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Human development index, children’s health-related quality of life and movement behaviors: a compositional data analysis
Open accessAbstract
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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“1/2 study found that meeting all three recommendations was associated with significantly better HRQoL than not meeting any of these guidelines [35].”
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“However, in the current review, only 2 studies used compositional data analyses [34, 35].”
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“2/10 studies used compositional data analyses and found that the composition of movement behaviours was associated with social and emotional health [34] and with HRQoL [35]”
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Metadata
- Authors
- Dumuid, D., Maher, C., Lewis, L. K., Stanford, T. E., Martín Fernández, J. A., Ratcliffe, J., Katzmarzyk, P. T., Barreira, T. V., Chaput, J.-P., Fogelholm, M., Hu, G., Maia, J., Sarmiento, O. L., Standage, M., Tremblay, M. S., Tudor-Locke, C., & Olds, T.
- Affiliations
- University of South Australia (AU)
- Flinders University (AU)
- Pennington Biomedical Research Center (US)
- Children's Hospital of Eastern Ontario (CA)
- University of Helsinki (FI)
- Universidade do Porto (PT)
- Universidad de Los Andes (CO)
- University of Bath (GB)
- Corresponding author
- Dumuid, Dorothea
- ORCID
- Venue
- Quality of Life Research
- Published
- 2018-01-23
- Volume
- 27
- Issue
- 6
- Pages
- 1473-1482
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- PMC
- PMC7484943
- OpenAlex
- W2784649963
- Cited by
- 68
- References
- 58
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 7 · 2023: 5 · 2022: 9 · 2021: 10 · 2020: 11 · 2019: 7 · 2018: 5
- FWCI
- 5.66
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Pure (University of Bath) (submittedVersion, other-oa)
- UniSA Research Outputs Repository (University of South Australia) (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Funders
- Australian Government Research Training Scholarship
- National Heart Foundation of Australia (100188)
- Spanish Ministry of Economy and Competitiveness under the project CODA-RETOS (MTM2015-65016- C2-1(2)-R)
- Coca Cola Company
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Life-span and Life-course Studies › Recreational Sport and Physical Activity
- Keywords
- Human Development Index, moderate-to-vigorous physical activity, sedentary behavior, sleep, developing countries, 24-hour movement behaviours, KIDSCREEN-10
- MeSH terms
- Child Health, Data Analysis, Child, Child Behavior, Cross-Sectional Studies, Female, Humans, Male, Movement, Quality of Life, Exercise
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