Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Quality of Life Research
Erschienen in: Quality of Life Research 1/2018

30.09.2017

Physical activity and health-related quality of life among schoolchildren from disadvantaged neighbourhoods in Port Elizabeth, South Africa

verfasst von: Marina Salvini, Stefanie Gall, Ivan Müller, Cheryl Walter, Rosa du Randt, Peter Steinmann, Jürg Utzinger, Uwe Pühse, Markus Gerber

Erschienen in: Quality of Life Research | Ausgabe 1/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The relationship between health-related quality of life (HRQoL), physical activity (PA), and cardiorespiratory fitness (CRF) among disadvantaged communities in low- and middle-income countries is poorly understood. In South Africa, children from socioeconomically deprived households are at an elevated risk of sedentary lifestyles and poor HRQoL. We examined whether higher self-reported PA and higher CRF levels are associated with better HRQoL in South African schoolchildren from disadvantaged neighbourhoods.

Methods

Overall, 832 children aged 8–12 years participated in this cross-sectional study. HRQoL was assessed through five dimensions of the KIDSCREEN-27 tool. Self-reported PA was measured using a single item of the Health-Behaviour of School-Aged Children test, and CRF with the 20-m shuttle run test.

Results

Higher self-reported PA was significantly and positively related to HRQoL. Significant, but small group differences existed across all dimensions of HRQoL between low and high self-reported PA. No significant associations were observed between CRF levels and HRQoL.

Conclusions

Schoolchildren reporting PA of at least 60 min on at least 6 days a week (the recommended minimum) report higher HRQoL than their peers with lower PA levels.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Ortega, F. B., Ruiz, J. R., Castillo, M. J., & Sjöström, M. (2008). Physical fitness in childhood and adolescence: A powerful marker of health. International Journal of Obesity, 32, 1–11.CrossRefPubMed
2.
Ravens-Sieberer, U., Erhart, M., Wille, N., Wetzel, R., Nickel, J., & Bullinger, M. (2006). Generic health-related quality-of-life assessment in children and adolescents: Methodological considerations. Pharmacoeconomics, 24, 1199–1220.CrossRefPubMed
3.
Haraldstad, K., Christophersen, K. A., Eide, H., Nativg, G. K., & Helseth, S. (2011). Predictors of health-related quality of life in a sample of children and adolescents: A school survey. Journal of Clinical Nursing, 20, 3048–3056.CrossRefPubMed
4.
Ravens-Sieberer, U., Gosch, A., Abel, T., Auquier, P., Bellach, B.-M., Bruil, J., et al. (2001). Quality of life in children and adolescents: A European public health perspective. Sozial- und Präventivmedizin, 46, 294–302.CrossRefPubMed
5.
Seid, M., Varni, J. W., Segall, D., & Kurtin, P. S. (2004). Health-related quality of life as a predictor of pediatric healthcare costs: A two-year prospective cohort analysis. Health and Quality of Life Outcomes, 2, 48–48.CrossRefPubMedPubMedCentral
6.
7.
von Rueden, U., Gosch, A., Ramjl, L., Bisegger, C., Ravens-Sieberer, U., & the European Kidscreen Group (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, 130–135.CrossRef
8.
Chen, G., Ratcliffe, J., Olds, T., Magarey, A., Jones, M., & Leslie, E. (2014). BMI, health behaviors, and quality of life in children and adolescents: A school-based study. Pediatrics, 133, 1–7.CrossRef
9.
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, 1147–1157.CrossRefPubMed
10.
Bisegger, C., Cloetta, B., von Rueden, U., Abel, T., Ravens-Sieberer, U., Duer, W., et al. (2005). Health-related quality of life: Gender differences in childhood and adolescence. Sozial- und Präventivmedizin, 50, 281–291.CrossRefPubMed
11.
Helseth, S., Haraldstad, K., & Christophersen, K. A. (2015). A cross-sectional study of health related quality of life and body mass index in a Norwegian school sample (8–18 years): A comparison of child and parent perspectives. Health and Quality of Life Outcomes, 13, 47. doi:10.​1186/​s12955-12015-10239-z.
12.
13.
Boreham, C., & Riddoch, C. (2001). The physical activity, fitness and health of children. Journal of Sports Sciences, 19, 915–929.CrossRefPubMed
14.
Kohl, H. W. R., & Murray, T. (2012). Foundations of physical activity and public health. Champaign: Human Kinetics.
15.
Penedo, F., & Dahn, J. R. (2005). Exercise and well-being: A review of mental and physical health benefits associated with physical activity. Current Opinion in Psychiatry, 18, 189–193.CrossRefPubMed
16.
Wafa, S., Rhahril, M., Ahmad, A., Zainuddin, L., Simail, K., Aung, M., et al. (2016). Association between physical activity and health-related quality of life in children: A cross-sectional study. Health and Quality of Life Outcomes, 14, 71. doi:10.​1186/​s12955-12016-10474-y.PubMedPubMedCentral
17.
Shoup, J. A., Gattshall, M., Dandamudi, P., & Estabrooks, P. (2008). Physical activity, quality of life, and weight status in overweight children. Quality of Life Research, 17, 407–412.CrossRefPubMed
18.
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, 167–174.CrossRef
19.
Gu, X., Chang, M., & Solmon, M. A. (2016). Physical activity, physical fitness, and health-related quality of life in school-aged children. Journal of Teaching in Physical Education, 35, 117–126.CrossRef
20.
Kantor, R. M., Grimes, G. R., & Limbers, C. A. (2015). Physical activity, sedentary behaviors, and health-related quality of life in rural Hispanic youth. Translational Issues in Psychological Science, 1, 239–249.CrossRef
21.
Petersen, S., Mavoa, H., Swinburn, B., Waqa, G., Goundar, R., & Moodie, M. (2012). Health-related quality of life is low in secondary school children in Fiji. International Journal of Pediatrics, 2012. doi:10.​1155/​2012/​294530.PubMedPubMedCentral
22.
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, 319–324.CrossRefPubMed
23.
Van Hout, R., Young, M., Bassett, S., & Hooft, T. (2013). Participation in sport and the perceptions of quality of life of high school learners in the Theewaterskloof Municipality, South Africa. African Journal for Physical Activity and Health Sciences, 19, 612–622.
24.
Pühse, U., & Gerber, M. (2005). International comparison of physical education. Concepts, problems, prospects. Aachen: Meyer & Meyer.
25.
Strong, W. B., Malina, R. M., Blimkie, C. J. R., Daniels, S. R., Dishman, R. K., Gutin, B., et al. (2005). Evidence based physical activity for school-age youth. Journal of Pediatrics, 146, 732–737.CrossRefPubMed
26.
Walter, C. M. (2011). In-school physical activity patterns of primary school learners from disadvantaged schools in South Africa. African Journal of Physical and Health Education, Recreation and Dance, 17, 780–789.
27.
Hall, K., & Giese, S. (2009). Addressing quality through school fees and school funding. In S. Pendlebury, L. Lake, & C. Smith (Eds.), South African child gauge (pp. 35–40). Cape Town: Children’s Institute, University of Cape Town
28.
29.
Inchley, J., Currie, D., Young, T., Samdal, O., Torsheim, T., Auguston, L., et al. (2016). Growing up unequal: Gender and socioeconomic differences in young people’s health and well-being. Health Behaviour in School-aged Children (HBSC) study: International report from the 2013/2014 survey. Health Policy for Children and Adolescents, 7, 276–276.
30.
United States Department of Health and Human Services. (2008). 2008 physical activity guidelines for Americans. Washington, DC: U.S. Government Printing Office.
31.
Biddle, S. J., Cavill, N., & Sallis, J. F. (1998). Policy framework for young people and health-enhancing physical activity. In S. J. Biddle, J. F. Sallis & N. Cavill (Eds.), Young and active? Young people and health-enhancing physical activity – Evidence and implications (pp. 3–16). London: Health Education Authority.
32.
Léger, L. A., Mercier, D., Gadoury, C., & Lambert, J. (1988). The multistage 20 m shuttle run test for aerobic fitness. Journal of Sports Sciences, 6, 93–101.CrossRefPubMed
33.
The Kidscreen Group Europe (2006). The KIDSCREEN questionnaires: Quality of life questionnaires for children and adolescents. Lengerich: Pabst Science.
34.
WHO. (2007). Growth reference 5–19 years. Geneva: World Health Organization.
35.
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis. Upper Saddle River: Pearson Education.
36.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Mahwah: Erlbaum.
37.
Nunnally, J., & Bernstein, B. (1994). Psychometric theory. New York: McGraw-Hill.
38.
Kalman, M., Inchley, J., Sigmundova, D., Iannotti, R. J., Tynjälä, J. A., Hamrik, Z., et al. (2015). Secular trends in moderate-to-vigorous physical activity in 32 countries from 2002 to 2010: A cross-national perspective. European Journal of Public Health, 25, 37–40.CrossRefPubMed
39.
WHO (2016). WHO fact sheet: Physical activity in adolescents (15 March 2016). Geneva: World Health Organization.
40.
Breslin, G., Gossrau-breen, D., McCay, N., Gilmore, G., Macdonald, L., & Hanna, D. (2012). Physical activity, gender, weight status, and wellbeing in 9- to 11-year-old children : A cross-sectional survey. Journal of Physical Activity and Health, 9, 394–401.CrossRefPubMed
41.
42.
Lindwall, M., & Lindgren, E.-C. (2005). The effects of a 6-month exercise intervention programme on physical self-perceptions and social physique anxiety in non-physically active adolescent Swedish girls. Psychology of Sport and Exercise, 6, 643–658.CrossRef
43.
Brand, S., Kalak, N., Gerber, M., Clough, P. J., Lemola, S., Pühse, U., et al. (2016). During early and mid-adolescence, greater mental toughness is related to increased sleep quality and quality of life. Journal of Health Psychology, 21, 905–915.CrossRefPubMed
44.
Brand, S., Kalak, N., Gerber, M., Clough, P. J., Lemola, S., Bahmani, S. D., et al (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 Sport Sciences, 35, 426–434.CrossRef
45.
Gerber, M., Endes, K., Brand, S., Herrmann, C., Colledge, F., Donath, L., et al. (2017). In 6- to 8-year-old children, cardiorespiratory fitness moderates the relationship between severity of life events and health-related quality of life. Quality of Life Research, 26, 695–706.CrossRefPubMed
46.
Gerber, M., Endes, K., Herrmann, C., Colledge, F., Brand, S., Donath, L., et al. (2017). Fitness, stress and body composition in primary schoolchildren. Medicine and Science in Sports and Exercise, 49, 581–587.CrossRefPubMed
47.
Martikainen, S., Pesonen, A. K., Lahti, J., Heinonen, K., Feldt, K., Pyhälä, R., et al. (2013). Higher levels of physical activity are associated with lower hypothalamic-pituitary-adrenocortical axis reactivity to psychosocial stress. Journal of Clincal Endocrinology and Metabolism, 98, 619–627.CrossRef
48.
Lang, C., Kalak, N., Brand, S., Holsboer-Trachsler, E., Pühse, U., & Gerber, M. (2016). The relationship between physical activity and sleep from mid adolescence to early adulthood. A systematic review of methodological approaches and meta-analysis. Sleep Medicine Reviews, 58, 32–45.CrossRef
49.
Hatzinger, M., Brand, S., Perren, S., Stadelmann, S., von Wyl, A., von Klitzing, K., et al. (2010). Sleep actigraphy pattern and behavioral/emotional difficulties in kindergarten children: Association with hypothalamic-pituitary-adrenocortical (HPA) activity. Journal of Psychiatric Research, 44, 253–261.CrossRefPubMed
50.
51.
Tomson, L. M., Pangrazi, R. P., Friedman, G., & Hutchinson, N. (2003). Childhood depressive symptoms, physical activity and health related fitness. Journal of Sport and Exercise Psychology, 25, 419–439.CrossRef
52.
Zahl, T., Steinsbekk, S., & Wichstrøm, L. (2017). Physical activity, sedentary behavior, and symptoms of major depression in middle childhood. Pediatrics, 139(2). doi:10.​1542/​peds.​2016-1711.
53.
Ekelund, U., Anderssen, S. A., Froberg, K., Sardinha, L. B., Andersen, L. B., Brage, S., et al. (2007). Independent associations of physical activity and cardiorespiratory fitness with metabolic risk factors in children: The European Youth Heart Study. Diabetologia, 50, 1832–1840.CrossRefPubMed
54.
Silva, G., Aires, L., Mota, J., Oliveira, J., & Ribeiro, J. C. (2012). Normative and criterion-related standards for shuttle run performance in youth. Pediatric Exercise Science, 24, 157–169.CrossRefPubMed
55.
Bouchard, C., Malina, R. M., & Perusse, L. (1997). Genetics of fitness and physical activity (p. 408). Champaign: Human Kinetics.
56.
Byrne, B. M. (2010). Structural equation modeling with AMOS. Basic concepts, applications, and programming. New York: Taylor & Francis.
57.
Gerber, M., Brand, S., Holsboer-Trachsler, E., & Pühse, U. (2010). Fitness and exercise as correlates of sleep complaints. Is it all in our minds? Medicine and Science in Sports and Exercise, 43, 893–901.CrossRef
58.
Lindwall, M., Ljung, T., Hadzibajramovic, E., & Jonsdottir, I. (2012). Self-reported physical activity and aerobic fitness are differently related to mental health. Mental Health and Physical Activity, 5, 28–34.CrossRef
59.
Gall, S., Müller, I., Walter, C., Seelig, H., Steenkamp, L., Pühse, U., et al. (2017). Associations between selective attention and soil-transmitted helminth infections, socioeconomic status and physical fitness in disadvantaged children in Port Elizabeth, South Africa: An observational study. PLoS Neglected Tropical Diseases. doi:10.​1371/​journal.​pntd.​0005573.PubMedPubMedCentral
60.
Reed, K. E., Warburton, D. E. R., Macdonald, H. M., Naylor, P. J., & McKay, H. A. (2008). Action Schools! BC: A school-based physical activity intervention designed to decrease cardiovascular disease risk factors in children. Preventive Medicine, 46, 525–531.CrossRefPubMed
61.
Ruggero, C. J., Petrie, T., Sheinbein, S., Greenleaf, C., & Martin, S. (2015). Cardiorespiratory fitness may help in protecting against depression among middle school adolescents. Journal of Adolescent Health, 57, 60–65.CrossRefPubMed
62.
Ravens-Sieberer, U., Auquier, P., Erhart, M., Gosch, A., Rajmil, L., Bruil, J., et al. (2007). The KIDSCREEN-27 quality of life measures for children and adolescents: Psychometric results from a cross-cultural survey in 13 European countries. Quality of Life Research, 16, 1347–1356.CrossRefPubMed
63.
Hall, K., Sambu, W. L. B., Giese, S., Almeleh, C., & Rosa, S. (2016). South African early childhood review 2016. Cape Town: Children’s Institute, University of Cape Town and Ilifa Labantwana.
64.
DoBE (2014). National School Nutrition Programme. Report 2013/2014. Pretoria: Department of Basic Education.
65.
Aaltoonen, S., Latvala, A., Rose, R. J., Kujala, U. M., Kaprio, J., & Silventoinen, K. (2016). Leisure-time physical activity and academic performance: Cross-lagged associations from adolescence to young adulthood. Scientific Reports, 6, 39215. doi:10.​1038/​srep39215.CrossRef
66.
Stavrakakis, N., de Jonge, P., Ormel, J., & Oldehinkel, A. J. (2012). Bidirectional prospective associations between physical activity and depressive symptoms. The TRAILS Study. Journal of Adolescent Health, 50, 503–508.CrossRefPubMed
67.
Achenbach, T. M., Dumenci, L., & Rescorla, L. A. (2002). Ten-year comparisons of problems and competencies for national samples of youth: Self, parent and teacher reports. Journal of Emotional and Behavioral Disorders, 10, 194–203.CrossRef
68.
Scott, J. J., Morgan, P. J., Plotnikoff, R. C., & Lubans, D. R. (2015). Reliability and validity of a single-item physical activity measure for adolescents. Journal of Paediatrics and Child Health, 51, 787–793.CrossRefPubMed
69.
Milton, K., Clemes, S., & Bull, F. (2013). Can a single question provide an accurate measure of physical activity? British Journal of Sports Medicine, 47, 44–48.CrossRefPubMed
Metadaten
Titel
Physical activity and health-related quality of life among schoolchildren from disadvantaged neighbourhoods in Port Elizabeth, South Africa
verfasst von
Marina Salvini
Stefanie Gall
Ivan Müller
Cheryl Walter
Rosa du Randt
Peter Steinmann
Jürg Utzinger
Uwe Pühse
Markus Gerber
Publikationsdatum
30.09.2017
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 1/2018
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1707-1

Weitere Artikel der Ausgabe 1/2018

Quality of Life Research 1/2018 Zur Ausgabe

OriginalPaper

Self-rated health as a predictor of mid-term and long-term mortality in older Afro-Caribbeans hospitalised via the emergency department

Special Section: Measuring What Matters (by invitation only)

Moving from significance to real-world meaning: methods for interpreting change in clinical outcome assessment scores

OriginalPaper

Health-related quality of life and its determinants in patients with metastatic renal cell carcinoma

Special Section: Measuring What Matters (by invitation only)

Beyond study participants: a framework for engaging patients in the selection or development of clinical outcome assessments for evaluating the benefits of treatment in medical product development

Special Section: Measuring What Matters (by invitation only)

Prioritizing research topics: a comparison of crowdsourcing and patient registry

Commentary

Assessing health-related quality of life in patients with breast cancer: a reply to Maratia et al