Health & Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain.
Scand J Med Sci Sports. 2009 Dec;19(6):879-84. doi: 10.1111/j.1600-0838.2008.00839.x. Epub 2008 Oct 14.
This study examined the differences in quality of life (QoL) between active and sedentary schoolchildren and analyzed these differences by gender and weight status. A total of 1409 children, aged 11-13 years, from 20 schools located in 20 municipalities of the province of Cuenca were invited to participate in a cross-sectional study; 1073 children agreed (76.15% response rate), of which 536 (49.9%) were boys. QoL was measured with Child Health and Illness Profile-Child Edition (CHIP-CE), an instrument measuring children's perception of their own health using a Likert-type scale with five dimensions: satisfaction, comfort, resilience, risk avoidance, and achievement. Multivariate analysis of variance using the scores of the different CHIP-CE dimensions as dependent variables, physical activity, gender, and body mass index (BMI) category as fixed factors, and age as co-variate showed the following: (1) the scores of active children were significantly better than the scores of sedentary children for every dimension except risk avoidance; (2) there were no significant differences in QoL by BMI category; and (3) girls had better mean scores than boys for resilience, risk avoidance, and achievement, and worse scores for comfort. These results suggest that active children have a better QoL and that gender differences favoring boys diminish or even reverse to favor active girls.
本研究旨在探讨活跃与久坐儿童生活质量(QoL)的差异,并按性别和体重状况对这些差异进行分析。共有来自昆卡省 20 个市的 20 所学校的 1409 名 11-13 岁儿童受邀参加一项横断面研究,其中 1073 名儿童(76.15%的应答率)同意参与。参与者中 536 名为男孩(49.9%)。使用儿童健康和疾病概况-儿童版(CHIP-CE)评估 QoL,该工具采用李克特量表评估儿童对自身健康的感知,包含五个维度:满意度、舒适度、适应力、风险规避和成就。使用不同 CHIP-CE 维度的得分作为因变量,将身体活动、性别和体重指数(BMI)类别作为固定因素,年龄作为协变量进行多变量方差分析,结果如下:(1)除风险规避维度外,活跃儿童在每个维度的得分均显著优于久坐儿童;(2)BMI 类别对 QoL 无显著影响;(3)与男孩相比,女孩在适应力、风险规避和成就维度的平均得分更高,在舒适度维度的得分更低。这些结果表明,活跃儿童的生活质量更好,且性别差异对男孩有利的情况减弱甚至反转,对活跃的女孩有利。