儿童健康相关生活质量与体能和通勤方式有关吗？PREVIENE 项目。
Is children's health-related quality of life associated with physical fitness and mode of commuting? PREVIENE Project.
机构信息
PROFITH 'PROmoting FITness and Health through Physical Activity' Research Group, Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain.
PA-HELP Physical Activity for Health Promotion Research Group, Department of Musical, Plastic and Body Expression Didactics, La Inmaculada, Teacher Training Centre, University of Granada, Granada, Spain.
出版信息
Perspect Public Health. 2021 Mar;141(2):102-110. doi: 10.1177/1757913921992405.
AIM
The aims of this study were (1) to examine the associations between self-reported health-related quality of life (HRQoL), health-related physical fitness (cardiorespiratory fitness, muscular strength, and speed-agility), and mode of commuting to and from school in Spanish children, and separately by gender and (2) to analyse the difference in cardiorespiratory fitness by mode of commuting to and from school by gender.
METHODS
We conducted a cross-sectional analysis that included 415 children aged 8.47 ± 0.36 years from 14 schools in Granada, Spain. The HRQoL outcome was assessed using the valid and reliable KINDL-R questionnaire, which covers six life dimensions, children's physical fitness was assessed using the ALPHA fitness test battery, and while commuting to and from school was assessed using the valid, reliable, and feasible 'Mode and Frequency of Commuting To and From School Questionnaire'.
RESULTS
Cardiorespiratory fitness was positively correlated with all dimensions of HRQoL in boys, whereas higher muscular strength (standing long jump) was positively correlated with the emotional wellbeing dimension in girls. In addition, boys who actively commute to school (walking) presented better cardiorespiratory fitness. Moreover, children who actively commuted to school (walking) presented better scores for the emotional wellbeing, family, and school dimensions, as well as total scores (both, < .05) of HRQoL.
CONCLUSION
In our study, HRQoL was positively correlated with cardiorespiratory fitness in boys (all dimensions), whereas muscular strength (standing long jump) was positively correlated with the emotional wellbeing dimension only in girls. Active commuting to and from school was associated with higher levels of cardiorespiratory fitness, school dimension, and KINDL-R total score. Improving cardiorespiratory fitness might be especially useful to improve HRQoL in children, and vice versa.
目的
本研究旨在（1）探讨西班牙儿童自我报告的健康相关生活质量（HRQoL）、与健康相关的体能（心肺功能、肌肉力量和速度敏捷性）以及往返学校的交通方式之间的关联，并分别按性别进行分析；（2）分析按性别往返学校的交通方式对心肺功能的差异。
方法
我们进行了一项横断面分析，纳入了来自西班牙格拉纳达 14 所学校的 415 名 8.47±0.36 岁的儿童。使用经过验证和可靠的 KINDL-R 问卷评估 HRQoL 结果，该问卷涵盖了六个生活维度，使用 ALPHA 体能测试电池评估儿童的体能，使用经过验证、可靠和可行的“往返学校的模式和频率问卷”评估往返学校的交通方式。
结果
男孩的心肺功能与 HRQoL 的所有维度均呈正相关，而较高的肌肉力量（立定跳远）与女孩的情绪健康维度呈正相关。此外，积极步行往返学校的男孩心肺功能更好。此外，积极步行往返学校的儿童在情绪健康、家庭和学校维度以及 HRQoL 的总得分（均<.05）方面表现出更好的得分。
结论
在我们的研究中，HRQoL 与男孩的心肺功能（所有维度）呈正相关，而肌肉力量（立定跳远）仅与女孩的情绪健康维度呈正相关。积极往返学校与更高的心肺功能、学校维度和 KINDL-R 总分相关。提高心肺功能可能对改善儿童的 HRQoL 特别有用，反之亦然。
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