Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 8/2020

26-03-2020

Health-related quality of life of Portuguese children and adolescents according to diet quality and food intake

Auteurs: Ana Lúcia Silva, Júlia Teles, Isabel Fragoso

Gepubliceerd in: Quality of Life Research | Uitgave 8/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

The implication of adolescence diet quality and of certain specific foods’ intake on HRQoL remain underexplored, and little importance has been given to biological changes (e.g. growth, maturation, dimorphism, body composition), that remarkably increase the variability of diet and physical activity behaviours. The aim of this study was to analyse the relationship between diet quality and food intake with HRQoL in adolescents, considering maturity, body composition, and physical activity level.

Methods

In total 669 Portuguese adolescents aged 10–17 years, attending three secondary schools, were enrolled in this cross-sectional study. Diet quality was assessed by Diet Quality International-Index (DQI-I), physical activity level was self-reported, and the HRQoL was assessed by the KIDSCREEN-52 questionnaire. The KIDSCREEN-52 includes ten dimensions (physical well-being, psychological well-being, moods and emotions, self-perception, autonomy, parent relations and home life, social support and peers, school environment, social acceptance and bullying and financial resources) and it allowed to compute a general index of the HRQoL (KIDSCREEN-10 index) through a selection of 10 items out of the KIDSCREEN-52 list. Fat mass was obtained by skinfold thickness. Maturity was objectively measured. The level of significance was set at α = 0.05.

Results

Boys scored higher in HRQoL and in physical well-being, self-perception, autonomy, parent relations and home life than girls. Intakes of unhealthy foods were negatively correlated with physical well-being, self-perception, and social acceptance and bullying, while healthy foods were positively correlated with psychological well-being, moods and emotions, self-perception, and school environment. The DQI-I showed to be positively correlated with physical well-being. Participants who reported to have a higher DQI-I (≥ 60) perceived better their school environment and social acceptance and bullying. However, those results were not determined by diet quality but rather by bone age and physical activity level.

Conclusion

Our results showed that boys reported higher HRQoL and higher scores in the majority of HRQoL dimensions, compared to girls. The intake of unhealthy foods was negatively correlated with some HRQoL dimensions, whilst healthy foods showed positive correlations with some HRQoL dimensions. Biological maturity and physical activity level revealed to be important confounders in the study of diet quality and perception of school environment and social acceptance and bullying in adolescents.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
4.
go back to reference Speck, B. J., Bradley, C. B., Harrell, J. S., & Belyea, M. J. (2001). A food frequency questionnaire for youth: Psychometric analysis and summary of eating habits in adolescents. Journal of Adolescent Health, 28(1), 16–25. CrossRef Speck, B. J., Bradley, C. B., Harrell, J. S., & Belyea, M. J. (2001). A food frequency questionnaire for youth: Psychometric analysis and summary of eating habits in adolescents. Journal of Adolescent Health, 28(1), 16–25. CrossRef
6.
go back to reference Turconi, G., Guarcello, M., Maccarini, L., et al. (2008). Eating habits and behaviors, physical activity, nutritional and food safety knowledge and beliefs in an adolescent Italian population. Journal of the American College of Nutrition, 27(1), 31–43. CrossRef Turconi, G., Guarcello, M., Maccarini, L., et al. (2008). Eating habits and behaviors, physical activity, nutritional and food safety knowledge and beliefs in an adolescent Italian population. Journal of the American College of Nutrition, 27(1), 31–43. CrossRef
12.
go back to reference Grao-Cruces, A., Fernández-Martínez, A., & Nuviala, A. (2014). Association of fitness with life satisfaction, health risk behaviors, and adherence to the Mediterranean diet in Spanish adolescents. The Journal of Strength and Conditioning Research, 28(8), 2164–2172. CrossRef Grao-Cruces, A., Fernández-Martínez, A., & Nuviala, A. (2014). Association of fitness with life satisfaction, health risk behaviors, and adherence to the Mediterranean diet in Spanish adolescents. The Journal of Strength and Conditioning Research, 28(8), 2164–2172. CrossRef
13.
go back to reference World Health Organization. (2006). Constitution of the World Health Organization. Geneva: World Health Organization. World Health Organization. (2006). Constitution of the World Health Organization. Geneva: World Health Organization.
15.
go back to reference Apolone, G., & Mosconi, P. (1998). Review of the concept of Quality of Life assessment and discussion of the present trend in clinical research. Nephrology, Dialysis, Transplantation, 13(1), 65–69. CrossRef Apolone, G., & Mosconi, P. (1998). Review of the concept of Quality of Life assessment and discussion of the present trend in clinical research. Nephrology, Dialysis, Transplantation, 13(1), 65–69. CrossRef
17.
go back to reference The WHOQOL group. (1995). The world health organization quality of life assessment (WHOQOL), position paper from the world health organization. Social Science and Medicine, 41(10), 1403–1409. CrossRef The WHOQOL group. (1995). The world health organization quality of life assessment (WHOQOL), position paper from the world health organization. Social Science and Medicine, 41(10), 1403–1409. CrossRef
29.
go back to reference Smart, J. E. H., Cumming, S. P., Sherar, L. B., Standage, M., Neville, H., & Malina, R. M. (2012). Maturity associated variance in physical activity and health-related quality of life in adolescent females: A mediated effects model. Journal of Physical Activity and Health, 9, 86–95. CrossRef Smart, J. E. H., Cumming, S. P., Sherar, L. B., Standage, M., Neville, H., & Malina, R. M. (2012). Maturity associated variance in physical activity and health-related quality of life in adolescent females: A mediated effects model. Journal of Physical Activity and Health, 9, 86–95. CrossRef
33.
go back to reference Graffar, M. (1958). Une méthode de classification d’achantillon de population. Courrier, 6, 455–478. Graffar, M. (1958). Une méthode de classification d’achantillon de population. Courrier, 6, 455–478.
34.
go back to reference Health & Consume Protection Directorate General. The DAta Food NEtworking (DAFNE) Project European Food Availability Databank Based on Household Budget Surveys. Health & Consume Protection Directorate General. The DAta Food NEtworking (DAFNE) Project European Food Availability Databank Based on Household Budget Surveys.
35.
go back to reference World Medical Association. (2008). Declaration of Helsinki: Ethical principles for medical research involving human subjects. World Medical Association, 54, 122–125. World Medical Association. (2008). Declaration of Helsinki: Ethical principles for medical research involving human subjects. World Medical Association, 54, 122–125.
36.
go back to reference Stewart, A., Marfell-Jones, M., Old, T., & Rider, H. (2011). International standards for Anthropometric Assessment. Lower Hutt: The International Society for the Advancement of Kinanthropometry. Stewart, A., Marfell-Jones, M., Old, T., & Rider, H. (2011). International standards for Anthropometric Assessment. Lower Hutt: The International Society for the Advancement of Kinanthropometry.
37.
go back to reference Slaughter, M., Lohman, T., Boileau, R., et al. (1988). Skinfold equations for estimation of body fatness in children and youth. Human Biology, 60(5), 709–723. PubMed Slaughter, M., Lohman, T., Boileau, R., et al. (1988). Skinfold equations for estimation of body fatness in children and youth. Human Biology, 60(5), 709–723. PubMed
39.
go back to reference Tanner, J., Healy, M., Goldstein, H., & Cameron, N. (2001). Assessment of skeletal maturity and prediction of the adult height (TW3 Method). London: W.B. Saunders. Tanner, J., Healy, M., Goldstein, H., & Cameron, N. (2001). Assessment of skeletal maturity and prediction of the adult height (TW3 Method). London: W.B. Saunders.
40.
go back to reference Mirwald, R. L., Baxter-Jones, A. D. G., Bailey, D. A., & Beunen, G. P. (2002). An assessment of maturity from anthropometric measurements. Medicine & Science in Sports & Exercise, 34(4), 689–694. Mirwald, R. L., Baxter-Jones, A. D. G., Bailey, D. A., & Beunen, G. P. (2002). An assessment of maturity from anthropometric measurements. Medicine & Science in Sports & Exercise, 34(4), 689–694.
41.
go back to reference Malina, R. M., Bouchard, C., & Bar-Or, O. (2004). Growth, maturation and physical activity. Champaign: Human Kinetics. CrossRef Malina, R. M., Bouchard, C., & Bar-Or, O. (2004). Growth, maturation and physical activity. Champaign: Human Kinetics. CrossRef
42.
go back to reference The KIDSCREEN Group. (2004). Description of the KIDSCREEN instruments KIDSCREEN-52, KIDSCREEN-27 & KIDSCREEN-10 index Health-Related Quality of Life Questionnaires for Children and Adolescents. The KIDSCREEN Group. (2004). Description of the KIDSCREEN instruments KIDSCREEN-52, KIDSCREEN-27 & KIDSCREEN-10 index Health-Related Quality of Life Questionnaires for Children and Adolescents.
43.
go back to reference Ravens-Sieberer, U., Gosch, A., Abel, T., et al. (2001). KIDSCREEN: Quality of life in children and adolescents. Quality of Life in Child and Adolescents, 46, 294–302. Ravens-Sieberer, U., Gosch, A., Abel, T., et al. (2001). KIDSCREEN: Quality of life in children and adolescents. Quality of Life in Child and Adolescents, 46, 294–302.
45.
go back to reference The KIDSCREEN Group Europe. (2006). The KIDSCREEN Questionnaires-Quality of Life Questionnaires for Children and Adolescents. Lengerich: Pabst Science Publishers. The KIDSCREEN Group Europe. (2006). The KIDSCREEN Questionnaires-Quality of Life Questionnaires for Children and Adolescents. Lengerich: Pabst Science Publishers.
46.
go back to reference Silva, C., Silva, A. L., Fragoso, I., & Teles, J. (2017). Physical Activity Level assessed by a self-report questionnaire and accelerometry in adolescents: A relative validation and the importance of considering non-wear time activities in accelerometry data. Obesity Facts, 10(Suppl 1), 135–136. Silva, C., Silva, A. L., Fragoso, I., & Teles, J. (2017). Physical Activity Level assessed by a self-report questionnaire and accelerometry in adolescents: A relative validation and the importance of considering non-wear time activities in accelerometry data. Obesity Facts, 10(Suppl 1), 135–136.
49.
go back to reference Martins, I., Porto, A., & Oliveira, L. (2006). Tabela de Composição de Alimentos. Lisbon: Instituto Nacional de Saúde DRJ. Martins, I., Porto, A., & Oliveira, L. (2006). Tabela de Composição de Alimentos. Lisbon: Instituto Nacional de Saúde DRJ.
53.
go back to reference Kim, S., Haines, P. S., Siega-Riz, A. M., & Popkin, B. M. (2003). The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. Journal of Nutrition, 133, 3476–3484. CrossRef Kim, S., Haines, P. S., Siega-Riz, A. M., & Popkin, B. M. (2003). The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. Journal of Nutrition, 133, 3476–3484. CrossRef
58.
go back to reference de Matos, M. G., Gaspar, T., & Simões, C. (2012). Health-related quality of life in Portuguese children and adolescents. Psicol Reflexão e Crítica, 25(2), 230–237. CrossRef de Matos, M. G., Gaspar, T., & Simões, C. (2012). Health-related quality of life in Portuguese children and adolescents. Psicol Reflexão e Crítica, 25(2), 230–237. CrossRef
64.
go back to reference Story, M., Neumark-Sztainer, D., & French, S. (2002). Individual and environmental influences on adolescent eating behaviors. Journal of the American Dietetic Association, S102(3), S40–S51. CrossRef Story, M., Neumark-Sztainer, D., & French, S. (2002). Individual and environmental influences on adolescent eating behaviors. Journal of the American Dietetic Association, S102(3), S40–S51. CrossRef
65.
go back to reference Barrigas, C., & Fragoso, I. (2012). Maturidade, desempenho académico, capacidade de raciocínio e estatuto sócio-económico em crianças de Lisboa entre os 6 e os 13 anos de idade. Revista Portuguesa de Educação, 25(1), 193–215. CrossRef Barrigas, C., & Fragoso, I. (2012). Maturidade, desempenho académico, capacidade de raciocínio e estatuto sócio-económico em crianças de Lisboa entre os 6 e os 13 anos de idade. Revista Portuguesa de Educação, 25(1), 193–215. CrossRef
70.
go back to reference Gaspar, T., Matos, M., & Pais-Ribeiro, J. (2008). Qualidade de vida instrumentos KIDSCREEN-52 para pais e crianças adolescentes. Revista Peruana de Psicometría, 1(2), 6–30. Gaspar, T., Matos, M., & Pais-Ribeiro, J. (2008). Qualidade de vida instrumentos KIDSCREEN-52 para pais e crianças adolescentes. Revista Peruana de Psicometría, 1(2), 6–30.
Metagegevens
Titel
Health-related quality of life of Portuguese children and adolescents according to diet quality and food intake
Auteurs
Ana Lúcia Silva
Júlia Teles
Isabel Fragoso
Publicatiedatum
26-03-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 8/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02475-9