Chen Xiaoli, Sekine Michikazu, Hamanishi Shimako, Wang Hongbing, Gaina Alexandru, Yamagami Takashi, Kagamimori Sadanobu
Department of Welfare Promotion and Epidemiology, Faculty of Medicine, Toyama Medical and Pharmaceutical University, 2630 Sugitani, Toyama City, Toyama 930-0194, Japan.
Prev Med. 2005 Jun;40(6):668-78. doi: 10.1016/j.ypmed.2004.09.034.
Lifestyles are associated with physical and mental health status, as well as health-related quality of life (QOL) in adults. There is little information about relation between lifestyles and QOL in children. This study aims to examine the correlation among Japanese children.
Subjects were from the Toyama Birth Cohort Study, a prospective, longitudinal survey of children born between 1989 and 1990 in Toyama Prefecture, Japan. When children were 12-13 years in 2002, a cross-sectional questionnaire-based survey was administered. The questionnaire designed to measure lifestyles included questions on eating, physical activity, sleep, and other factors. For QOL measurement, a validated Japanese version of the COOP Charts was used. Data from 7,887 children were available and logistic regression analyses were used.
Children with undesirable lifestyles, such as skipping breakfast, less participation in physical activity, longer television viewing, and later bedtime, were more likely to have poor QOL in domains of physical fitness, feelings, overall health, and quality of life. These correlations were independent of sex, BMI, social background, and somatic symptoms.
Undesirable lifestyles are positively associated with impaired QOL among children. Further understanding of these relationships will facilitate the development of interventions to help children with poor QOL.
生活方式与成年人的身心健康状况以及与健康相关的生活质量（QOL）相关。关于儿童生活方式与生活质量之间关系的信息很少。本研究旨在调查日本儿童之间的相关性。
研究对象来自富山出生队列研究，这是一项对1989年至1990年在日本富山县出生的儿童进行的前瞻性纵向调查。2002年，当儿童12 - 13岁时，进行了一项基于问卷调查的横断面调查。旨在测量生活方式的问卷包括关于饮食、体育活动、睡眠和其他因素的问题。对于生活质量的测量，使用了经过验证的日文版COOP图表。共有7887名儿童的数据可用，并进行了逻辑回归分析。
生活方式不良的儿童，如不吃早餐、较少参加体育活动、看电视时间较长和就寝时间较晚，在身体素质、情绪、整体健康和生活质量等方面更有可能生活质量较差。这些相关性独立于性别、体重指数、社会背景和躯体症状。
不良生活方式与儿童生活质量受损呈正相关。进一步了解这些关系将有助于制定干预措施，以帮助生活质量较差的儿童。
