Psychology Research Institute, Ulster University, Cromore Road, Coleraine, BT52 1SA, Northern Ireland, UK.
Division of Psychology, University of Bradford, Bradford, BD7 1DP, West Yorkshire, UK.
Health Qual Life Outcomes. 2023 May 18;21(1):46. doi: 10.1186/s12955-023-02129-7.
Understanding how health-related quality of life (HRQoL) is related to lifestyle factors during adolescence is crucial to effective health promotion. The aim of this analysis was to identify associations between HRQoL and lifestyle and to determine the degree to which they are mediated by food choices in adolescents.
The Wellbeing in Schools (NI) survey (N = 1609; 13-14 years) assessed HRQoL using the Kidscreen52. Food choice was assessed by Food Frequency Questionnaire (FFQ) and physical activity was assessed using the Physical Activity Questionnaire for Adolescents (PAQ-A). Social media and alcohol abstinence were self-reported.
Path analysis indicated that fruit and vegetable intake was associated with higher HRQoL on dimensions of moods and emotions, parent relations and home life, financial resources, and social support and peers. Bread and diary intake was related to higher physical wellbeing. Protein was associated with higher psychological wellbeing, moods and emotions, self-perception, parent relations and home life, financial resources, and lower social support and peers. Junk food was related to lower moods and emotions. Males had higher psychological wellbeing, moods and emotions, parental relations and home life. Females had higher self-perception, autonomy, and social support and peers. Greater physical activity explained higher HRQoL on all dimensions. Less social media was associated with higher psychological wellbeing, moods and emotions, self-perception, parent relations and home life, and school environment. Alcohol abstinence was associated with higher physical wellbeing, psychological wellbeing, moods and emotions, self-perception, parent relations and home life, and school environment dimensions.
Intervention to promote HRQoL in adolescents should consider food choices whilst encouraging physical activity, discouraging social media and deterring alcohol, and targeting boys and girls separately.
了解青少年时期健康相关生活质量（HRQoL）与生活方式因素的关系对于有效的健康促进至关重要。本分析的目的是确定 HRQoL 与生活方式之间的关联，并确定它们在多大程度上被青少年的食物选择所中介。
Wellbeing in Schools (NI) 调查（N=1609；13-14 岁）使用 Kidscreen52 评估 HRQoL。通过食物频率问卷（FFQ）评估食物选择，通过青少年体力活动问卷（PAQ-A）评估体力活动。社交媒体和酒精禁欲情况由自我报告。
路径分析表明，水果和蔬菜的摄入量与情绪和情绪、父母关系和家庭生活、经济资源以及社会支持和同伴等方面的 HRQoL 更高有关。面包和奶制品的摄入量与更高的身体健康有关。蛋白质与更高的心理幸福感、情绪和情绪、自我认知、父母关系和家庭生活、经济资源以及更低的社会支持和同伴有关。垃圾食品与情绪低落有关。男性具有更高的心理幸福感、情绪和情绪、父母关系和家庭生活。女性具有更高的自我认知、自主性以及社会支持和同伴。更多的体力活动解释了所有维度的更高 HRQoL。较少的社交媒体与更高的心理幸福感、情绪和情绪、自我认知、父母关系和家庭生活以及学校环境有关。酒精禁欲与更高的身体健康、心理幸福感、情绪和情绪、自我认知、父母关系和家庭生活以及学校环境维度有关。
在青少年中促进 HRQoL 的干预措施应考虑食物选择，同时鼓励体力活动、减少社交媒体和阻止饮酒，并分别针对男孩和女孩。
