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16-11-2020

Health-related quality of life in adolescents: individual and combined impact of health-related behaviors (DADOS study)

Auteurs: Alba Solera-Sanchez, Mireia Adelantado-Renau, Diego Moliner-Urdiales, Maria Reyes Beltran-Valls

Gepubliceerd in: Quality of Life Research | Uitgave 4/2021

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Abstract

Purpose

To investigate the individual and combined effect of physical activity, adherence to the Mediterranean diet, sleep quality, sleep duration, and screen time on health-related quality of life (HRQoL) in adolescents.

Methods

This is a cross-sectional analysis with 262 adolescents (13.9 ± 0.3 years) from DADOS (Deporte, ADOlescencia y Salud) study. Physical activity was assessed with a wrist-worn GENEActiv triaxial accelerometer. Adherence to the Mediterranean diet was evaluated by the KIDMED questionnaire. Sleep patterns were self-reported through the Spanish version of Pittsburgh Sleep Quality Index questionnaire. Screen time was assessed through the HELENA sedentary behavior questionnaire. HRQoL was measured using the KIDSCREEN-10 questionnaire. Scores were categorized into low and high using a normative cut-off used to identify factors associated with being in a high HRQoL group. A healthy lifestyle index was created including positive scores for each individual behavior, and five categories of achievement were established (0, 1, 2, 3, ≥ 4).

Results

Sleep patterns and screen time revealed a significant individual relationship with HRQoL (p < 0.05). Adolescents achieving ≥ 3 positive health-related behaviors showed higher HRQoL levels compared to those fulfilling none (p < 0.05). Logistic regression analysis revealed an increased likelihood of high HRQoL according to the number of positive health-related behaviors achieved (p < 0.05).

Conclusions

Our results reveal higher levels of HRQoL in those adolescents achieving ≥ 3 health-related behaviors compared to their peers achieving none. Moreover, our findings show a cumulative effect of health-related behaviors on HRQoL. These findings underline the key role of promoting a healthy lifestyle in order to improve adolescents’ health and well-being.
Literatuur
1.
go back to reference Hays, R., & Reeve, B. (2010). Measurement and modeling of health-related quality of life. In J. Z. J. Killewo, K. Heggenhougen, & S. R. Quah (Eds.), Epidemiology and demography in Public Health. Cambridge: Academic Press. Hays, R., & Reeve, B. (2010). Measurement and modeling of health-related quality of life. In J. Z. J. Killewo, K. Heggenhougen, & S. R. Quah (Eds.), Epidemiology and demography in Public Health. Cambridge: Academic Press.
2.
go back to reference Ravens-Sieberer, U., Gosh, A., Erhart, M., von Rueden, U., Nickel, J., & Kurth, B.-M. (2006). The KIDSCREEN questionnaires: Quality of life questionnaires for children and adolescents. Lengerich: Handbook. Ravens-Sieberer, U., Gosh, A., Erhart, M., von Rueden, U., Nickel, J., & Kurth, B.-M. (2006). The KIDSCREEN questionnaires: Quality of life questionnaires for children and adolescents. Lengerich: Handbook.
3.
go back to reference Costarelli, V., Koretsi, E., & Georgitsogianni, E. (2013). Health-related quality of life of Greek adolescents: the role of the Mediterranean diet. Quality of Life Research, 22(5), 951–956.CrossRef Costarelli, V., Koretsi, E., & Georgitsogianni, E. (2013). Health-related quality of life of Greek adolescents: the role of the Mediterranean diet. Quality of Life Research, 22(5), 951–956.CrossRef
4.
go back to reference de Matos, M. G., Marques, A., Gaspar, T., & Paiva, T. (2017). Perception of quantity and quality of sleep and their association with health related quality of life and life satisfaction during adolescence. Health Education and Care, 2(2), 1–6. de Matos, M. G., Marques, A., Gaspar, T., & Paiva, T. (2017). Perception of quantity and quality of sleep and their association with health related quality of life and life satisfaction during adolescence. Health Education and Care, 2(2), 1–6.
5.
go back to reference Gopinath, B., Hardy, L. L., Baur, L. A., Burlutsky, G., & Mitchell, P. (2012). Physical activity and sedentary behaviors and health-related quality of life in adolescents. Pediatrics, 130(1), e167–e174.CrossRef Gopinath, B., Hardy, L. L., Baur, L. A., Burlutsky, G., & Mitchell, P. (2012). Physical activity and sedentary behaviors and health-related quality of life in adolescents. Pediatrics, 130(1), e167–e174.CrossRef
6.
go back to reference Mireku, M. O., Barker, M. M., Mutz, J., Dumontheil, I., Thomas, M. S. C., Röösli, M., … Toledano, M. B. (2019). Night-time Screen-Based Media Device Use and Adolescents’ Sleep and Health-Related Quality of Life. Environment International, 124, 66–78 Mireku, M. O., Barker, M. M., Mutz, J., Dumontheil, I., Thomas, M. S. C., Röösli, M., … Toledano, M. B. (2019). Night-time Screen-Based Media Device Use and Adolescents’ Sleep and Health-Related Quality of Life. Environment International, 124, 66–78
7.
go back to reference Roeser, K., Eichholz, R., Schwerdtle, B., Schlarb, A. A., & Kübler, A. (2012). Relationship of sleep quality and health-related quality of life in adolescents according to self- and proxy ratings: A questionnaire survey. Frontiers in Psychiatry, 3(9), 76.PubMedPubMedCentral Roeser, K., Eichholz, R., Schwerdtle, B., Schlarb, A. A., & Kübler, A. (2012). Relationship of sleep quality and health-related quality of life in adolescents according to self- and proxy ratings: A questionnaire survey. Frontiers in Psychiatry, 3(9), 76.PubMedPubMedCentral
8.
go back to reference Wu, X. Y., Han, L. H., Zhang, J. H., Luo, S., Hu, J. W., & Sun, K. (2017). The influence of physical activity, sedentary behavior on health-related quality of life among the general population of children and adolescents: A systematic review. Quality of Life Research, 28(8), 1989–2015.CrossRef Wu, X. Y., Han, L. H., Zhang, J. H., Luo, S., Hu, J. W., & Sun, K. (2017). The influence of physical activity, sedentary behavior on health-related quality of life among the general population of children and adolescents: A systematic review. Quality of Life Research, 28(8), 1989–2015.CrossRef
9.
go back to reference Burdette, A. M., Needham, B. L., Taylor, M. G., & Hill, T. D. (2017). Health lifestyles in adolescence and self-rated health into adulthood. Journal of Health and Social Behavior, 58(4), 520–536.CrossRef Burdette, A. M., Needham, B. L., Taylor, M. G., & Hill, T. D. (2017). Health lifestyles in adolescence and self-rated health into adulthood. Journal of Health and Social Behavior, 58(4), 520–536.CrossRef
10.
go back to reference Pronk, N. P., Anderson, L. H., Crain, A. L., Martinson, B. C., O’Connor, P. J., Sherwood, N. E., & Whitebird, R. R. (2004). Meeting recommendations for multiple healthy lifestyle factors: Prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. American Journal of Preventive Medicine, 27, 25–33.CrossRef Pronk, N. P., Anderson, L. H., Crain, A. L., Martinson, B. C., O’Connor, P. J., Sherwood, N. E., & Whitebird, R. R. (2004). Meeting recommendations for multiple healthy lifestyle factors: Prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. American Journal of Preventive Medicine, 27, 25–33.CrossRef
11.
go back to reference Atallah, N., Adjibade, M., Lelong, H., Hercberg, S., Galan, P., Assmann, K. E., & Kesse-Guyot, E. (2018). How healthy lifestyle factors at midlife relate to healthy aging. Nutrients, 10(7), 20.CrossRef Atallah, N., Adjibade, M., Lelong, H., Hercberg, S., Galan, P., Assmann, K. E., & Kesse-Guyot, E. (2018). How healthy lifestyle factors at midlife relate to healthy aging. Nutrients, 10(7), 20.CrossRef
12.
go back to reference Veronese, N., Li, Y., Manson, J. E., Willett, W. C., Fontana, L., & Hu, F. B. (2016). Combined associations of body weight and lifestyle factors with all cause and cause specific mortality in men and women: Prospective cohort study. BMJ (Online), 355, 854. Veronese, N., Li, Y., Manson, J. E., Willett, W. C., Fontana, L., & Hu, F. B. (2016). Combined associations of body weight and lifestyle factors with all cause and cause specific mortality in men and women: Prospective cohort study. BMJ (Online), 355, 854.
13.
go back to reference May, A. M., Romaguera, D., Travier, N., Ekelund, U., Bergmann, M. M., Kaaks, R., … Peeters, P. H. M. (2012). Combined Impact of Lifestyle Factors on Prospective Change in Body Weight and Waist Circumference in Participants of the EPIC-PANACEA Study. PLoS ONE, 7(11), e50712. May, A. M., Romaguera, D., Travier, N., Ekelund, U., Bergmann, M. M., Kaaks, R., … Peeters, P. H. M. (2012). Combined Impact of Lifestyle Factors on Prospective Change in Body Weight and Waist Circumference in Participants of the EPIC-PANACEA Study. PLoS ONE, 7(11), e50712.
14.
go back to reference Marques, A., Peralta, M., Santos, T., Martins, J., & Gaspar de Matos, M. (2019). Self-rated health and health-related quality of life are related with adolescents’ healthy lifestyle. Public Health, 170, 89–94.CrossRef Marques, A., Peralta, M., Santos, T., Martins, J., & Gaspar de Matos, M. (2019). Self-rated health and health-related quality of life are related with adolescents’ healthy lifestyle. Public Health, 170, 89–94.CrossRef
15.
go back to reference Esliger, D. W., Rowlands, A. V., Hurst, T. L., Catt, M., Murray, P., & Eston, R. G. (2011). Validation of the GENEA accelerometer. Medicine and Science in Sports and Exercise, 43(6), 1085–1093.CrossRef Esliger, D. W., Rowlands, A. V., Hurst, T. L., Catt, M., Murray, P., & Eston, R. G. (2011). Validation of the GENEA accelerometer. Medicine and Science in Sports and Exercise, 43(6), 1085–1093.CrossRef
16.
go back to reference Phillips, L. R. S., Parfitt, G., & Rowlands, A. V. (2013). Calibration of the GENEA accelerometer for assessment of physical activity intensity in children. Journal of Science and Medicine in Sport, 16(2), 124–128.CrossRef Phillips, L. R. S., Parfitt, G., & Rowlands, A. V. (2013). Calibration of the GENEA accelerometer for assessment of physical activity intensity in children. Journal of Science and Medicine in Sport, 16(2), 124–128.CrossRef
17.
go back to reference Hrafnkelsdottir, S. M., Brychta, R. J., Rognvaldsdottir, V., Gestsdottir, S., Chen, K. Y., Johannsson, E., … Arngrimsson, S. A. (2018). Less screen time and more frequent vigorous physical activity is associated with lower risk of reporting negative mental health symptoms among Icelandic adolescents. PLoS ONE, 13(4), e0196286 Hrafnkelsdottir, S. M., Brychta, R. J., Rognvaldsdottir, V., Gestsdottir, S., Chen, K. Y., Johannsson, E., … Arngrimsson, S. A. (2018). Less screen time and more frequent vigorous physical activity is associated with lower risk of reporting negative mental health symptoms among Icelandic adolescents. PLoS ONE, 13(4), e0196286
18.
go back to reference Tarp, J., Child, A., White, T., Westgate, K., Bugge, A., Grøntved, A., … Brage, S. (2018). Physical activity intensity, bout-duration, and cardiometabolic risk markers in children and adolescents. International Journal of Obesity, 42(9), 1639–1650. Tarp, J., Child, A., White, T., Westgate, K., Bugge, A., Grøntved, A., … Brage, S. (2018). Physical activity intensity, bout-duration, and cardiometabolic risk markers in children and adolescents. International Journal of Obesity, 42(9), 1639–1650.
19.
go back to reference Serra-Majem, L., Ribas, L., Ngo, J., Ortega, R. M., García, A., Pérez-Rodrigo, C., & Aranceta, J. (2004). Food, youth and the Mediterranean diet in Spain: development of KIDMED, Mediterranean diet quality index in children and adolescents. Public Health Nutrition, 7(7), 931–935.CrossRef Serra-Majem, L., Ribas, L., Ngo, J., Ortega, R. M., García, A., Pérez-Rodrigo, C., & Aranceta, J. (2004). Food, youth and the Mediterranean diet in Spain: development of KIDMED, Mediterranean diet quality index in children and adolescents. Public Health Nutrition, 7(7), 931–935.CrossRef
20.
go back to reference Royuela Rico, A., & Macías Fernández, J. (1997). Propiedades clinimetricas de la versión castellana del cuestionario de Pittsburgh. Vigilia-Sueño, 9, 81–94. Royuela Rico, A., & Macías Fernández, J. (1997). Propiedades clinimetricas de la versión castellana del cuestionario de Pittsburgh. Vigilia-Sueño, 9, 81–94.
21.
go back to reference Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213.CrossRef Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213.CrossRef
22.
go back to reference Grandner, M. A., Kripke, D. F., Yoon, I. Y., & Youngstedt, S. D. (2006). Criterion validity of the Pittsburgh sleep quality index: Investigation in a non-clinical sample. Sleep and Biological Rhythms, 4(2), 129–136.CrossRef Grandner, M. A., Kripke, D. F., Yoon, I. Y., & Youngstedt, S. D. (2006). Criterion validity of the Pittsburgh sleep quality index: Investigation in a non-clinical sample. Sleep and Biological Rhythms, 4(2), 129–136.CrossRef
23.
go back to reference de la Vega, R., Tomé-Pires, C., Solé, E., Racine, M., Castarlenas, E., Jensen, M. P., & Miró, J. (2015). The Pittsburgh sleep quality index: Validity and factor structure in young people. Psychological Assessment, 27(4), e22–e27.CrossRef de la Vega, R., Tomé-Pires, C., Solé, E., Racine, M., Castarlenas, E., Jensen, M. P., & Miró, J. (2015). The Pittsburgh sleep quality index: Validity and factor structure in young people. Psychological Assessment, 27(4), e22–e27.CrossRef
24.
go back to reference Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., … Adams Hillard, P. J. (2015). National sleep foundation’s sleep time duration recommendations: Methodology and results summary. Sleep Health, 1(1), 40–43 Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., … Adams Hillard, P. J. (2015). National sleep foundation’s sleep time duration recommendations: Methodology and results summary. Sleep Health, 1(1), 40–43
25.
go back to reference Rey-López, J. P., Vicente-Rodriguez, G., Ortega, F. B., Ruiz, J. R., Martinez-Gómez, D., De Henauw, S., … Moreno, L. A. (2010). Sedentary patterns and media availability in European adolescents: The HELENA study. Preventive Medicine, 51(1), 50–55 Rey-López, J. P., Vicente-Rodriguez, G., Ortega, F. B., Ruiz, J. R., Martinez-Gómez, D., De Henauw, S., … Moreno, L. A. (2010). Sedentary patterns and media availability in European adolescents: The HELENA study. Preventive Medicine, 51(1), 50–55
26.
go back to reference Ravens-Sieberer, U., Erhart, M., Rajmil, L., Herdman, M., Auquier, P., Bruil, J., … Kilroe, J. (2010). Reliability, construct and criterion validity of the KIDSCREEN-10 score: A short measure for children and adolescents’ well-being and health-related quality of life. Quality of Life Research, 19(10), 1487–1500 Ravens-Sieberer, U., Erhart, M., Rajmil, L., Herdman, M., Auquier, P., Bruil, J., … Kilroe, J. (2010). Reliability, construct and criterion validity of the KIDSCREEN-10 score: A short measure for children and adolescents’ well-being and health-related quality of life. Quality of Life Research, 19(10), 1487–1500
27.
go back to reference Pogodina, A., Rychkova, L., Kravtzova, O., Klimkina, J., & Kosovtzeva, A. (2017). Cardiometabolic risk factors and health-related quality of life in adolescents with obesity. Childhood Obesity, 13(6), 499–506.CrossRef Pogodina, A., Rychkova, L., Kravtzova, O., Klimkina, J., & Kosovtzeva, A. (2017). Cardiometabolic risk factors and health-related quality of life in adolescents with obesity. Childhood Obesity, 13(6), 499–506.CrossRef
28.
go back to reference Svedberg, P., Nygren, J. M., Staland-Nyman, C., & Nyholm, M. (2016). The validity of socioeconomic status measures among adolescents based on self-reported information about parents occupations, FAS and perceived SES; Implication for health related quality of life studies. BMC Medical Research Methodology, 16(1), 48.CrossRef Svedberg, P., Nygren, J. M., Staland-Nyman, C., & Nyholm, M. (2016). The validity of socioeconomic status measures among adolescents based on self-reported information about parents occupations, FAS and perceived SES; Implication for health related quality of life studies. BMC Medical Research Methodology, 16(1), 48.CrossRef
29.
go back to reference Tanner, J. M., & Whitehouse, R. H. (1976). Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Archives of Disease in Childhood, 51(3), 170–179.CrossRef Tanner, J. M., & Whitehouse, R. H. (1976). Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Archives of Disease in Childhood, 51(3), 170–179.CrossRef
30.
go back to reference Chavarro, J. E., Watkins, D. J., Afeiche, M. C., Zhang, Z., Sánchez, B. N., Cantonwine, D., … Peterson, K. E. (2017). Validity of self-assessed sexual maturation against physician assessments and hormone levels. Journal of Pediatrics, 186, 172-178.e3 Chavarro, J. E., Watkins, D. J., Afeiche, M. C., Zhang, Z., Sánchez, B. N., Cantonwine, D., … Peterson, K. E. (2017). Validity of self-assessed sexual maturation against physician assessments and hormone levels. Journal of Pediatrics, 186, 172-178.e3
31.
go back to reference Currie, C., Molcho, M., Boyce, W., Holstein, B., Torsheim, T., & Richter, M. (2008). Researching health inequalities in adolescents: The development of the Health Behaviour in School-Aged Children (HBSC) Family Affluence Scale. Social Science & Medicine, 66, 1429–1436.CrossRef Currie, C., Molcho, M., Boyce, W., Holstein, B., Torsheim, T., & Richter, M. (2008). Researching health inequalities in adolescents: The development of the Health Behaviour in School-Aged Children (HBSC) Family Affluence Scale. Social Science & Medicine, 66, 1429–1436.CrossRef
32.
go back to reference Field, A. (2005). Discovering statistics using SPSS statistics. London: Sage Publications Ltd. Field, A. (2005). Discovering statistics using SPSS statistics. London: Sage Publications Ltd.
33.
go back to reference Paiva, T., Gaspar, T., & Matos, M. G. (2015). Sleep deprivation in adolescents: Correlations with health complaints and health-related quality of life. Sleep Medicine, 16(4), 521–527.CrossRef Paiva, T., Gaspar, T., & Matos, M. G. (2015). Sleep deprivation in adolescents: Correlations with health complaints and health-related quality of life. Sleep Medicine, 16(4), 521–527.CrossRef
34.
go back to reference Moore, M., & Meltzer, L. J. (2008). The sleepy adolescent: Causes and consequences of sleepiness in teens. Paediatric Respiratory Reviews, 9(2), 114–121.CrossRef Moore, M., & Meltzer, L. J. (2008). The sleepy adolescent: Causes and consequences of sleepiness in teens. Paediatric Respiratory Reviews, 9(2), 114–121.CrossRef
35.
go back to reference Bruce, E. S., Lunt, L., & McDonagh, J. E. (2017). Sleep in adolescents and young adults. Clinical Medicine Journal of the Royal College of Physicians of London, 17(5), 424–4228. Bruce, E. S., Lunt, L., & McDonagh, J. E. (2017). Sleep in adolescents and young adults. Clinical Medicine Journal of the Royal College of Physicians of London, 17(5), 424–4228.
36.
go back to reference Owens, J., Au, R., Carskadon, M., Millman, R., Wolfson, A., Braverman, P. K., … O’Brien, R. F. (2014). Insufficient sleep in adolescents and young adults: An update on causes and consequences. Pediatrics, 134(3), e921–e932 Owens, J., Au, R., Carskadon, M., Millman, R., Wolfson, A., Braverman, P. K., … O’Brien, R. F. (2014). Insufficient sleep in adolescents and young adults: An update on causes and consequences. Pediatrics, 134(3), e921–e932
37.
go back to reference Dewald, J. F., Meijer, A. M., Oort, F. J., Kerkhof, G. A., & Bögels, S. M. (2010). The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review. Sleep Medicine Reviews, 14(3), 179–189.CrossRef Dewald, J. F., Meijer, A. M., Oort, F. J., Kerkhof, G. A., & Bögels, S. M. (2010). The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review. Sleep Medicine Reviews, 14(3), 179–189.CrossRef
38.
go back to reference Iannotti, R. J., Kogan, M. D., Janssen, I., & Boyce, W. F. (2009). Patterns of Adolescent Physical Activity, Screen-Based Media Use, and Positive and Negative Health Indicators in the U.S. and Canada. Journal of Adolescent Health, 44(5), 493–499.CrossRef Iannotti, R. J., Kogan, M. D., Janssen, I., & Boyce, W. F. (2009). Patterns of Adolescent Physical Activity, Screen-Based Media Use, and Positive and Negative Health Indicators in the U.S. and Canada. Journal of Adolescent Health, 44(5), 493–499.CrossRef
39.
go back to reference Lacy, K. E., Allender, S. E., Kremer, P. J., De Silva-Sanigorski, A. M., Millar, L. M., Moodie, M. L., … Swinburn, B. A. (2012). Screen time and physical activity behaviours are associated with health-related quality of life in Australian adolescents. Quality of Life Research, 21(6), 1085–1099 Lacy, K. E., Allender, S. E., Kremer, P. J., De Silva-Sanigorski, A. M., Millar, L. M., Moodie, M. L., … Swinburn, B. A. (2012). Screen time and physical activity behaviours are associated with health-related quality of life in Australian adolescents. Quality of Life Research, 21(6), 1085–1099
40.
go back to reference Page, A. S., Cooper, A. R., Griew, P., & Jago, R. (2010). Children’s screen viewing is related to psychological difficulties irrespective of physical activity. Pediatrics, 126(5), 1011.CrossRef Page, A. S., Cooper, A. R., Griew, P., & Jago, R. (2010). Children’s screen viewing is related to psychological difficulties irrespective of physical activity. Pediatrics, 126(5), 1011.CrossRef
41.
go back to reference Muñoz, M. A., Fíto, M., Marrugat, J., Covas, M. I., & Schröder, H. (2009). Adherence to the Mediterranean diet is associated with better mental and physical health. British Journal of Nutrition, 101(12), 1821–1827.CrossRef Muñoz, M. A., Fíto, M., Marrugat, J., Covas, M. I., & Schröder, H. (2009). Adherence to the Mediterranean diet is associated with better mental and physical health. British Journal of Nutrition, 101(12), 1821–1827.CrossRef
42.
go back to reference Brand, S., Kalak, N., Gerber, M., Clough, P. J., Lemola, S., Sadeghi Bahmani, D., … Holsboer-Trachsler, E. (2017). During early to mid adolescence, moderate to vigorous physical activity is associated with restoring sleep, psychological functioning, mental toughness and male gender. Journal of Sports Sciences, 35(5), 426–434 Brand, S., Kalak, N., Gerber, M., Clough, P. J., Lemola, S., Sadeghi Bahmani, D., … Holsboer-Trachsler, E. (2017). During early to mid adolescence, moderate to vigorous physical activity is associated with restoring sleep, psychological functioning, mental toughness and male gender. Journal of Sports Sciences, 35(5), 426–434
43.
go back to reference Prochaska, J. J., Spring, B., & Nigg, C. R. (2008). Multiple health behavior change research: An introduction and overview. Preventive Medicine, 46(3), 181–188.CrossRef Prochaska, J. J., Spring, B., & Nigg, C. R. (2008). Multiple health behavior change research: An introduction and overview. Preventive Medicine, 46(3), 181–188.CrossRef
44.
go back to reference Viner, R. M., Ross, D., Hardy, R., Kuh, D., Power, C., Johnson, A., … Batty, G. D. (2015). Life course epidemiology: Recognising the importance of adolescence. Journal of Epidemiology and Community Health, 69(8), 719–720 Viner, R. M., Ross, D., Hardy, R., Kuh, D., Power, C., Johnson, A., … Batty, G. D. (2015). Life course epidemiology: Recognising the importance of adolescence. Journal of Epidemiology and Community Health, 69(8), 719–720
45.
go back to reference Albani, V., Butler, L. T., Traill, W. B., & Kennedy, O. B. (2018). Understanding fruit and vegetable consumption in children and adolescents. The contributions of affect, self-concept and habit strength. Appetite, 120, 398–408.CrossRef Albani, V., Butler, L. T., Traill, W. B., & Kennedy, O. B. (2018). Understanding fruit and vegetable consumption in children and adolescents. The contributions of affect, self-concept and habit strength. Appetite, 120, 398–408.CrossRef
46.
go back to reference Aura, A., Sormunen, M., & Tossavainen, K. (2016). The relation of socio-ecological factors to adolescents’ health-related behaviour: A literature review. Health Education, 116(2), 177–201.CrossRef Aura, A., Sormunen, M., & Tossavainen, K. (2016). The relation of socio-ecological factors to adolescents’ health-related behaviour: A literature review. Health Education, 116(2), 177–201.CrossRef
Metagegevens
Titel
Health-related quality of life in adolescents: individual and combined impact of health-related behaviors (DADOS study)
Auteurs
Alba Solera-Sanchez
Mireia Adelantado-Renau
Diego Moliner-Urdiales
Maria Reyes Beltran-Valls
Publicatiedatum
16-11-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02699-9