Solera-Sanchez Alba, Adelantado-Renau Mireia, Moliner-Urdiales Diego, Beltran-Valls Maria Reyes
LIFE Research Group, University Jaume I, Castellon, Spain.
Eur J Sport Sci. 2023 Feb;23(2):294-300. doi: 10.1080/17461391.2021.2012596. Epub 2021 Dec 29.
The purpose of the present study was to investigate the individual and combined impact of physical fitness components at baseline on health-related quality of life (HRQoL) at 24-month follow-up in adolescents. This longitudinal research included 199 adolescents (13.9±0.3 years at baseline) from the DADOS study. Cardiorespiratory fitness was assessed using the 20-m shuttle run test. Muscular strength was assessed using the standing broad jump test. Motor competence was assessed using the 4 × 10-m shuttle run test. A physical fitness z-score was calculated as the mean of the z-scores values of each fitness test. A fitness index ranging from 0 to 3 was created according to the number of physical fitness components in which participants achieved high levels according to normative values. HRQoL was evaluated by the KIDSCREEN-10 questionnaire. Linear regression analyses showed that cardiorespiratory fitness, muscular strength, and the physical fitness z-score at baseline were individually associated with HRQoL at follow-up (β ranging from 0.123 to 0.183; all < 0.05). Moreover, logistic regression analysis revealed that adolescents with a fitness index ≥1 at baseline were more likely to achieve high HRQoL at 24-month follow-up, compared with their peers with an index of 0 (OR ranging from 3.554 to 9.087; all < 0.05). Our results revealed an individual and cumulative positive impact of physical fitness at baseline on HRQoL at 24-month follow-up These findings underline the key role of promoting the enhancement of overall physical fitness components in order to improve adolescents' health and well-being. Adolescents with high levels of cardiorespiratory fitness, muscular strength and motor competence will benefit from a greater physical and mental well-being over the time.The more physical fitness components with optimal levels, the greater likelihood of reaching better HRQoL over the time.Public health authorities should focus on the promotion of multiple physical fitness components to increase adolescent's likelihood of achieving greater HRQoL over the time.
本研究的目的是调查青少年基线时身体素质各组成部分对24个月随访时健康相关生活质量(HRQoL)的个体及综合影响。这项纵向研究纳入了DADOS研究中的199名青少年(基线时年龄为13.9±0.3岁)。使用20米往返跑测试评估心肺适能。使用立定跳远测试评估肌肉力量。使用4×10米往返跑测试评估运动能力。身体素质z分数计算为每项体能测试z分数值的平均值。根据参与者根据规范值达到高水平的身体素质组成部分的数量,创建了一个范围从0到3的体能指数。通过KIDSCREEN - 10问卷评估HRQoL。线性回归分析表明,基线时的心肺适能、肌肉力量和身体素质z分数分别与随访时的HRQoL相关(β范围从0.123至0.183;均<0.05)。此外,逻辑回归分析显示,与基线体能指数为0的同龄人相比,基线体能指数≥1的青少年在24个月随访时更有可能实现高HRQoL(OR范围从3.554至9.087;均<0.05)。我们的结果揭示了基线时身体素质对24个月随访时HRQoL的个体和累积积极影响。这些发现强调了促进整体身体素质组成部分提升对于改善青少年健康和幸福感的关键作用。心肺适能、肌肉力量和运动能力水平高的青少年将随着时间推移从更大的身心健康中受益。身体素质组成部分达到最佳水平的越多,随着时间推移达到更好HRQoL的可能性就越大。公共卫生当局应专注于促进多种身体素质组成部分,以增加青少年随着时间推移实现更高HRQoL的可能性。