Skip to main content
Erschienen in: Quality of Life Research 7/2013

01.09.2013

Health-related quality of life, obesity, and fitness in schoolchildren: the Cuenca study

verfasst von: Pablo Franquelo Morales, Mairena Sánchez-López, Pablo Moya-Martínez, Jorge Cañete García-Prieto, María Martínez-Andrés, Noelia Lahoz García, Vicente Martínez-Vizcaíno

Erschienen in: Quality of Life Research | Ausgabe 7/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The purpose of this study was to analyze the association of weight status and physical fitness with health-related quality of life (HRQoL) and to examine the independent association of body mass index (BMI), cardiorespiratory fitness (CRF) and musculoskeletal fitness (MF) with HRQoL in schoolchildren.

Methods

Cross-sectional study of 1,158 schoolchildren, 8–11 years, from 20 schools in the Cuenca province, Spain. We measured weight, height, and physical fitness, measured by CRF (20-m shuttle run test) and MF index by summing the age–sex z scores of handgrip strength test/weight + standing broad jump test. Self-reported HRQoL was measured by KIDSCREEN-52 questionnaire.

Results

Normal weight boys scored better in physical well-being, mood and emotions, autonomy, and social support and peers dimensions than overweight/obese boys. The mean in self-perception dimensions was lower in obese girls compared to normal weight or overweight girls. Higher levels of CRF and MF were associated with better physical well-being in both genders. Multiple linear regression models showed that the influence of MF in boys and CRF in girls on HRQoL was greater than that of overweight.

Conclusions

This is one of the first studies that assess the association of CRF and MF with HRQoL while controlling for BMI. CRF and MF are closely related to HRQoL, in particular to physical well-being. Improving fitness could be a strategy of particular interest for improving the HRQoL of schoolchildren.
Literatur
1.
Zurück zum Zitat Martinez Vizcaino, V., Salcedo Aguilar, F., Franquelo Gutierrez, R., Torrijos Regidor, R., Morant Sanchez, A., Solera Martinez, M., et al. (2006). Prevalence of obesity and trends in cardiovascular risk factors among Spanish school children, 1992–2004: the Cuenca (Spain) study. Medicina Clinica (Barc), 126(18), 681–685.CrossRef Martinez Vizcaino, V., Salcedo Aguilar, F., Franquelo Gutierrez, R., Torrijos Regidor, R., Morant Sanchez, A., Solera Martinez, M., et al. (2006). Prevalence of obesity and trends in cardiovascular risk factors among Spanish school children, 1992–2004: the Cuenca (Spain) study. Medicina Clinica (Barc), 126(18), 681–685.CrossRef
2.
Zurück zum Zitat Lobstein, T., & Jackson-Leach, R. (2007). Child overweight and obesity in the USA: prevalence rates according to IOTF definitions. International Journal of Pediatric Obesity, 2(1), 62–64.PubMedCrossRef Lobstein, T., & Jackson-Leach, R. (2007). Child overweight and obesity in the USA: prevalence rates according to IOTF definitions. International Journal of Pediatric Obesity, 2(1), 62–64.PubMedCrossRef
3.
Zurück zum Zitat Martinez-Vizcaino, V., Sanchez Lopez, M., Moya Martinez, P., Solera Martinez, M., Notario Pacheco, B., Salcedo Aguilar, F., et al. (2009). Trends in excess weight and thinness among Spanish schoolchildren in the period 1992–2004: the Cuenca study. Public Health Nutrition, 12(7), 1015–1018.PubMedCrossRef Martinez-Vizcaino, V., Sanchez Lopez, M., Moya Martinez, P., Solera Martinez, M., Notario Pacheco, B., Salcedo Aguilar, F., et al. (2009). Trends in excess weight and thinness among Spanish schoolchildren in the period 1992–2004: the Cuenca study. Public Health Nutrition, 12(7), 1015–1018.PubMedCrossRef
4.
Zurück zum Zitat Serra-Majem, L., Aranceta Bartrina, J., Perez-Rodrigo, C., Ribas-Barba, L., & Delgado-Rubio, A. (2006). Prevalence and determinants of obesity in Spanish children and young people. British Journal of Nutrition, 96(Suppl 1), S67–S72.PubMedCrossRef Serra-Majem, L., Aranceta Bartrina, J., Perez-Rodrigo, C., Ribas-Barba, L., & Delgado-Rubio, A. (2006). Prevalence and determinants of obesity in Spanish children and young people. British Journal of Nutrition, 96(Suppl 1), S67–S72.PubMedCrossRef
5.
Zurück zum Zitat Lobstein, T., & Frelut, M. L. (2003). Prevalence of overweight among children in Europe. Obesity Reviews, 4(4), 195–200.PubMedCrossRef Lobstein, T., & Frelut, M. L. (2003). Prevalence of overweight among children in Europe. Obesity Reviews, 4(4), 195–200.PubMedCrossRef
6.
Zurück zum Zitat Freedman, D. S., Dietz, W. H., Srinivasan, S. R., & Berenson, G. S. (1999). The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa heart study. Pediatrics, 103(6 Pt 1), 1175–1182.PubMedCrossRef Freedman, D. S., Dietz, W. H., Srinivasan, S. R., & Berenson, G. S. (1999). The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa heart study. Pediatrics, 103(6 Pt 1), 1175–1182.PubMedCrossRef
7.
Zurück zum Zitat Maffeis, C., Pietrobelli, A., Grezzani, A., Provera, S., & Tato, L. (2001). Waist circumference and cardiovascular risk factors in prepubertal children. Obesity Research, 9(3), 179–187.PubMedCrossRef Maffeis, C., Pietrobelli, A., Grezzani, A., Provera, S., & Tato, L. (2001). Waist circumference and cardiovascular risk factors in prepubertal children. Obesity Research, 9(3), 179–187.PubMedCrossRef
8.
Zurück zum Zitat Teixeira, P. J., Sardinha, L. B., Going, S. B., & Lohman, T. G. (2001). Total and regional fat and serum cardiovascular disease risk factors in lean and obese children and adolescents. Obesity Research, 9(8), 432–442.PubMedCrossRef Teixeira, P. J., Sardinha, L. B., Going, S. B., & Lohman, T. G. (2001). Total and regional fat and serum cardiovascular disease risk factors in lean and obese children and adolescents. Obesity Research, 9(8), 432–442.PubMedCrossRef
9.
Zurück zum Zitat Friedlander, S. L., Larkin, E. K., Rosen, C. L., Palermo, T. M., & Redline, S. (2003). Decreased quality of life associated with obesity in school-aged children. Archives of Pediatrics and Adolescent Medicine, 157(12), 1206–1211.PubMedCrossRef Friedlander, S. L., Larkin, E. K., Rosen, C. L., Palermo, T. M., & Redline, S. (2003). Decreased quality of life associated with obesity in school-aged children. Archives of Pediatrics and Adolescent Medicine, 157(12), 1206–1211.PubMedCrossRef
10.
Zurück zum Zitat Ottova, V., Erhart, M., Rajmil, L., Dettenborn-Betz, L., & Ravens-Sieberer, U. (2011). Overweight and its impact on the health-related quality of life in children and adolescents: results from the European KIDSCREEN survey. Qual Life Res. Ottova, V., Erhart, M., Rajmil, L., Dettenborn-Betz, L., & Ravens-Sieberer, U. (2011). Overweight and its impact on the health-related quality of life in children and adolescents: results from the European KIDSCREEN survey. Qual Life Res.
11.
Zurück zum Zitat Pinhas-Hamiel, O., Singer, S., Pilpel, N., Fradkin, A., Modan, D., & Reichman, B. (2006). Health-related quality of life among children and adolescents: associations with obesity. International Journal of Obesity (London), 30(2), 267–272.CrossRef Pinhas-Hamiel, O., Singer, S., Pilpel, N., Fradkin, A., Modan, D., & Reichman, B. (2006). Health-related quality of life among children and adolescents: associations with obesity. International Journal of Obesity (London), 30(2), 267–272.CrossRef
12.
Zurück zum Zitat Sanchez-Lopez, M., Salcedo-Aguilar, F., Solera-Martinez, M., Moya-Martinez, P., Notario-Pacheco, B., & Martinez-Vizcaino, V. (2009). Physical activity and quality of life in schoolchildren aged 11–13 years of Cuenca Spain. Scandinavian Journal of Medicine and Science in Sports, 19(6), 879–884.PubMedCrossRef Sanchez-Lopez, M., Salcedo-Aguilar, F., Solera-Martinez, M., Moya-Martinez, P., Notario-Pacheco, B., & Martinez-Vizcaino, V. (2009). Physical activity and quality of life in schoolchildren aged 11–13 years of Cuenca Spain. Scandinavian Journal of Medicine and Science in Sports, 19(6), 879–884.PubMedCrossRef
13.
Zurück zum Zitat Tsiros, M. D., Olds, T., Buckley, J. D., Grimshaw, P., Brennan, L., Walkley, J., et al. (2009). Health-related quality of life in obese children and adolescents. International Journal of Obesity (London), 33(4), 387–400.CrossRef Tsiros, M. D., Olds, T., Buckley, J. D., Grimshaw, P., Brennan, L., Walkley, J., et al. (2009). Health-related quality of life in obese children and adolescents. International Journal of Obesity (London), 33(4), 387–400.CrossRef
14.
Zurück zum Zitat Ozmen, T., Ryildirim, N. U., Yuktasir, B., & Beets, M. W. (2007). Effects of school-based cardiovascular-fitness training in children with mental retardation. Pediatric Exercise Science, 19(2), 171–178.PubMed Ozmen, T., Ryildirim, N. U., Yuktasir, B., & Beets, M. W. (2007). Effects of school-based cardiovascular-fitness training in children with mental retardation. Pediatric Exercise Science, 19(2), 171–178.PubMed
15.
Zurück zum Zitat Padilla-Moledo, C., Castro-Pinero, J., Ortega, F. B., Mora, J., Marquez, S., Sjostrom, M., et al. (2012). Positive health, cardiorespiratory fitness and fatness in children and adolescents. European Journal of Public Health, 22(1), 52–56.PubMedCrossRef Padilla-Moledo, C., Castro-Pinero, J., Ortega, F. B., Mora, J., Marquez, S., Sjostrom, M., et al. (2012). Positive health, cardiorespiratory fitness and fatness in children and adolescents. European Journal of Public Health, 22(1), 52–56.PubMedCrossRef
16.
Zurück zum Zitat Ortega, F. B., Artero, E. G., Ruiz, J. R., Vicente-Rodriguez, G., Bergman, P., Hagstromer, M., et al. (2008). Reliability of health-related physical fitness tests in European adolescents. The HELENA Study. International Journal of Obesity (London), 32(Suppl 5), S49–S57.CrossRef Ortega, F. B., Artero, E. G., Ruiz, J. R., Vicente-Rodriguez, G., Bergman, P., Hagstromer, M., et al. (2008). Reliability of health-related physical fitness tests in European adolescents. The HELENA Study. International Journal of Obesity (London), 32(Suppl 5), S49–S57.CrossRef
17.
Zurück zum Zitat Bonhauser, M., Fernandez, G., Puschel, K., Yanez, F., Montero, J., Thompson, B., et al. (2005). Improving physical fitness and emotional well-being in adolescents of low socioeconomic status in Chile: results of a school-based controlled trial. Health Promotion International, 20(2), 113–122.PubMedCrossRef Bonhauser, M., Fernandez, G., Puschel, K., Yanez, F., Montero, J., Thompson, B., et al. (2005). Improving physical fitness and emotional well-being in adolescents of low socioeconomic status in Chile: results of a school-based controlled trial. Health Promotion International, 20(2), 113–122.PubMedCrossRef
18.
Zurück zum Zitat Crews, D. J., Lochbaum, M. R., & Landers, D. M. (2004). Aerobic physical activity effects on psychological well-being in low-income Hispanic children. Perceptual and Motor Skills, 98(1), 319–324.PubMedCrossRef Crews, D. J., Lochbaum, M. R., & Landers, D. M. (2004). Aerobic physical activity effects on psychological well-being in low-income Hispanic children. Perceptual and Motor Skills, 98(1), 319–324.PubMedCrossRef
19.
Zurück zum Zitat Ruiz, J. R., Castro-Pinero, J., Artero, E. G., Ortega, F. B., Sjostrom, M., Suni, J., et al. (2009). Predictive validity of health-related fitness in youth: a systematic review. British Journal of Sports Medicine, 43(12), 909–923.PubMedCrossRef Ruiz, J. R., Castro-Pinero, J., Artero, E. G., Ortega, F. B., Sjostrom, M., Suni, J., et al. (2009). Predictive validity of health-related fitness in youth: a systematic review. British Journal of Sports Medicine, 43(12), 909–923.PubMedCrossRef
20.
Zurück zum Zitat Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ, 320(7244), 1240–1243.PubMedCrossRef Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ, 320(7244), 1240–1243.PubMedCrossRef
21.
Zurück zum Zitat Robitail, S., Simeoni, M. C., Erhart, M., Ravens-Sieberer, U., Bruil, J., & Auquier, P. (2006). Validation of the European proxy KIDSCREEN-52 pilot test health-related quality of life questionnaire: first results. J Adolesc Health, 39(4), 596 e591–e510. Robitail, S., Simeoni, M. C., Erhart, M., Ravens-Sieberer, U., Bruil, J., & Auquier, P. (2006). Validation of the European proxy KIDSCREEN-52 pilot test health-related quality of life questionnaire: first results. J Adolesc Health, 39(4), 596 e591–e510.
22.
Zurück zum Zitat Palacio-Vieira, J. A., Villalonga-Olives, E., Valderas, J. M., Espallargues, M., Herdman, M., Berra, S., et al. (2008). Changes in health-related quality of life (HRQoL) in a population-based sample of children and adolescents after 3 years of follow-up. Quality of Life Research, 17(10), 1207–1215.PubMedCrossRef Palacio-Vieira, J. A., Villalonga-Olives, E., Valderas, J. M., Espallargues, M., Herdman, M., Berra, S., et al. (2008). Changes in health-related quality of life (HRQoL) in a population-based sample of children and adolescents after 3 years of follow-up. Quality of Life Research, 17(10), 1207–1215.PubMedCrossRef
23.
Zurück zum Zitat Ravens-Sieberer, U., Gosch, A., Rajmil, L., Erhart, M., Bruil, J., Power, M., et al. (2008). The KIDSCREEN-52 quality of life measure for children and adolescents: psychometric results from a cross-cultural survey in 13 European countries. Value Health, 11(4), 645–658.PubMedCrossRef Ravens-Sieberer, U., Gosch, A., Rajmil, L., Erhart, M., Bruil, J., Power, M., et al. (2008). The KIDSCREEN-52 quality of life measure for children and adolescents: psychometric results from a cross-cultural survey in 13 European countries. Value Health, 11(4), 645–658.PubMedCrossRef
24.
Zurück zum Zitat Tebe, C., Berra, S., Herdman, M., Aymerich, M., Alonso, J., & Rajmil, L. (2008). Reliability and validity of the Spanish version of the KIDSCREEN-52 for child and adolescent population. Medicina Clinica (Barc), 130(17), 650–654.CrossRef Tebe, C., Berra, S., Herdman, M., Aymerich, M., Alonso, J., & Rajmil, L. (2008). Reliability and validity of the Spanish version of the KIDSCREEN-52 for child and adolescent population. Medicina Clinica (Barc), 130(17), 650–654.CrossRef
25.
Zurück zum Zitat Leger, L. A., Mercier, D., Gadoury, C., & Lambert, J. (1988). The multistage 20 metre shuttle run test for aerobic fitness. Journal of Sports Sciences, 6(2), 93–101.PubMedCrossRef Leger, L. A., Mercier, D., Gadoury, C., & Lambert, J. (1988). The multistage 20 metre shuttle run test for aerobic fitness. Journal of Sports Sciences, 6(2), 93–101.PubMedCrossRef
26.
Zurück zum Zitat Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity, and health-related quality of life among adolescents: the national longitudinal study of adolescent health. Pediatrics, 115(2), 340–347.PubMedCrossRef Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity, and health-related quality of life among adolescents: the national longitudinal study of adolescent health. Pediatrics, 115(2), 340–347.PubMedCrossRef
27.
Zurück zum Zitat Williams, J., Wake, M., Hesketh, K., Maher, E., & Waters, E. (2005). Health-related quality of life of overweight and obese children. JAMA, 293(1), 70–76.PubMedCrossRef Williams, J., Wake, M., Hesketh, K., Maher, E., & Waters, E. (2005). Health-related quality of life of overweight and obese children. JAMA, 293(1), 70–76.PubMedCrossRef
28.
Zurück zum Zitat Herman, K. M., Hopman, W. M., & Craig, C. L. (2010). Are youth BMI and physical activity associated with better or worse than expected health-related quality of life in adulthood? The physical activity longitudinal study. Quality of Life Research, 19(3), 339–349.PubMedCrossRef Herman, K. M., Hopman, W. M., & Craig, C. L. (2010). Are youth BMI and physical activity associated with better or worse than expected health-related quality of life in adulthood? The physical activity longitudinal study. Quality of Life Research, 19(3), 339–349.PubMedCrossRef
29.
Zurück zum Zitat Hakkinen, A., Rinne, M., Vasankari, T., Santtila, M., Hakkinen, K., & Kyrolainen, H. (2010). Association of physical fitness with health-related quality of life in Finnish young men. Health Qual Life Outcomes, 8, 15.PubMedCrossRef Hakkinen, A., Rinne, M., Vasankari, T., Santtila, M., Hakkinen, K., & Kyrolainen, H. (2010). Association of physical fitness with health-related quality of life in Finnish young men. Health Qual Life Outcomes, 8, 15.PubMedCrossRef
30.
Zurück zum Zitat Sloan, R. A., Sawada, S. S., Martin, C. K., Church, T., & Blair, S. N. (2009). Associations between cardiorespiratory fitness and health-related quality of life. Health Qual Life Outcomes, 7, 47.PubMedCrossRef Sloan, R. A., Sawada, S. S., Martin, C. K., Church, T., & Blair, S. N. (2009). Associations between cardiorespiratory fitness and health-related quality of life. Health Qual Life Outcomes, 7, 47.PubMedCrossRef
31.
Zurück zum Zitat Atlantis, E., Martin, S. A., Haren, M. T., Taylor, A. W., & Wittert, G. A. (2009). Inverse associations between muscle mass, strength, and the metabolic syndrome. Metabolism, 58(7), 1013–1022.PubMedCrossRef Atlantis, E., Martin, S. A., Haren, M. T., Taylor, A. W., & Wittert, G. A. (2009). Inverse associations between muscle mass, strength, and the metabolic syndrome. Metabolism, 58(7), 1013–1022.PubMedCrossRef
32.
Zurück zum Zitat Sillanpaa, E., Hakkinen, A., Punnonen, K., Hakkinen, K., & Laaksonen, D. E. (2009). Effects of strength and endurance training on metabolic risk factors in healthy 40–65-year-old men. Scandinavian Journal of Medicine and Science in Sports, 19(6), 885–895.PubMedCrossRef Sillanpaa, E., Hakkinen, A., Punnonen, K., Hakkinen, K., & Laaksonen, D. E. (2009). Effects of strength and endurance training on metabolic risk factors in healthy 40–65-year-old men. Scandinavian Journal of Medicine and Science in Sports, 19(6), 885–895.PubMedCrossRef
33.
Zurück zum Zitat Steene-Johannessen, J., Anderssen, S. A., Kolle, E., & Andersen, L. B. (2009). Low muscle fitness is associated with metabolic risk in youth. Medicine and Science in Sports and Exercise, 41(7), 1361–1367.PubMedCrossRef Steene-Johannessen, J., Anderssen, S. A., Kolle, E., & Andersen, L. B. (2009). Low muscle fitness is associated with metabolic risk in youth. Medicine and Science in Sports and Exercise, 41(7), 1361–1367.PubMedCrossRef
34.
Zurück zum Zitat Ford, E. S., & Li, C. (2008). Metabolic syndrome and health-related quality of life among US adults. Annals of Epidemiology, 18(3), 165–171.PubMedCrossRef Ford, E. S., & Li, C. (2008). Metabolic syndrome and health-related quality of life among US adults. Annals of Epidemiology, 18(3), 165–171.PubMedCrossRef
35.
Zurück zum Zitat Kalyva, E., Malakonaki, E., Eiser, C., & Mamoulakis, D. (2011). Health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (T1DM): self and parental perceptions. Pediatr Diabetes, 12(1), 34–40.PubMedCrossRef Kalyva, E., Malakonaki, E., Eiser, C., & Mamoulakis, D. (2011). Health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (T1DM): self and parental perceptions. Pediatr Diabetes, 12(1), 34–40.PubMedCrossRef
36.
Zurück zum Zitat Steele, R. M., Brage, S., Corder, K., Wareham, N. J., & Ekelund, U. (2008). Physical activity, cardiorespiratory fitness, and the metabolic syndrome in youth. Journal of Applied Physiology, 105(1), 342–351.PubMedCrossRef Steele, R. M., Brage, S., Corder, K., Wareham, N. J., & Ekelund, U. (2008). Physical activity, cardiorespiratory fitness, and the metabolic syndrome in youth. Journal of Applied Physiology, 105(1), 342–351.PubMedCrossRef
37.
Zurück zum Zitat Michel, G., Bisegger, C., Fuhr, D. C., & Abel, T. (2009). Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis. Quality of Life Research, 18(9), 1147–1157.PubMedCrossRef Michel, G., Bisegger, C., Fuhr, D. C., & Abel, T. (2009). Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis. Quality of Life Research, 18(9), 1147–1157.PubMedCrossRef
38.
Zurück zum Zitat Wanderley, F. A., Silva, G., Marques, E., Oliveira, J., Mota, J., & Carvalho, J. (2011). Associations between objectively assessed physical activity levels and fitness and self-reported health-related quality of life in community-dwelling older adults. Quality of Life Research, 20(9), 1371–1378.PubMedCrossRef Wanderley, F. A., Silva, G., Marques, E., Oliveira, J., Mota, J., & Carvalho, J. (2011). Associations between objectively assessed physical activity levels and fitness and self-reported health-related quality of life in community-dwelling older adults. Quality of Life Research, 20(9), 1371–1378.PubMedCrossRef
39.
Zurück zum Zitat Lee, D. C., Sui, X., Artero, E. G., Lee, I. M., Church, T. S., McAuley, P. A., et al. (2011). Long-term effects of changes in cardiorespiratory fitness and body mass index on all-cause and cardiovascular disease mortality in men: the aerobics center longitudinal study. Circulation, 124(23), 2483–2490.PubMedCrossRef Lee, D. C., Sui, X., Artero, E. G., Lee, I. M., Church, T. S., McAuley, P. A., et al. (2011). Long-term effects of changes in cardiorespiratory fitness and body mass index on all-cause and cardiovascular disease mortality in men: the aerobics center longitudinal study. Circulation, 124(23), 2483–2490.PubMedCrossRef
40.
Zurück zum Zitat Kruger, J., Bowles, H. R., Jones, D. A., Ainsworth, B. E., & Kohl, H. W, 3rd. (2007). Health-related quality of life, BMI and physical activity among US adults (>/=18 years): national physical activity and weight loss survey, 2002. International Journal of Obesity (London), 31(2), 321–327.CrossRef Kruger, J., Bowles, H. R., Jones, D. A., Ainsworth, B. E., & Kohl, H. W, 3rd. (2007). Health-related quality of life, BMI and physical activity among US adults (>/=18 years): national physical activity and weight loss survey, 2002. International Journal of Obesity (London), 31(2), 321–327.CrossRef
41.
Zurück zum Zitat Herman, K. M., Hopman, W. M., Vandenkerkhof, E. G., & Rosenberg, M. W. (2012). Physical activity, body mass index, and health-related quality of life in Canadian adults. Medicine and Science in Sports and Exercise, 44(4), 625–636.PubMedCrossRef Herman, K. M., Hopman, W. M., Vandenkerkhof, E. G., & Rosenberg, M. W. (2012). Physical activity, body mass index, and health-related quality of life in Canadian adults. Medicine and Science in Sports and Exercise, 44(4), 625–636.PubMedCrossRef
42.
Zurück zum Zitat von Rueden, U., Gosch, A., Rajmil, L., Bisegger, C., & Ravens-Sieberer, U. (2006). Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study. Journal of Epidemiology and Community Health, 60(2), 130–135.CrossRef von Rueden, U., Gosch, A., Rajmil, L., Bisegger, C., & Ravens-Sieberer, U. (2006). Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study. Journal of Epidemiology and Community Health, 60(2), 130–135.CrossRef
43.
Zurück zum Zitat Holtkamp, K., Konrad, K., Muller, B., Heussen, N., Herpertz, S., Herpertz-Dahlmann, B., et al. (2004). Overweight and obesity in children with attention-deficit/hyperactivity disorder. International Journal of Obesity and Related Metabolic Disorders, 28(5), 685–689.PubMedCrossRef Holtkamp, K., Konrad, K., Muller, B., Heussen, N., Herpertz, S., Herpertz-Dahlmann, B., et al. (2004). Overweight and obesity in children with attention-deficit/hyperactivity disorder. International Journal of Obesity and Related Metabolic Disorders, 28(5), 685–689.PubMedCrossRef
44.
Zurück zum Zitat Klassen, A. F., Miller, A., & Fine, S. (2004). Health-related quality of life in children and adolescents who have a diagnosis of attention-deficit/hyperactivity disorder. Pediatrics, 114(5), e541–e547.PubMedCrossRef Klassen, A. F., Miller, A., & Fine, S. (2004). Health-related quality of life in children and adolescents who have a diagnosis of attention-deficit/hyperactivity disorder. Pediatrics, 114(5), e541–e547.PubMedCrossRef
45.
Zurück zum Zitat Davies, B. N. (1990). The relationship of lean limb volume to performance in the handgrip and standing long jump tests in boys and girls, aged 11.6–13.2 years. European Journal of Applied Physiology Occupational Physiology, 60(2), 139–143.PubMedCrossRef Davies, B. N. (1990). The relationship of lean limb volume to performance in the handgrip and standing long jump tests in boys and girls, aged 11.6–13.2 years. European Journal of Applied Physiology Occupational Physiology, 60(2), 139–143.PubMedCrossRef
46.
Zurück zum Zitat Temfemo, A., Hugues, J., Chardon, K., Mandengue, S. H., & Ahmaidi, S. (2009). Relationship between vertical jumping performance and anthropometric characteristics during growth in boys and girls. European Journal of Pediatrics, 168(4), 457–464.PubMedCrossRef Temfemo, A., Hugues, J., Chardon, K., Mandengue, S. H., & Ahmaidi, S. (2009). Relationship between vertical jumping performance and anthropometric characteristics during growth in boys and girls. European Journal of Pediatrics, 168(4), 457–464.PubMedCrossRef
47.
Zurück zum Zitat Martinez-Vizcaino, V., Martinez, M. S., Aguilar, F. S., Martinez, S. S., Gutierrez, R. F., Lopez, M. S., et al. (2010). Validity of a single-factor model underlying the metabolic syndrome in children: a confirmatory factor analysis. Diabetes Care, 33(6), 1370–1372.PubMedCrossRef Martinez-Vizcaino, V., Martinez, M. S., Aguilar, F. S., Martinez, S. S., Gutierrez, R. F., Lopez, M. S., et al. (2010). Validity of a single-factor model underlying the metabolic syndrome in children: a confirmatory factor analysis. Diabetes Care, 33(6), 1370–1372.PubMedCrossRef
48.
Zurück zum Zitat Gutin, B. (2011). Diet vs exercise for the prevention of pediatric obesity: the role of exercise. International Journal of Obesity (London), 35(1), 29–32.CrossRef Gutin, B. (2011). Diet vs exercise for the prevention of pediatric obesity: the role of exercise. International Journal of Obesity (London), 35(1), 29–32.CrossRef
49.
Zurück zum Zitat Beyerlein, A., von Kries, R., Ness, A. R., & Ong, K. K. (2011). Genetic markers of obesity risk: stronger associations with body composition in overweight compared to normal-weight children. PLoS ONE, 6(4), e19057.PubMedCrossRef Beyerlein, A., von Kries, R., Ness, A. R., & Ong, K. K. (2011). Genetic markers of obesity risk: stronger associations with body composition in overweight compared to normal-weight children. PLoS ONE, 6(4), e19057.PubMedCrossRef
50.
Zurück zum Zitat Christodoulos, A. D., Douda, H. T., Polykratis, M., & Tokmakidis, S. P. (2006). Attitudes towards exercise and physical activity behaviours in Greek schoolchildren after a year long health education intervention. British Journal of Sports Medicine, 40(4), 367–371.PubMedCrossRef Christodoulos, A. D., Douda, H. T., Polykratis, M., & Tokmakidis, S. P. (2006). Attitudes towards exercise and physical activity behaviours in Greek schoolchildren after a year long health education intervention. British Journal of Sports Medicine, 40(4), 367–371.PubMedCrossRef
Metadaten
Titel
Health-related quality of life, obesity, and fitness in schoolchildren: the Cuenca study
verfasst von
Pablo Franquelo Morales
Mairena Sánchez-López
Pablo Moya-Martínez
Jorge Cañete García-Prieto
María Martínez-Andrés
Noelia Lahoz García
Vicente Martínez-Vizcaíno
Publikationsdatum
01.09.2013
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 7/2013
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-012-0282-8

Weitere Artikel der Ausgabe 7/2013

Quality of Life Research 7/2013 Zur Ausgabe