obesity, Lifestyle and the Environment 2011-2013, self-reported their health-related quality of life (KIDSCREEN-10). Daily movement behaviors were from 24-h, 7-day accelerometry. Isometric log-ratio mixed-effect linear models were used to calculate estimates for difference in health-related quality of life for the reallocation of time between daily movement behaviors.RESULTS: Children from countries of higher human development index reported stronger positive relationships between health-related quality of life and moderate-to-vigorous physical activity, relative to the remaining behaviors (r = 0.75, p = 0.005) than those from lower human development index countries. In the very high human development index strata alone, health-related quality of life was significantly related to the movement behavior composition (p = 0.005), with moderate-to-vigorous physical activity (relative to remaining behaviors) being positively associated with health-related quality of life.CONCLUSIONS: The relationship between children's health-related quality of life and their movement behaviors is moderated by their country's human development index. This should be considered when 24-h movement behavior guidelines are developed for children around the world.

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JO - Quality of Life Research

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