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Impact of sleep duration, physical activity, and screen time on health-related quality of life in children and adolescents
BACKGROUND: Existing studies on health-related quality of life (HRQoL) mainly covered single growth stages of childhood or adolescence and did not report on the trends in the relationships of HRQoL with sleep duration, physical activity, and screen time. This study aimed to establish the population...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8117552/ https://www.ncbi.nlm.nih.gov/pubmed/33980245 http://dx.doi.org/10.1186/s12955-021-01776-y |
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author | Wong, Carlos K. H. Wong, Rosa S. Cheung, Jason P. Y. Tung, Keith T. S. Yam, Jason C. S. Rich, Michael Fu, King-Wa Cheung, Prudence W. H. Luo, Nan Au, Chi Ho Zhang, Ada Wong, Wilfred H. S. Fan, Jiang Lam, Cindy L. K. Ip, Patrick |
author_facet | Wong, Carlos K. H. Wong, Rosa S. Cheung, Jason P. Y. Tung, Keith T. S. Yam, Jason C. S. Rich, Michael Fu, King-Wa Cheung, Prudence W. H. Luo, Nan Au, Chi Ho Zhang, Ada Wong, Wilfred H. S. Fan, Jiang Lam, Cindy L. K. Ip, Patrick |
author_sort | Wong, Carlos K. H. |
collection | PubMed |
description | BACKGROUND: Existing studies on health-related quality of life (HRQoL) mainly covered single growth stages of childhood or adolescence and did not report on the trends in the relationships of HRQoL with sleep duration, physical activity, and screen time. This study aimed to establish the population norm of HRQoL in children and adolescents aged 6–17 years and examine the associations of screen time, sleep duration, and physical activity with HRQoL in this population. METHODS: We conducted a large-scale cross-sectional population-based survey study of Hong Kong children and adolescents aged 6 to 17 years. A representative sample of students were interviewed to assess their HRQoL using PedsQL and EQ-5D-Y-5L. Multivariable homoscedastic Tobit regression with linear form or restricted cubic spline of predictors was used to analyze the associations between screen time, sleep duration, and HRQoL. Multiple imputation by chained equations was performed to deal with missing data. RESULTS: A total of 7555 respondents (mean age 11.5, SD 3.2; 55.1% female) were sampled. Their EQ VAS scores, PedsQL physical summary scores, and psychosocial summary scores were positively correlated with sleep duration and moderate/vigorous activity but was negatively correlated with screen time. CONCLUSIONS: Children and adolescents who had longer exposure to screen, shorter sleep duration, and lower physical activity levels appeared to have poorer HRQoL as assessed by PedsQL and EQ-5D-Y-5L. Advice and guidance on screen time allocation for children and adolescents should be provided at the levels of school, community, and family. |
format | Online Article Text |
id | pubmed-8117552 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-81175522021-05-13 Impact of sleep duration, physical activity, and screen time on health-related quality of life in children and adolescents Wong, Carlos K. H. Wong, Rosa S. Cheung, Jason P. Y. Tung, Keith T. S. Yam, Jason C. S. Rich, Michael Fu, King-Wa Cheung, Prudence W. H. Luo, Nan Au, Chi Ho Zhang, Ada Wong, Wilfred H. S. Fan, Jiang Lam, Cindy L. K. Ip, Patrick Health Qual Life Outcomes Research BACKGROUND: Existing studies on health-related quality of life (HRQoL) mainly covered single growth stages of childhood or adolescence and did not report on the trends in the relationships of HRQoL with sleep duration, physical activity, and screen time. This study aimed to establish the population norm of HRQoL in children and adolescents aged 6–17 years and examine the associations of screen time, sleep duration, and physical activity with HRQoL in this population. METHODS: We conducted a large-scale cross-sectional population-based survey study of Hong Kong children and adolescents aged 6 to 17 years. A representative sample of students were interviewed to assess their HRQoL using PedsQL and EQ-5D-Y-5L. Multivariable homoscedastic Tobit regression with linear form or restricted cubic spline of predictors was used to analyze the associations between screen time, sleep duration, and HRQoL. Multiple imputation by chained equations was performed to deal with missing data. RESULTS: A total of 7555 respondents (mean age 11.5, SD 3.2; 55.1% female) were sampled. Their EQ VAS scores, PedsQL physical summary scores, and psychosocial summary scores were positively correlated with sleep duration and moderate/vigorous activity but was negatively correlated with screen time. CONCLUSIONS: Children and adolescents who had longer exposure to screen, shorter sleep duration, and lower physical activity levels appeared to have poorer HRQoL as assessed by PedsQL and EQ-5D-Y-5L. Advice and guidance on screen time allocation for children and adolescents should be provided at the levels of school, community, and family. BioMed Central 2021-05-12 /pmc/articles/PMC8117552/ /pubmed/33980245 http://dx.doi.org/10.1186/s12955-021-01776-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Wong, Carlos K. H. Wong, Rosa S. Cheung, Jason P. Y. Tung, Keith T. S. Yam, Jason C. S. Rich, Michael Fu, King-Wa Cheung, Prudence W. H. Luo, Nan Au, Chi Ho Zhang, Ada Wong, Wilfred H. S. Fan, Jiang Lam, Cindy L. K. Ip, Patrick Impact of sleep duration, physical activity, and screen time on health-related quality of life in children and adolescents |
title | Impact of sleep duration, physical activity, and screen time on health-related quality of life in children and adolescents |
title_full | Impact of sleep duration, physical activity, and screen time on health-related quality of life in children and adolescents |
title_fullStr | Impact of sleep duration, physical activity, and screen time on health-related quality of life in children and adolescents |
title_full_unstemmed | Impact of sleep duration, physical activity, and screen time on health-related quality of life in children and adolescents |
title_short | Impact of sleep duration, physical activity, and screen time on health-related quality of life in children and adolescents |
title_sort | impact of sleep duration, physical activity, and screen time on health-related quality of life in children and adolescents |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8117552/ https://www.ncbi.nlm.nih.gov/pubmed/33980245 http://dx.doi.org/10.1186/s12955-021-01776-y |
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