Relationship between Sedentary Time, Physical Activity, and Health-Related Quality of Life in Spanish Children
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Instruments
2.2.1. Anthropometry
2.2.2. Sedentary Time and Physical Activity Levels
2.2.3. Health-Related Quality of Life
2.3. Data Analyses
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
- Hall, G.; Laddu, D.R.; Phillips, S.A. A Tale of Two Pandemics: How Will COVID-19 and Global Trends in Physical Inactivity and Sedentary Behavior Affect One Another? Prog. Cardiovasc. Dis. 2020. [Google Scholar] [CrossRef] [PubMed]
- Bull, F.C.; Al, S.S.; Biddle, S.; Borodulin, K.; Buman, M.P.; Cardon, G.; Carty, C.; Chaput, J.-P.; Chastin, S.; Chou, R.; et al. World Health Organization 2020 Guidelines on Physical Activity and Sedentary Behaviour. Br. J. Sports Med. 2020, 54, 1451–1462. [Google Scholar] [CrossRef] [PubMed]
- Marker, A.M.; Steele, R.G.; Noser, A.E. Physical Activity and Health-Related Quality of Life in Children and Adolescents: A Systematic Review and Meta-Analysis. Health Psychol. 2018, 37, 893–903. [Google Scholar] [CrossRef] [PubMed]
- Santos, R.; Mota, J.; Okely, A.D.; Pratt, M.; Moreira, C.; Coelho-E-Silva, M.J.; Vale, S.; Sardinha, L.B. The Independent Associations of Sedentary Behaviour and Physical Activity on Cardiorespiratory Fitness. Br. J. Sports Med. 2014, 48, 1508–1512. [Google Scholar] [CrossRef]
- Bidzan-Bluma, I.; Lipowska, M. Physical Activity and Cognitive Functioning of Children: A Systematic Review. Int. J. Environ. Res. Public. Health 2018, 15, 800. [Google Scholar] [CrossRef]
- Guthold, R.; Stevens, G.A.; Riley, L.M.; Bull, F.C. Global Trends in Insufficient Physical Activity among Adolescents: A Pooled Analysis of 298 Population-Based Surveys with 1·6 Million Participants. Lancet Child Adolesc. Health 2019, 4, 1–13. [Google Scholar] [CrossRef]
- World Health Organization Quality of Life Assessment: Position Paper from the World Health Organization. Soc. Sic. Med. 1995, 41, 1403–1409. [CrossRef]
- Mann, M.M.; Hosman, C.M.H.; Schaalma, H.P.; Vries, N.K.D. Self-Esteem in a Broad-Spectrum Approach for Mental Health Promotion. Health Educ. Res. 2004, 19, 357–372. [Google Scholar] [CrossRef] [Green Version]
- Braig, S.; Id, J.G.; Walter, V.; Brandt, S.; Wabitsch, M.; Goldbeck, L.; Brenner, H.; Rothenbacher, D. Screen Time, Physical Activity and Self-Esteem in Children: The Ulm Birth Cohort Study. Int. J. Environ. Health Res. 2018, 15, 1275. [Google Scholar] [CrossRef] [Green Version]
- Garcia, C.; Teles, J.; Barrigas, C.; Fragoso, I. Health-Related Quality of Life of Portuguese Children and Adolescents According to Their Biological Maturation and Volume of Physical Activity. Qual. Life Res. 2018, 27, 1483–1492. [Google Scholar] [CrossRef]
- Gonçalves, B.; Chaput, J.; Vinicius, M.; Lopes, V.; Martins, R.; Malheiros, A.; Silva, K.S. Association between Lifestyle Behaviors and Health-Related Quality of Life in a Sample of Brazilian Adolescents. Int. J. Environ. Health Res. 2020, 17, 7133. [Google Scholar]
- Granger, E.; Di Nardo, F.; Harrison, A.; Patterson, L.; Holmes, R.; Verma, A. A Systematic Review of the Relationship of Physical Activity and Health Status in Adolescents. Eur. J. Public Health 2017, 27, 100–106. [Google Scholar] [CrossRef] [Green Version]
- Wu, X.Y.; Han, L.H.; Zhang, J.H.; Luo, S.; Hu, J.W.; Sun, K. The Influence of Physical Activity, Sedentary Behavior on Health-Related Quality of Life among the General Population of Children and Adolescents: A Systematic Review. PLoS ONE 2017, 12, e0187668. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Muros, J.J.; Salvador Pérez, F.; Zurita Ortega, F.; Gámez Sánchez, V.M.; Knox, E. Associação Entre Comportamentos de Estilo de Vida Saudável e a Qualidade de Vida Relacionada à Saúde Entre Adolescentes. J. Pediatr. 2017, 93, 406–412. [Google Scholar] [CrossRef] [PubMed]
- Borras, P.A.; Vidal, J.; Ponseti, X.; Cantallops, J.; Palou, P. Predictors of Quality of Life in Children. J. Hum. Sport Exerc. 2011, 6, 649–656. [Google Scholar] [CrossRef] [Green Version]
- Sánchez-López, M.; Salcedo-Aguilar, F.; Solera-Martínez, M.; Moya-Martínez, P.; Notario-Pacheco, B.; Martínez-Vizcaíno, V. Physical Activity and Quality of Life in Schoolchildren Aged 11-13 Years of Cuenca, Spain. Scand. J. Med. Sci. Sports 2009, 19, 879–884. [Google Scholar] [CrossRef] [PubMed]
- Galán, I.; Boix, R.; Medrano, M.J.; Ramos, P.; Rivera, F.; Pastor-Barriuso, R.; Moreno, C. Physical Activity and Self-Reported Health Status among Adolescents: A Cross-Sectional Population-Based Study. BMJ Open 2013, 3, 1–10. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Finne, E.; Bucksch, J.; Lampert, T.; Kolip, P. Physical Activity and Screen-Based Media Use: Cross-Sectional Associations with Health-Related Quality of Life and the Role of Body Satisfaction in a Representative Sample of German Adolescents. Health Psychol. Behav. Med. 2014, 1, 15–30. [Google Scholar] [CrossRef] [PubMed]
- Gopinath, B.; Hardy, L.L.; Baur, L.A.; Burlutsky, G.; Mitchell, P. Physical Activity and Sedentary Behaviors and Health-Related Quality of Life in Adolescents. Pediatrics 2012, 130, e167–e174. [Google Scholar] [CrossRef] [Green Version]
- bin Shahril, M.R.; bte Ahmad, A.; bte Zainuddin, L.R.; bte Ismail, K.F.; Aung, M.M. Association between Physical Activity and Health-Related Quality of Life in Children: A Cross-Sectional Study. Health Qual. Life Outcomes 2016, 14, 1–6. [Google Scholar]
- Perry, T.T.; Moore, P.C.; Redwine, K.M.; Robbins, J.M.; Weber, J.L. Physical Activity, Screen Time and Pediatric Health-Related Quality of Life in the Mississippi Delta. Open J. Prev. Med. 2012, 2, 105–111. [Google Scholar] [CrossRef] [Green Version]
- Vincent, G.E.; Barnett, L.M.; Lubans, D.R.; Salmon, J.; Timperio, A.; Ridgers, N.D. Temporal and Bidirectional Associations between Physical Activity and Sleep in Primary School-Aged Children. Appl. Physiol. Nutr. Metab. 2016, 42, 238–242. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Poitras, V.J.; Gray, C.E.; Borghese, M.M.; Carson, V.; Chaput, J.-P.; Janssen, I.; Katzmarzyk, P.T.; Pate, R.R.; Connor Gorber, S.; Kho, M.E.; et al. Systematic Review of the Relationships between Objectively Measured Physical Activity and Health Indicators in School-Aged Children and Youth. Appl. Physiol. Nutr. Metab. 2016, 41, S197–S239. [Google Scholar] [CrossRef] [PubMed]
- Michel, G.; Bisegger, E.C.; Fuhr, E.D.; Abel, T.; Kidscreen, E.T. Age and Gender Differences in Health-Related Quality of Life of Children and Adolescents in Europe: A Multilevel Analysis. Qual. Life Res. 2009, 18, 1147–1157. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Vella, S.A.; Cliff, D.P.; Magee, C.A.; Okely, A.D. Sports Participation and Parent-Reported Health-Related Quality of Life in Children: Longitudinal Associations. J. Pediatr. 2014, 164, 1469–1474. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Chen, X.; Sekine, M.; Hamanishi, S.; Wang, H.; Gaina, A.; Yamagami, T.; Kagamimori, S. Lifestyles and Health-Related Quality of Life in Japanese School Children: A Cross-Sectional Study. Prev. Med. 2005, 40, 668–678. [Google Scholar] [CrossRef] [PubMed]
- Tercedor, P.; Villa-González, E.; Ávila-García, M.; Díaz-Piedra, C.; Martínez-Baena, A.; Soriano-Maldonado, A.; Pérez-López, I.J.; García-Rodríguez, I.; Mandic, S.; Palomares-Cuadros, J.; et al. A School-Based Physical Activity Promotion Intervention in Children: Rationale and Study Protocol for the PREVIENE Project. BMC Public Health 2017, 17, 748. [Google Scholar] [CrossRef] [Green Version]
- Cole, T.J. Establishing a Standard Definition for Child Overweight and Obesity Worldwide: International Survey. BMJ 2000, 320, 1240. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Troiano, R.P.; Berrigan, D.; Dodd, K.W.; Mâsse, L.C.; Tilert, T.; Mcdowell, M. Physical Activity in the United States Measured by Accelerometer. Med. Sci. Sports Exerc. 2008, 40, 181–188. [Google Scholar] [CrossRef]
- Migueles, J.H.; Cadenas-Sanchez, C.; Ekelund, U.; Delisle Nyström, C.; Mora-Gonzalez, J.; Löf, M.; Labayen, I.; Ruiz, J.R.; Ortega, F.B. Accelerometer Data Collection and Processing Criteria to Assess Physical Activity and Other Outcomes: A Systematic Review and Practical Considerations. Sports Med. 2017, 47, 1821–1845. [Google Scholar] [CrossRef] [PubMed]
- Chandler, J.L.; Brazendale, K.; Beets, M.W.; Mealing, B.A. Classification of Physical Activity Intensities Using a Wrist-Worn Accelerometer in 8-12-Year-Old Children. Pediatr. Obes. 2016, 11, 120–127. [Google Scholar] [CrossRef]
- Fernández-López, J.A.; Fernández Fidalgo, M.; Cieza, A.; Ravens-Sieberer, U. Medición de La Calidad de Vida En Niños y Adolescentes: Comprobación Preliminar de La Validez y Fiabilidad de La Versión Española Del Cuestionario KINDL. Aten. Primaria 2004, 33, 434–442. [Google Scholar] [CrossRef]
- Hullmann, S.E.; Ryan, J.L.; Ramsey, R.R.; Chaney, J.M.; Mullins, L.L. Measures of General Pediatric Quality of Life: Child Health Questionnaire (CHQ), DISABKIDS Chronic Generic Measure (DCGM), KINDL-R, Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales, and Quality of My Life Questionnaire (QoML). Arthritis Care Res. 2011, 63, 420–430. [Google Scholar] [CrossRef] [PubMed]
- Spearman, C. General Intelligence Objectively Determined and Measured. Am. J. Psychol. 1904, 15, 201–292. [Google Scholar] [CrossRef]
- Katzmarzyk, P.T.; Barreira, T.V.; Broyles, S.T.; Champagne, C.M.; Chaput, J.P.; Fogelholm, M.; Hu, G.; Johnson, W.D.; Kuriyan, R.; Kurpad, A.; et al. Relationship between Lifestyle Behaviors and Obesity in Children Ages 9–11: Results from a 12-Country Study. Obesity 2015, 23, 1696–1702. [Google Scholar] [CrossRef] [Green Version]
- Verloigne, M.; Van Lippevelde, W.; Maes, L.; Yildirim, M.; Chinapaw, M.; Manios, Y.; Androutsos, O.; Kovács, É.; Bringolf-Isler, B.; Brug, J.; et al. Levels of Physical Activity and Sedentary Time among 10- to 12-Year-Old Boys and Girls across 5 European Countries Using Accelerometers: An Observational Study within the ENERGY-Project. Int. J. Behav. Nutr. Phys. Act. 2012, 9, 1–8. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Ishii, K.; Shibata, A.; Adachi, M.; Nonoue, K.; Oka, K. Gender and Grade Differences in Objectively Measured Physical Activity and Sedentary Behavior Patterns among Japanese Children and Adolescents: A Cross-Sectional Study. BMC Public Health 2015, 15, 1–9. [Google Scholar] [CrossRef] [Green Version]
- Corr, M.; McSharry, J.; Murtagh, E.M. Adolescent Girls’ Perceptions of Physical Activity: A Systematic Review of Qualitative Studies. Am. J. Health Promot. 2019, 33, 806–819. [Google Scholar] [CrossRef] [PubMed]
- Kumahara, H.; Tanaka, H.; Schutz, Y. Daily Physical Activity Assessment: What Is the Importance of Upper Limb Movements vs Whole Body Movements? Int. J. Obes. 2004, 28, 1105–1110. [Google Scholar] [CrossRef] [Green Version]
- Xu, F.; Chen, G.; Stevens, K.; Zhou, H.R.; Qi, S.X.; Wang, Z.Y.; Hong, X.; Chen, X.P.; Yang, H.F.; Wang, C.C.; et al. Measuring and Valuing Health-Related Quality of Life among Children and Adolescents in Mainland China—A Pilot Study. PLoS ONE 2014, 9, e89222. [Google Scholar]
- Dalton, W.T.; Schetzina, K.E.; Pfortmiller, D.T.; Slawson, D.L.; Frye, W.S. Health Behaviors and Health-Related Quality of Life among Middle School Children in Southern Appalachia: Data from the Winning with Wellness Project. J. Pediatr. Psychol. 2011, 36, 677–686. [Google Scholar] [CrossRef]
- Gu, X.; Zhang, T.; Chen, S.; Keller, M.J.; Zhang, X. School-Based Sedentary Behavior, Physical Activity, and Health-Related Outcomes among Hispanic Children in the United States: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2020, 17, 1197. [Google Scholar] [CrossRef] [Green Version]
- Hoare, E.; Milton, K.; Foster, C.; Allender, S. The Associations between Sedentary Behaviour and Mental Health among Adolescents: A Systematic Review. Int. J. Behav. Nutr. Phys. Act. 2016, 13, 1–22. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Rodriguez-Ayllon, M.; Cadenas-Sánchez, C.; Estévez-López, F.; Muñoz, N.E.; Mora-Gonzalez, J.; Migueles, J.H.; Molina-García, P.; Henriksson, H.; Mena-Molina, A.; Martínez-Vizcaíno, V.; et al. Role of Physical Activity and Sedentary Behavior in the Mental Health of Preschoolers, Children and Adolescents: A Systematic Review and Meta-Analysis. Sports Med. 2019, 49, 1383–1410. [Google Scholar] [CrossRef] [PubMed]
- Dale, L.P.; Vanderloo, L.; Moore, S.; Faulkner, G. Physical Activity and Depression, Anxiety, and Self-Esteem in Children and Youth: An Umbrella Systematic Review. Ment. Health Phys. Act. 2019, 16, 66–79. [Google Scholar] [CrossRef]
- Wagnsson, S.; Lindwall, M.; Gustafsson, H. Participation in Organized Sport and Self-Esteem across Adolescence: The Mediating Role of Perceived Sport Competence. J. Sport Exerc. Psychol. 2014, 36, 584–594. [Google Scholar] [CrossRef]
- Adachi, P.J.C.; Willoughby, T. It’s Not How Much You Play, but How Much You Enjoy the Game: The Longitudinal Associations Between Adolescents’ Self-Esteem and the Frequency Versus Enjoyment of Involvement in Sports. J. Youth Adolesc. 2014, 43, 137–145. [Google Scholar] [CrossRef]
- Lubans, D.; Richards, J.; Hillman, C.; Faulkner, G.; Beauchamp, M.; Nilsson, M.; Kelly, P.; Smith, J.; Raine, L.; Biddle, S. Physical Activity for Cognitive and Mental Health in Youth: A Systematic Review of Mechanisms. Pediatrics 2016, 138, e20161642. [Google Scholar] [CrossRef] [Green Version]
- Biddle, S.J.H.; Asare, M. Physical Activity and Mental Health in Children and Adolescents: A Review of Reviews. Br. J. Sports Med. 2011, 45, 886–895. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Konstabel, K.; Veidebaum, T.; Verbestel, V.; Moreno, L.A.; Bammann, K.; Tornaritis, M.; Eiben, G.; Molnár, D.; Siani, A.; Sprengeler, O.; et al. Objectively Measured Physical Activity in European Children: The IDEFICS Study. Int. J. Obes. 2014, 38, S135–S143. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Barnett, L.M.; Morgan, P.J.; van Beurden, E.; Beard, J.R. Perceived Sports Competence Mediates the Relationship between Childhood Motor Skill Proficiency and Adolescent Physical Activity and Fitness: A Longitudinal Assessment. Int. J. Behav. Nutr. Phys. Act. 2008, 5, 1–12. [Google Scholar] [CrossRef] [Green Version]
- Brooks, F.; Magnusson, J. Physical Activity as Leisure: The Meaning of Physical Activity for the Health and Well-Being of Adolescent Women. Health Care Women Int. 2007, 28, 69–87. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Salway, R.; Emm-Collison, L.; Sebire, S.J.; Thompson, J.L.; Lawlor, D.A.; Jago, R. A Multilevel Analysis of Neighbourhood, School, Friend and Individual-Level Variation in Primary School Children’s Physical Activity. Int. J. Environ. Res. Public Health 2019, 16, 4889. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Larsen, M.N.; Elbe, A.M.; Madsen, M.; Madsen, E.E.; Ørntoft, C.; Ryom, K.; Dvorak, J.; Krustrup, P. An 11-Week School-Based “health Education through Football Programme” Improves Health Knowledge Related to Hygiene, Nutrition, Physical Activity and Well-Being-And It’s Fun! A Scaled-up, Cluster-RCT with over 3000 Danish School Children Aged 10-12 Years Old. Br. J. Sports Med. 2021, 11, 1–7. [Google Scholar]
- Liu, M.; Wu, L.; Ming, Q. How Does Physical Activity Intervention Improve Self-Esteem and Self-Concept in Children and Adolescents? Evidence from a Meta-Analysis. PLoS ONE 2015, 10, e0134804. [Google Scholar] [CrossRef] [PubMed]
- Hartwig, T.B.; Sanders, T.; Vaconcellos, D.; Noetel, M.; Parker, P.D.; Lubans, D.R.; Andrade, S.; Ávila-García, M.; Bartholomew, J.; Belton, S.; et al. School-Based Interventions Modestly Increase Physical Activity and Cardiorespiratory Fitness but Are Least Effective for Youth Who Need Them Most: An Individual Participant Pooled Analysis of 20 Controlled Trials. Br. J. Sports Med. 2021. [Google Scholar] [CrossRef]
- Loprinzi, P.D.; Smith, B. Comparison Between Wrist-Worn and Waist-Worn Accelerometry. J. Phys. Act. Health 2017, 14, 539–545. [Google Scholar] [CrossRef] [PubMed]
Total Mean ± SD | Males’ Mean ± SD | Females’ Mean ± SD | p-Value | |
---|---|---|---|---|
n | 459 | 232 | 227 | |
Age (years) | 8.45 ± 0.35 | 8.48 ± 0.36 | 8.43 ± 0.33 | 0.153 |
Weight (Kg) | 31.15 ± 6.86 | 31.46 ± 6.95 | 30.84 ± 6.77 | 0.337 |
Height (m) | 1.32 ± 0.05 | 1.32 ± 0.05 | 1.31 ± 0.05 | 0.008 |
BMI (Kg/m2) | 17.73 ± 2.99 | 17.70 ± 2.88 | 17.76 ± 3.10 | 0.822 |
PA | ||||
Sedentary time (min/day) | 502.73 ± 54.88 | 504.42 ± 54.29 | 500.99 ± 55.54 | 0.413 |
Light PA (min/day) | 233.01 ± 30.86 | 229.27 ± 29.89 | 236.82 ± 31.44 | 0.009 |
Moderate PA (min/day) | 94.14 ± 23.71 | 94.38 ± 22.90 | 93.89 ± 24.56 | 0.824 |
Vigorous PA (min/day) | 11.55 ± 6.73 | 14.42 ± 7.27 | 8.61 ± 4.54 | <0.001 |
MVPA (min/day) | 105.69 ± 27.90 | 108.81 ± 27.87 | 102.50 ± 27.62 | 0.015 |
HRQoL | ||||
Physical well-being | 77.15 ± 17.84 | 78.36 ± 16.27 | 75.90 ± 19.27 | 0.140 |
Emotional well-being | 84.95 ± 16.35 | 84.83 ± 16.07 | 85.07 ± 16.67 | 0.873 |
Self-esteem | 77.55 ± 23.14 | 77.07 ± 23.62 | 78.05 ± 22.69 | 0.650 |
Family | 83.68 ± 15.71 | 83.24 ± 15.06 | 84.14 ± 16.38 | 0.541 |
Friends | 82.92 ± 15.69 | 82.46 ± 14.86 | 83.39 ± 16.52 | 0.524 |
School | 68.04 ± 18.33 | 66.56 ± 16.76 | 69.54 ± 19.72 | 0.082 |
Total score | 77.31 ± 10.29 | 77.20 ± 9.60 | 77.42 ± 10.97 | 0.821 |
Sedentary Time | Light PA | Moderate PA | Vigorous PA | MVPA | |
---|---|---|---|---|---|
β | β | β | β | β | |
(CI) | (CI) | (CI) | (CI) | (CI) | |
Physical well-being | −0.23 | 0.43 | 0.3 | 2.05 | 0.31 |
(−0.50, 0.04) | (−0.05, 0.91) | (−0.29, 0.88) | (−0.25, 4.35) | (−0.19, 0.81) | |
Emotional well-being | −0.10 | 0.12 | 0.31 | 1.87 | 0.32 |
(−0.35, 0.15) | (−0.43, 0.46) | (−0.22, 0.85) | (−0.24, 3.98) | (−0.14, 0.77) | |
Self-esteem | −0.55 | 0.74 | 1.15 | 4.33 | 1.04 |
(−0.91, −0.20) | (0.12, 1.37) | (0.39, 1.90) | (1.33, 7.33) | (0.39, 1.68) | |
Family | −0.12 | 0.22 | 0.16 | 1.01 | 0.16 |
(−0.36, 0.12) | (−0.20, 0.65) | (−0.36, 0.70) | (−1.02, 3.05) | (−0.28, 0.60) | |
Friends | −0.23 | 0.32 | 0.48 | 1.31 | 0.41 |
(−0.47, 0.01) | (−0.11, 0.74) | (−0.03, 0.99) | (−0.72, 3.34) | (−0.02, 0.85) | |
School | −0.15 | 0.28 | 0.25 | 0.42 | 0.20 |
(−0.43, 0.13) | (−0.21, 0.78) | (−0.35, 0.84) | (−1.94, 2.76) | (−0.31, 0.71) | |
Total score | −0.20 | 0.30 | 0.36 | 1.40 | 0.33 |
(−0.35, −0.04) | (0.02, 0.58) | (0.03, 0.70) | (0.08, 2.73) | (0.05, 0.62) |
Sedentary Time | Light PA | Moderate PA | Vigorous PA | MVPA | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Males | Females | Males | Females | Males | Females | Males | Females | Males | Females | |
β | β | β | β | β | β | β | β | β | β | |
(CI) | (CI) | (CI) | (CI) | (CI) | (CI) | (CI) | (CI) | (CI) | (CI) | |
Physical well-being | −0.46 | −0.02 | 0.54 | 0.32 | 1.01 | −0.35 | 3.02 | −0.42 | 0.88 | −0.29 |
(−0.82, −0.10) | (−0.43, 0.39) | (−0.09, 1.17) | (−0.41, 1.06) | (0.25, 1.78) | (−1.22, 0.51) | (0.55, 5.50) | (−5.17, 4.33) | (0.26, 1.51) | (−1.06, 0.48) | |
Emotional well-being | −0.06 | −0.14 | −0.24 | 0.25 | 0.41 | 0.26 | 2.10 | 1.45 | 0.41 | 0.22 |
(−0.41, 0.30) | (−0.49, 0.22) | (−0.87, 0.39) | (−0.39, 0.88) | (−0.35, 1.18) | (−0.52, 0.97) | (−0.35, 4.56) | (−2.63, 5.53) | (−0.21, 1.04) | (−0.45, 0.88) | |
Self-esteem | −0.56 | −0.54 | 0.24 | 1.25 | 1.63 | 0.71 | 6.24 | −0.78 | 1.50 | 0.54 |
(−1.08, −0.04) | (−1.03, −0.06) | (−0.68, 1.15) | (0.38, 2.11) | (0.52, 2.73) | (−0.33, 1.75) | (2.71, 9.77) | (−6.49, 4.89) | (0.60, 1.41) | (−0.39, 1.46) | |
Family | 0.21 | −0.43 | −0.37 | 0.78 | −0.48 | 0.73 | 0.65 | 1.81 | −0.28 | 0.62 |
(−0.12, 0.55) | (−0.77, −0.08) | (−0.96, 0.21) | (0.18, 1.41) | (−1.20, 0.23) | (−0.01, 1.46) | (−1.66, 2.96) | (−2.21, 5.84) | (−0.87, 0.31) | (−0.03, 1.27) | |
Friends | −0.5 | 0.03 | 0.61 | 0.02 | 1.12 | −0.09 | 2.71 | −2.02 | 0.93 | −0.12 |
(−0.82, −0.18) | (−032, 0.38) | (0.04, 1.19) | (−0.61, 0.65) | (0.42, 1.81) | (−0.84, 0.66) | (0.45, 4.96) | (−6.07, 2.04) | (0.36, 1.50) | (−0.78, 0.54) | |
School | −0.33 | 0.01 | 0.34 | 0.23 | 0.79 | −2.24 | 2.13 | −0.41 | 0.67 | −0.29 |
(−0.70, 0.04) | (−0.41, 0.43) | (−0.31, 0.99) | (−0.52, 0.98) | (−0.01, 1.58) | (−1.12, 0.65) | (−0.42, 4.68) | (−0.83, 0.80) | (0.02, 1.32) | (−1.08, 0.50) | |
Total score | −0.23 | −0.16 | 0.18 | 0.41 | 0.60 | 0.15 | 2.21 | −0.69 | 0.55 | 0.09 |
(−0.45, −0.02) | (−0.39, 0.07) | (−0.20, 0.55) | (0.01, 0.83) | (0.15, 1.05) | (−0.35, 0.64) | (0.77, 3.66) | (−3.38, 2.01) | (0.18, 0.92) | (−0.34, 0.54) |
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Ávila-García, M.; Esojo-Rivas, M.; Villa-González, E.; Tercedor, P.; Huertas-Delgado, F.J. Relationship between Sedentary Time, Physical Activity, and Health-Related Quality of Life in Spanish Children. Int. J. Environ. Res. Public Health 2021, 18, 2702. https://doi.org/10.3390/ijerph18052702
Ávila-García M, Esojo-Rivas M, Villa-González E, Tercedor P, Huertas-Delgado FJ. Relationship between Sedentary Time, Physical Activity, and Health-Related Quality of Life in Spanish Children. International Journal of Environmental Research and Public Health. 2021; 18(5):2702. https://doi.org/10.3390/ijerph18052702
Chicago/Turabian StyleÁvila-García, Manuel, María Esojo-Rivas, Emilio Villa-González, Pablo Tercedor, and Francisco Javier Huertas-Delgado. 2021. "Relationship between Sedentary Time, Physical Activity, and Health-Related Quality of Life in Spanish Children" International Journal of Environmental Research and Public Health 18, no. 5: 2702. https://doi.org/10.3390/ijerph18052702
APA StyleÁvila-García, M., Esojo-Rivas, M., Villa-González, E., Tercedor, P., & Huertas-Delgado, F. J. (2021). Relationship between Sedentary Time, Physical Activity, and Health-Related Quality of Life in Spanish Children. International Journal of Environmental Research and Public Health, 18(5), 2702. https://doi.org/10.3390/ijerph18052702