Abstract
Background: Health-related quality of life (HRQoL) in childhood is a multidimensional construct with many sub dimensions of subjective experience, including physical activity (PA), psychological well-being, social interaction, and school performance, that represents a fundamental health outcome to assess a child’s physical and psycho-social functioning. Our study aims to explore the potential predictors of children’s health-related quality of life, using a convenience sample from the Imola Active Break Study (I-MOVE), considering demographic, anthropometric measures, PA level measured by Actigraph accelerometers, parent-reported/self-reported HRQoL, and body image. Methods: A cross-sectional analysis was conducted among 151 primary school children in Italy. HRQoL was assessed using the Italian version 4.0 of the Paediatric Quality of Life (PedsQL) questionnaire. Results: Children who spent more time partaking in moderate PA were associated with a higher total PedsQL score (p < 0.03). Mother’s body mass index (BMI) was the only variable statistically significant associated with the physical health domain of PedsQL. Parent’s proxy-report perception concerning children’s psychosocial health was statistically relevant. The children’s gender, age, and BMI had no association with any of the HRQoL outcomes. Discussion: Parent proxy-report psychosocial health and mother’s BMI should be considered as predictors of HRQoL for the psychosocial and physical domain. PA should be implemented in order to improve the HRQoL of primary school children.
Highlights
Interest in health-related quality of life (HRQoL) has been growing, especially as z health outcome among children and adolescents, in order to assess their physical and social functioning, mental health, and well-being [1]
The main significant finding of this study was that a higher time spent in moderate intensity physical activity was positively associated with a higher health-related quality of life in children measured by the total PedsQL score
Contrary to most of the studies focused on quality of life, we found that gender and age were not a significant factor associated with variations in HRQoL
Summary
Interest in health-related quality of life (HRQoL) has been growing, especially as z health outcome among children and adolescents, in order to assess their physical and social functioning, mental health, and well-being [1]. Measures of health-related quality of life (HRQoL) assess important aspects of health that are not detected by traditional physiological and clinical measurements. The World Health Organization (WHO) defines quality of life as “the individual’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns”, in other words, a global view that considers many dimensions of human beings [2]. Health-related quality of life (HRQoL) is a multidimensional construct with many sub dimensions of subjective experience, including physical activity, psychological.
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