Department of Clinical Nutrition, Wellbeing Services of County of South Ostrobothnia, 60220 Seinäjoki, Finland.
Institute of Biomedicine, Research Centre for Integrative Physiology and Pharmacology, University of Turku, 20014 Turku, Finland.
Nutrients. 2023 Mar 3;15(5):1264. doi: 10.3390/nu15051264.
Supporting a child's health-promoting lifestyle is an investment in their future health and health-related quality of life (HRQoL). Particularly children with overweight and obesity may be at an increased risk of a poor HRQoL. Currently, a comprehensive evaluation of lifestyle factors and age in relation to HRQoL in healthy children and, further, separate child and parental proxy-reports of HRQoL are lacking. The aims of this cross-sectional study in Finland are to compare healthy elementary school-aged children's and parents' reports of the child's HRQoL, and to view them in relation to lifestyle markers. The HRQoL was measured with Pediatric Quality of Life Inventory 4.0, and the following lifestyle markers: leisure-time physical activity as MET, diet quality via a validated index (ES-CIDQ), sleeping time and screen time by questionnaires. Furthermore, age and BMI were recorded. Data were obtained from 270 primary school-aged children (6-13 years). Female gender, the child's older age (8-13 years), high physical activity level and less screen time were strong predictors of a higher HRQoL in both the child's and parental proxy-reports. Means to promote healthy lifestyles should be particularly targeted to young children, especially boys, and new ways to promote physical activity and other forms of free-time activities should be sought.
支持儿童促进健康的生活方式是对他们未来健康和健康相关生活质量（HRQoL）的投资。特别是超重和肥胖的儿童可能面临较差的 HRQoL 风险增加。目前，缺乏对健康儿童生活方式因素和年龄与 HRQoL 之间的综合评估，以及对儿童和父母代理报告的 HRQoL 的单独评估。本研究在芬兰进行，旨在比较健康的小学生及其父母对儿童 HRQoL 的报告，并观察它们与生活方式标志物的关系。HRQoL 通过儿科生活质量量表 4.0 进行衡量，而生活方式标志物包括：通过验证的指数（ES-CIDQ）评估的饮食质量、通过问卷评估的闲暇时间身体活动量、睡眠时间和屏幕时间。此外，还记录了年龄和 BMI。从 270 名小学生（6-13 岁）中获得了数据。女性性别、儿童年龄较大（8-13 岁）、较高的身体活动水平和较少的屏幕时间是儿童和父母代理报告中 HRQoL 较高的强预测因素。应特别针对幼儿，特别是男孩，制定促进健康生活方式的措施，并寻求促进体育活动和其他形式的闲暇活动的新方法。
