TY - JOUR
T1 - Human development index, children’s health-related quality of life and movement behaviors: a compositional data analysis
AU - Dumuid, Dorothea
AU - Maher, Carol
AU - Lewis, Lucy
AU - Stanford, Tyman
AU - Martin-Fernandez, Josep
AU - Ratcliffe, Julie
AU - Katzmarzyk, Peter
AU - Barreira, Tiago
AU - Chaput, Jean-Philippe
AU - Fogelholm, Mikael
AU - Hu, Gang
AU - Maia, Jose
AU - Sarmiento, Olga
AU - Standage, Martyn
AU - Tremblay, Mark
AU - Tudor-Locke, Catrine
AU - Olds, Tim
PY - 2018/6/1
Y1 - 2018/6/1
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.
KW - Compositional data
KW - Human development index
KW - Physical activity
KW - Sedentary behavior
KW - Sleep
UR - http://www.scopus.com/inward/record.url?scp=85040863788&partnerID=8YFLogxK
U2 - 10.1007/s11136-018-1791-x
DO - 10.1007/s11136-018-1791-x
M3 - Article
SN - 0962-9343
VL - 27
SP - 1473
EP - 1482
JO - Quality of Life Research
JF - Quality of Life Research
IS - 6
ER -
