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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

Physical Activity and Sedentary Behaviors and Health-Related Quality of Life in Adolescents

Bamini Gopinath, Louise L. Hardy, Louise A. Baur, George Burlutsky and Paul Mitchell
Pediatrics July 2012, 130 (1) e167-e174; DOI: https://doi.org/10.1542/peds.2011-3637
Bamini Gopinath
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Louise L. Hardy
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Louise A. Baur
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George Burlutsky
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Paul Mitchell
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Abstract

OBJECTIVE: Our goal was to assess cross-sectional and longitudinal associations between physical activity and sedentary behaviors (television viewing, computer and video-game usage, and reading) with health-related QoL.

METHODS: Of 2353 children surveyed (median age: 12.7 years), 1216 were resurveyed 5 years later, and 475 were newly recruited into the study (N = 1691). Children completed detailed activity questionnaires. Health-related QoL was assessed by using the Pediatric Quality of Life Inventory (PedsQL).

RESULTS: Cross-sectionally, after multivariable adjustment, adolescents in the highest versus lowest tertile of time spent in outdoor physical activity and television viewing had a higher (Ptrend = .001) and lower (Ptrend = .0003) total PedsQL score, respectively. Adolescents who remained in the highest tertiles compared with those in the lowest tertiles of total physical activity over the 5 years had significantly higher scores in the following areas: total (Ptrend = .04), physical summary (Ptrend = .0001), and social (Ptrend = .02) domains. Conversely, those in the highest versus lowest tertile of screen-viewing time during follow-up reported significantly lower values in the following areas: total score (6.34-unit difference), physical summary (4.86-unit difference), psychosocial summary (7.09-unit difference), and emotional (8.33-unit difference) and school (9.78-unit difference) domains.

CONCLUSIONS: Regular physical activity over the long-term was associated with higher perceived health-related QoL among adolescents. Conversely, lower PedsQL scores were observed among those who spent the most time in screen-viewing activities. Improved understanding of these relationships could help in developing interventions to promote general well-being among adolescents.

KEY WORDS
  • adolescents
  • physical activity
  • quality of life
  • screen time
  • Sydney Childhood Eye Study
  • Abbreviations:
    PedsQL —
    Pediatric Quality of Life Inventory
    QoL —
    quality of life
    • Accepted March 15, 2012.
    • Copyright © 2012 by the American Academy of Pediatrics

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    Pediatrics
    Vol. 130, Issue 1
    1 Jul 2012
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    Physical Activity and Sedentary Behaviors and Health-Related Quality of Life in Adolescents
    Bamini Gopinath, Louise L. Hardy, Louise A. Baur, George Burlutsky, Paul Mitchell
    Pediatrics Jul 2012, 130 (1) e167-e174; DOI: 10.1542/peds.2011-3637

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    Physical Activity and Sedentary Behaviors and Health-Related Quality of Life in Adolescents
    Bamini Gopinath, Louise L. Hardy, Louise A. Baur, George Burlutsky, Paul Mitchell
    Pediatrics Jul 2012, 130 (1) e167-e174; DOI: 10.1542/peds.2011-3637
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