Physical activity and health - related quality of life in school children: structural equations analysis
Abstract
The aim of this research was to develop an explanatory model of body mass index (BMI), health-related quality of life, and physical activity, and to analyse the effects of the physical variables on the levels of physical activity, self-esteem and health-related quality of life. A cross-sectional study was conducted on a sample of 631 Spanish schoolchildren (12.5 ± 1.4 years old). They completed questionnaires on self-esteem (Rosemberg test), physical activity (PAQ-C), Mediterranean diet (KIDMED), quality of life (KIDSCREEN-27) and had their BMI and maximum oxygen uptake measured. Structural equations constituted the statistical analyses. A correlation was found between lower BMI and fewer hours of self-reported screen time which was also conducive to higher cardio-respiratory levels and greater engagement in physical activity. More physical activity and better dietary care were related generally with higher health-related quality of life and self-esteem. The model demonstrated acceptable goodness of fit. Findings of the study suggest physical activity and positive dietary behaviours should be promoted in Spanish schools as incremental improvements have the potential to concordantly improve a large range of healthful outcomes including health-related quality of life, self-esteem and BMI.
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References
Bentler, P.M. & Bonnet, D.C. (1980). Significance tests and goodness-of-fit in the analysis of covariance structures. Psychological Bulletin, 88(3), 588-606. Doi: 10.1037/0033-2909.88.3.588
Bentler, P.M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238-246. Doi: 10.1037/0033-2909.107.2.238
Blunt-Vinti, H.D, Wheldon, C., McFarlane, M., Brogan, N., & Walsh-Buhi, E.R. (2016). Assessing relationship and sexual satisfaction in adolescent relationships formed online and offline. Journal of Adolescence Health, 58(1), 11-16. Doi: 10.1016/j.jadohealth.2015.09.027
Bollen, K.A. (1989). Structural equations with latent variables. New York: John Wiley y Sons, Inc.
Browne, M.W. & Cudeck, R. (1993). Alternative ways of assessing model fit. In: Bollen KA, Long JS, editors. Testing structural equation models. Beverly Hills, CA: Sage. p. 136-162.
Buttitta, M., Iliescu, C., Rousseau, A., & Guerrien, A. (2014). Quality of life in overweight and obese children and adolescents: a literature review. Quality of Life Research, 23(4), 1117-1139. Doi: 10.1007/s11136-013-0568-5.
Cava, M.J., Murgui, S., & Musitu, G. (2008). Differences in protective factors of substance use in early and middle adolescence. Psicothema, 20(3), 389-395.
Davis, S.P., Northington, L., & Kolar, K. (2000). Cultural considerations for treatment of childhood obesity. Journal of Cultural Diversity, 7(4), 128-132.
Donnellan, M.B., Trzesniewski, K.H., Robins, R.W., Moffitt, T.E., & Caspi, A. (2005). Low self-esteem is related to aggression, antisocial behavior, and delinquency. Psychological Science, 16(4), 328-335. Doi: 10.1111/j.0956-7976.2005.01535.x
Ellickson, P.L., Tucker, J.S., & Klein, D.J. (2008). Reducing early smokers' risk for future smoking and other problem behavior: insights from a five-year longitudinal study. Journal of Adolescent Health, 43(4), 394-400. Doi: 10.1016/j.jadohealth.2008.03.004.
Elsenbung, L.K., Corpeleijn, E., Van Sluijs, E.M., & Atkin, A.J. (2014). Clustering and correlates of multiple health behaviours in 9-10 year old children. Plos One, 9, e99498. Doi: 10.1371/journal.pone.0099498
Finkelstein, E.A., Fiebelkorn, I.C., & Wang, G. (2003). National medical spending attributable to overweight and obesity: how much, and who's paying? Health Affairs, 22(3), 213-219.
Gopinath, B., Louie, J.C., Flood, V.M., Burlutsky, G., Hardy, L.L., Baur, L.A., & Mitchell, P. (2014). Influence of obesogenic behaviors on health-related quality of life in adolescents. Asia Pacific Journal of Clinical Nutrition, 23(1), 121-127. Doi: 10.6133/apjcn.2014.23.1.13
Gutin, B., Yin, Z., Humphries, M.C., & Barbeau P. (2005). Relations of moderate and vigorous physical activity to fitness and fatness in adolescents. The American Journal of Clinical Nutrition, 81(4), 746-750.
Haskell, W.L., Lee, I.M., Pate, R.R., Powell, K.E., Blair, S.N., Franklin, B.A., …, & Bauman, A. (2007). Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 1423-1434. Doi: 10.1161/CIRCULATION.107.185649
Hu, L.T., Bentler, P.M., & Peter, M. (1998). Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424-453. Doi: 10.1037/1082-989X.3.4.424
Jöreskog, K.G. (1977). Structural equation models in the social sciences: specification estimation and testing. In: Krishnaiah PR, editor. Applications of statistics. Amsterdam: North Holland. p. 265-287.
Kavas, A.B. (2009). Self-esteem and health-risk behaviours among Turkish late adolescents. Adolescence, 44(143), 187-98.
Kokkevi, A., Richardson, C., Florescu, S., Kuzman, M., & Stergar E. (2007). Psychosocial correlates of substance use in adolescence: a cross-national study in six European countries. Drug and Alcohol Dependence, 86(1), 67-74. Doi: 10.1016/j.drugalcdep.2006.05.018
Kovács, E., Hunsberger, M., Reisch, L., Gwozdz, W., Eiben, G., De Bourdeaudhuij, I., …, & Moreno, L. A. (2015). Adherence to combined lifestyle factors and their contribution to obesity in the IDEFICS study. Obesity Reviews, 16(S2), 138-150. Doi: 10.1111/obr.12349/full.
Léger, L.A, Mercier, D., Gadoury, C., & Lambert, J. (1988). The multistage 20 metre shuttle run test for aerobic fitness. Journal of Sports Sciences, 6(2), 93-101. Doi: 10.1080/02640418808729800.
López, G.F., González, S., & Díaz, A. (2016). Level of habitual phsyical activity in children and adolescents from the Region of Murcia (Spain). SpringerPlus, 5(386), 1-6. doi: 10.1186/s40064-016-2033-8.
López, G.F., López, L., & Díaz, A. (2015). Effects of a physical activity program on the life quality of school children with attention déficit hyperactivity disorder. AGON: International Journal of Sport Sciences, 5(2), 86-96.
López, G.F., Nicolás, J. y Díaz, A. (2016). Efectos de un programa de actividad física intensa en la composición corporal de adolescentes murcianos. Sport TK, 5(2), 83-88.
Machado-Rodrigues, A.M., Coelho, M.J., Ribeiro, L.P., Fernandes, R., Mota, J., & Malina, R.M. (2016). Waist circumference and objectively measured sedentary behavior in rural school adolescents. Journal of School Health, 86(1), 54-60. Doi: 10.1111/josh.12350.
Martínez-Maldonado, R., Pedrão, L.J., Alonso-Castillo, M.M., López-García, K.S., & Oliva-Rodríguez, N.N. (2008). Self-esteem, self-efficacy, consumption of snuff and alcohol in secondary students from urban and rural area Monterrey, Nuevo León, México. Revista Latino-Americana de Enfermagem, 16, 614-620.
McDonald, R.P. & Marsh, H.W. (1990). Choosing a multivariate model: noncentrality and goodness of fit. Psychological Bulletin, 107(2), 247-255. Doi: 10.1037/0033-2909.107.2.247
Minasian, V., Marandi, S.M., Kelishadi, R., & Abolhassani, H. (2014). Correlation between aerobic fitness and body composition in middle school students. International Journal of Preventive Medicine, 5(Suppl 2), S102-S107.
Naranjo, C.R. & González, A.C. (2012). Self-esteem in adolescence: analysis and intervention strategies. Revista Internacional de Psicología Terapeutica, 12, 389-403.
Orgilés, M., Sanz, I., Piqueras, J.A., & Espada, J.P. (2014). Differences in eating habits and exercise in a sample of preadolescents depending on their weight category. Nutricion Hospitalaria, 30, 306-313.
Ortega, F.B., Ruiz, J.R., Castillo, M.J., & Sjöström, M. (2008). Physical fitness in childhood and adolescence: a powerful marker of health. International Journal of Obesity, 32, 1-11.
Ravens-Sieberer, U., Auquier, P., Erhart, M., Gosch, A., Rajmil, L., Bruil, J., …, & Kilroe, J. (2007). The KIDSCREEN-27 quality of life measure for children and adolescents: psychometric results from a cross-cultural survey in 13 European countries. Quality of Life Research, 16(8), 1347-1356. Doi: 10.1007/s11136-007-9240-2
Riazi, A., Shakoor, S., Dundas, I., Eiser, C., & Mckenzie, S.A. (2010). Health-related quality of life in a clinical sample of obese children and adolescents. Health and Quality of Life Outcomes, 134(8), 1-6. Doi: 10.1186/1477-7525-8-134
Rodríguez-Naranjo, C., & Caño, A. (2010). Development and validation of an attributional style questionnaire for adolescents. Psychological Assessment, 22(4), 837-851.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Pricenton university Press.
Serra-Majem, L., Ribas, L., Ngo, J., Ortega, R.M., García, A., Pérez-Rodrigo, C., …, & Aranceta, J. (2004). Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutrition, 7(7), 931-935. Doi: 10.1079/PHN2004556
Smith, J.J., Morgan, P.J., Plotnikoff, R.C., Stodden, D.F., & Lubans, D.R. (2016). Mediating effects of resistence training skill competency on health-related fitness and physical activity: the ATLAS cluster randomised controlled trial. Journal of Sports Sciences, 34, 772-779. Doi: 10.1080/02640414.2015.1069383
Stewart, A., Marfell-Jones, M., Olds, T., & De Ridder, H. (2011). International standards for anthropometric assessment. New Zealand: ISAK, Lower Hutt.
Trost, S.G., Kerr, L.M., Ward, D.S., & Pate, R.R. (2001). Physical activity and determinants of physical activity in obese and non-obese children. International Journal of Obesity, 25(6), 822-829.
Trzesniewski, K.H., Donnellan, M.B., Moffitt, T.E., Robins, R.W., Poulton, R., & Caspi, A. (2006). Low self-esteem during adolescence predicts poor health, criminal behavior, and limited economic prospects during adulthood. Develomental Psychology, 42(2), 381-390. Doi: 10.1037/0012-1649.42.2.381
Undheim, A.M. & Sund, A.M. (2010). Prevalence of bulling and aggressive behavior and their relationship to mental health problems among 12-to-15-year-old Norwegian adolescents. European Child & Adolescent Psychiatry, 19(11), 803-811. Doi: 10.1007/s00787-010-0131-7.
Winsley, R.J., Armstrong, N., Middlebrooke, A.R., Ramos‐Ibanez, N., & Williams, C.A. (2006). Aerobic fitness and visceral adipose tissue in children. Acta Paediatrica 95(11), 1435-1438. Doi: 10.1080/08035250600643244
World Health Organization (WHO) (2010). Global recommendations on physical activity for health. Geneva: World Health Organization.
Zurita-Ortega, F., Álvaro-González, J.I., Castro-Sánchez, M., Knox, E., Muros, J.J., & Viciana-Garófano, V. (2015). The influence of exercise on adolescents’ self-concept. International Journal of Sport Psychology, 46, 67-80. Doi: 10.7352/IJSP
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