Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/121814
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Type: Journal article
Title: Human development index, children's health-related quality of life and movement behaviors: a compositional data analysis
Author: Dumuid, D.
Maher, C.
Lewis, L.K.
Stanford, T.E.
Martín Fernández, J.A.
Ratcliffe, J.
Katzmarzyk, P.T.
Barreira, T.V.
Chaput, J.P.
Fogelholm, M.
Hu, G.
Maia, J.
Sarmiento, O.L.
Standage, M.
Tremblay, M.S.
Tudor-Locke, C.
Olds, T.
Citation: Quality of Life Research, 2018; 27(6):1473-1482
Publisher: Springer Nature
Issue Date: 2018
ISSN: 0962-9343
1573-2649
Statement of
Responsibility: 
Dorothea Dumuid, Carol Maher, Lucy K. Lewis, Tyman E. Stanford, Josep Antoni Martín Fernández, Julie Ratcliffe, Peter T. Katzmarzyk, Tiago V. Barreira, Jean-Philippe Chaput, Mikael Fogelholm, Gang Hu, José Maia, Olga L. Sarmiento, Martyn Standage, Mark S. Tremblay, Catrine Tudor-Locke, Timothy Olds
Abstract: Purpose: Health-related quality of life has been related to physical activity, sedentary behavior, and sleep among children from developed nations. These relationships have rarely been assessed in developing nations, nor have behaviors been considered in their true context, as mutually exclusive and exhaustive parts of the movement behavior composition. This study aimed to explore whether children's health-related quality of life is related to their movement behavior composition and if the relationship differs according to human development index. Methods: Children aged 9-11 years (n = 5855), from the 12-nation cross-sectional observational International Study of Childhood Obesity, Lifestyle and the Environment 2011-2013, self-reported their health-related quality of life (KIDSCREEN-10). Daily movement behaviors were from 24-h, 7-day accelerometry. Isometric log-ratio mixed-effect linear models were used to calculate estimates for difference in health-related quality of life for the reallocation of time between daily movement behaviors. Results: Children from countries of higher human development index reported stronger positive relationships between health-related quality of life and moderate-to-vigorous physical activity, relative to the remaining behaviors (r = 0.75, p = 0.005) than those from lower human development index countries. In the very high human development index strata alone, health-related quality of life was significantly related to the movement behavior composition (p = 0.005), with moderate-to-vigorous physical activity (relative to remaining behaviors) being positively associated with health-related quality of life. Conclusions: The relationship between children's health-related quality of life and their movement behaviors is moderated by their country's human development index. This should be considered when 24-h movement behavior guidelines are developed for children around the world.
Keywords: Physical activity; sedentary behaviour; sleep; compositional data; human development index
Rights: © Springer International Publishing AG, part of Springer Nature 2018
DOI: 10.1007/s11136-018-1791-x
Published version: http://dx.doi.org/10.1007/s11136-018-1791-x
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