Dimensions Of Physical Well-being Research Articles

Health-Related Quality of Life Using the KIDSCREEN-27 Questionnaire among Adolescents with High Myopia.

Background/Objectives: The aim of the study was to explore Health-Related Quality of Life (HRQoL) using the KIDSCREEN-27 questionnaire among adolescents with high myopia (HM). Methods: Sixty-nine adolescents with HM and 71 healthy participants aged 12-17 years and their parents or legal guardians were enrolled in the study. Results: Adolescents with HM showed significantly lower scores on the Physical Well-Being dimension in comparison with controls (p = 0.003), particularly girls with HM in comparison with girls from the control group (p = 0.008), and 15-17-year-old adolescents in comparison with same-aged controls (p = 0.020). Girls with HM were characterised by significantly worse scores on the Psychological Well-Being dimension compared with boys with HM (p < 0.042). Sociodemographic factors and refractive error, its duration, and acceptance of disease had no impact on HRQoL. Conclusions: HM may have a negative impact on the HRQoL of children, affecting particularly the physical and psychological well-being of girls. It is important that a holistic approach to the treatment of HM in adolescents is taken by measuring their HRQoL as part of the routine diagnostic process. Use of the KIDSCREEN-27 questionnaire seems justified as it allows for determination of the type of intervention required to improve the HRQoL of individuals affected by the disease.

Does a community soccer program promote health-related quality of life in socially vulnerable Brazilian adolescents?

ABSTRACT Rationale: Understanding the impact of different sport initiatives on young people from socially vulnerable backgrounds is important. However, there remains a paucity of quantitative research on the quality of life of this group. Method: This study employed an ex post facto observational design to provide data on health-related quality of life (HRQoL) from socially vulnerable Brazilian adolescents enrolled in a community soccer program (“Union Project”). Male soccer players (n = 26, 2x/week for 6 months in the soccer program) and non-players (n = 26, no participation in sports program) were included in the study. Participants answered a form about sociodemographic data and health-related quality of life perception (KIDSCREEN-27). Differences in HRQoL between players and non-players were verified by the independent t test and the effect size was estimated (Cohen’s d). Findings: Except for the School Environment dimension, soccer players presented statistically higher scores of HRQoL in comparison to non-players (P < 0.05). The Physical Well-Being dimension (d = 1.9) and the total HRQoL (d = 1.4) showed large effects in favor of the soccer player group. Research contribution: The Union Project seems to have the potential to improve the HRQoL of socially vulnerable adolescents, in which soccer players showed better scores on almost all dimensions of HRQoL compared to their peers.

Development of algorithms to estimate the EQ-5D-5L from the FACT-L in patients with lung cancer: a mapping study.

This study aimed to develop a mapping algorithm to evaluate the EQ-5D-5L according to the FACT-L when the EQ-5D-5L is not available. EQ-5D-5L and FACT-L data were collected from patients with lung cancer in Departments of Thoracic Surgery, Medical Oncology, Radiation Oncology, Sichuan Cancer Hospital. We used the ordinary least squares model (OLS), Tobit model (Tobit), two-part model (TPM), beta mixture regression (BM), and censored least absolute deviation model (CLAD) to map the results of the FACT-L according to EQ-5D-5L scores. To establish these models, the total score, dimension scores, squared items, and interaction items were introduced. Performance metrics including Adjusted R2, root mean square error (RMSE), and mean absolute error (MAE) were used to select the optimized model. The model with the best mapping performance was the BM model (BETAMIX4) with the PWB (physical well-being) dimension, FWB (functional well-being) dimension, the squared term of the PWB dimension, and the squared term of the FWB dimension as covariates. The final prediction metrics were Adjusted R2 = 0.695, RMSE = 0.206, and MAE = 0.109. Fivefold cross-validation (CV) results also demonstrated that the BM model had the best mapping power. This study developed an optimized mapping algorithm to predict the utility index from the FACT-L to the EQ-5D-5L, which provides an effective alternative reference for EQ-5D-5L estimation when the preference-based health utility values were unavailable.

The Functional Assessment of Cancer Therapy Scale: Development and Validation of the General Measure.

We developed and validated a brief, yet sensitive, 33-item general cancer quality-of-life (QL) measure for evaluating patients receiving cancer treatment, called the Functional Assessment of Cancer Therapy (FACT) scale. The five-phase validation process involved 854 patients with cancer and 15 oncology specialists. The initial pool of 370 overlapping items for breast, lung, and colorectal cancer was generated by open-ended interview with patients experienced with the symptoms of cancer and oncology professionals. Using preselected criteria, items were reduced to a 38-item general version. Factor and scaling analyses of these 38 items on 545 patients with mixed cancer diagnoses resulted in the 28-item FACT-general (FACT-G, version 2). In addition to a total score, this version produces subscale scores for physical, functional, social, and emotional well-being, as well as satisfaction with the treatment relationship. Coefficients of reliability and validity were uniformly high. The scale's ability to discriminate patients on the basis of stage of disease, performance status rating (PSR), and hospitalization status supports its sensitivity. It has also demonstrated sensitivity to change over time. Finally, the validity of measuring separate areas, or dimensions, of QL was supported by the differential responsiveness of subscales when applied to groups known to differ along the dimensions of physical, functional, social, and emotional well-being. The FACT-G meets or exceeds all requirements for use in oncology clinical trials, including ease of administration, brevity, reliability, validity, and responsiveness to clinical change. Selecting it for a clinical trial adds the capability to assess the relative weight of various aspects of QL from the patient's perspective.

Autonomous shuttles contribution to independent mobility for children – a qualitative pilot study

Children's mobility and the opportunity to get around the city on their own has decreased and is today limited to a large extent by unsafe traffic situations. Due to their limited independent mobility, children are excluded from the urban space and its facilities. Independent mobility can be related to several dimensions of children's social, physical, mental and cognitive wellbeing. The purpose of this study is to investigate if and in what way autonomous buses can contribute to children's independent mobility and, using children's experiences, provide insights into this before the introduction of autonomous buses in cities and public transport systems. To do so, the two research questions "How can autonomous buses in the transport system contribute to children's independent mobility?" and "What prerequisites are necessary for autonomous buses to contribute to children's independent mobility?" are answered. The survey is based on a case of introduction of autonomous buses in urban environments. Three focus groups with students in a primary school were conducted with the aim of gaining the participants' experiences. The results indicate that the introduction of autonomous buses in an urban area can contribute to children's independent mobility in several ways and that the buses have certain characteristics that enable them to be adapted to children's conditions. The low speed of the shuttles, which is often seen as an obstacle when it comes to time efficiency, has a positive effect on perceived safety in this case. The mobility solution is also child-friendly in that it is accessible in terms of trip planning and payment. However, it is important to consider the risk that the bus might replace active transportation modes, like cycling. To avoid this, autonomous shuttles should be integrated in a way that complement, not compete with, active travel.

Providing person-centered palliative care in conflict-affected populations in the Middle East: What matters to patients with advanced cancer and families including refugees?

Universal health coverage highlights palliative care as an essential component of health services. However, it is unclear what constitutes person-centered care in populations affected by conflict, as they may have specific concerns in the dimensions of physical, emotional, social, and spiritual wellbeing. This study aimed to identify what matters to patients with advanced cancer and family caregivers in Jordan including refugees, to inform appropriate person-centered assessment and palliative care in conflict-affected populations. Cross-sectional face-to-face, semi-structured interviews were conducted at two sites in Amman. Adult patients with advanced cancer and family caregivers were purposively sampled to maximize diversity and representation. Interviews were digitally audio recorded, anonymized, and transcribed verbatim for thematic analysis. Four themes were generated from 50 patients (22 refugees; 28 Jordanians) and 20 caregivers (7 refugees; 13 Jordanians) (1). Information, communication, and decision-making. Truth-telling and full disclosure from clinicians was valued, and participants expressed concerns that information was not shared in case patients would disengage with treatment. (2) Priorities and concerns for care and support. Participants' top priority remained cure and recovery (which was viewed as possible). Other priorities included returning to their "normal" life and their "own" country, and to continue contributing to their family. (3) Role of spirituality and Islam. Most participants had strong faith in God and felt that having faith could comfort them. For refugees whose social network was fractured due to being away from home country, prayer and Quran reading became particularly important. (4) Unmet support needs of family caregivers. Family caregivers were affected physically and emotionally by worrying about and caring for the patients. They needed support and training, but often could not access this. Truth-telling is highly valued and essential to achieving person-centered care and informed decision-making. This study also reveals specific concerns in conflict-affected populations, reflecting the experience of prior losses and fracturing of existing social networks and support. The role of religion is crucial in supporting refugee communities, and consideration should be paid to the needs of patients and caregivers when caring for a patient at home without access to their communities of origin and the support they accessed.

Independent and joint associations of cardiorespiratory fitness and weight status with health-related quality of life among Brazilian adolescents.

To investigate the independent and joint associations of cardiorespiratory fitness and body mass index (BMI) with five dimensions of Health-Related Quality of Life (HRQoL) in a cross-sectional sample of Brazilian adolescents. 619 Brazilian schoolchildren answered a survey, BMI categories (healthy weight and overweight/obesity) were assessed by their weight and height, and they participated in a 20-m shuttle run test. HRQoL was measured using the KIDSCREEN-27 across five dimensions: Physical Well-Being, Psychological Well-Being, Autonomy and Parent Relation, Peers and Social Support, and School Environment. Sex, age, maternal education, physical activity level, and habitual sedentary behaviour were assessed and used as adjusting variables. Cardiorespiratory fitness was categorized in tertiles and independent and joint associations were tested using mixed-effects linear regressions. Higher levels of cardiorespiratory fitness were favourably associated with the physical well-being, psychological well-being, and peer and social support dimensions of HRQoL. Adolescents with overweight/obesity presented higher scores on peer and social support dimensions when compared to healthy-weight adolescents. Independent of the adolescents' BMI categories, better cardiorespiratory fitness was positively associated with physical and psychological well-being when compared with the category of overweight/obesity and low cardiorespiratory fitness. In addition, adolescents with overweight/obesity combined with intermediate cardiorespiratory fitness or high cardiorespiratory fitness had higher scores on the peer and social support dimension. Cardiorespiratory fitness is a strong correlate of HRQoL across most of the dimensions measured, while BMI was a correlate of one dimension of HRQoL. Future studies should evaluate these relationships prospectively and experimentally.

Child self-report and child-parent agreement regarding health-related quality of life under COVID-19 lockdown in the French Grand Est area

Nearly 1.6 billion of children and young people in more than 190 countries have been affected by school closures under the first lockdown due to the coronavirus disease. This study aimed to investigate child-reported and parent-rated health-related quality of life among 8- to 18-year-olds and the agreement between the children’s assessments and those of their parents during lockdown. A cross-sectional study was conducted among French children living in the Grand Est area. An online survey was used to collect data on the children’s sociodemographics, living environments, education and HRQoL. The latter was assessed with KIDSCREEN-27, which consists of five domains. Sex and age differences in parent ratings and child-reported data were analyzed using Mann-Whitney tests. Child-parent agreement was analyzed using the intraclass correlation coefficient (ICC). In total, 471 child-parent pairs from 341 households were included. Compared to European norms, children scored lower on all dimensions during the first lockdown: physical well-being (45.9/49.94 EU), psychological well-being (48.8/49.77 EU), parent relations and autonomy (47.7/49.99 EU), social support and peers (36.4/49.94 EU) and school (48.2/50 EU). Significant child-reported sex and age differences were identified for both psychological and physical well-being dimensions. Moderate to good agreement existed between children’s and parents’ ratings on all KIDSCREEN dimensions (ICC ranged from 0.60 to 0.76). The study suggests the need to focus on children’s social support and peers during epidemics and to consider the children’s self-reported HRQoL. Additional research should be conducted to identify ways of minimizing the gap between mental health needs and the services available and to help more children maintain their physical and mental health during the current crisis.

Effects of Socio-educational Interventions on the Quality of Life of People with a Digestive Ostomy.

The creation of digestive stomata is associated with a change in people's lives. Causing a strong impact that influences all dimensions of life. This paper reports on the effects of socio-educational interventions on the quality of life (QOL) of people with a digestive ostomy. To describe the effect of a nursing intervention on the QOL of people with a digestive ostomy. A quasiexperimental study was conducted whose sample consisted of 12 people who were ostomized in a public hospital in Colombia. Participants were selected through convenience sampling and randomly assigned to the intervention group and the control group. For the control group, an educational process was carried out through a theoretical session with virtual mediation (educational video). The QOL was evaluated before and after the interventions through the Montreux questionnaire. The average age was 57(+7) years. No statistical differences were found between the groups in the QOL index or for any of the dimensions that make up QOL. Pretest and post-test analysis for each intervention separately showed improvement in two dimensions of QOL for each group; in the intervention group body image dimension (p = .017) and the positive coping dimension (p = .027). In the control group, the physical well-being dimension (p = .037) and social concerns dimension (p = .034). The personalized educational intervention or carried out through virtual pedagogical mediation, generated a clinically significant increase in the dimensions of QOL, without statistical differences. The study adds knowledge about the impact that digestive stomata have on the QOL, which is why it is necessary to establish specialized interdisciplinary teams to care for the person's new condition at home during the following months.

Pregnant women's experiences of well-being in high-risk pregnancy: A qualitative study.

Physical changes in high-risk pregnancy (HRP) can lead to changes in mood and social relationships and negative effects on women's well-being. Individuals in different sociocultural contexts have different perceptions of well-being. Yet, there is limited information about perceptions of well-being in HRP. This study aimed to explore the Iranian women's experiences of well-being in HRP. This qualitative study was conducted in 2019-2020 through directed content analysis based on the conceptual framework of well-being in HRP. Participants were 26 women with HRP purposively recruited from public and private healthcare settings in Mashhad, Iran. Face-to-face semistructured interviews were held for data collection until data saturation. Data were analyzed through directed content analysis proposed by Elo and kyngäs (2008) and were managed using the MAXQDA (v. 10) program. Well-being in HRP had seven attributes in the five main dimensions of physical, mental-emotional, social, marital, and spiritual well-being. The seven attributes of well-being in HRP were controlled physical conditions, controlled mood, emotions, and affections, perceived threat, self-efficacy, and competence for multiple role performance, maintained social relationships, meaning seeking and relationship with the Creator, and positive marital relationships. The present study provide an in-depth understanding about well-being in the Iranian women with HRP. It is a complex and multidimensional concept with physical, mental-emotional, social, marital, and spiritual dimensions. Comprehensive multicomponent interventions are needed to promote well-being among women with HRP and designed the guidelines to provide woman-centered care.

The Relationship between Health Anxiety and Quality of Life in Adolescents During the COVID-19 Pandemic

The current pandemic situation affects the health of adolescents in Indonesia. Research in adult showed that health anxiety has a relationship with quality of life. Research on adolescents regarding health anxiety and quality of life was not done much, this makes researchers want to see how the relationship between anxiety on health and quality of life of adolescents during the COVID 19 pandemic. The study was conducted on 497 adolescents in the city of Bandung with a comparison of 215 girls and 282 boys with an age range of 16 to 18 years. The study was conducted from January to February 2021 when large-scale social restrictions were implemented. Based on statistical tests with Spearman's correlation analysis, it was found that there was a negative relationship between anxiety about health and the quality of life of adolescents during the COVID 19 pandemic. The conclusion of this study is that the greater the anxiety of adolescents, the lower the quality of life, both in the dimensions of physical well-being, psychological well-being, dimensions autonomy and parents, as well as dimensions of the school environment.

Living conditions of older adults in the Nueva Provincia neighborhood, La Libertad, Santa Elena, Ecuador – 2021

ABSTRACT The living conditions of older adults are the circumstances inherent to the environment that surrounds this vulnerable group and all difficulties they present due to the nature of age. Inequalities exist mainly when the general sector circumstances are untidy. This study’s objective has been to determine the older adults’ living conditions in the Nueva Provincia neighborhood. The methodology used was a non-experimental design with a quantitative approach and correlational scope. The technique was survey and the instrument used was a questionnaire; the instrument’s validity was performed through construct and criterion validity through Pearson’s correlation coefficient, as well as reliability through Cronbach’s Alpha Test, obtaining reliability of 99%, which is excellent. The main alterations were shown in the physical well-being dimension, where the most important scores were obtained at a very low level with alterations in autonomy degree in housework at a very low (15%), autonomy in basic activities very low (15%) and low (10%), the autonomy to get up and go to bed very low (15%) and low (5%), and the most affected was physical exercise or sports activities with a surprising score of very low (15%) and low (85%). In conclusion, the physical well-being dimension is the most altered in the elderly who live in the Nueva Provincia neighborhood.

PB2338: QUALITY OF LIFE AFTER ALLOGENIC HEMATOPOIETIC STEM CELL TRANSPLANTATION: IMPACT OF CHRONIC GVHD

Background: Hematopoietic Stem Cell transplantation (HSCT) is a potentially curative treatment for several hematological diseases, but it is often complicated by significant morbidity and mortality. This is particularly related to chronic Graft versus Host Disease (GVHD) that can deeply impact patients’ quality of life (QoL). Aims: Our purpose was to evaluate patients’QoL after HSCT and to clarify the impact of chronic GVHD. Methods: We conducted a cross-sectional descriptive study at the National Bone Marrow Transplant Center including patients who underwent HSCT between January 2018 and December 2019. These patients filled in the questionnaire for the quantitative measurement of quality of life using 36-Item Short-Form Health Survey (SF-36) and to the Functional Assessement of Cancer Therapy-Bone Marrow Transplantation (FACT-BMT) during a phone interview. Results: Of the 52 patients still alive at the time of the survey, 43 patients were contactable and willing to participate (participation rate: 83%). The median age of the participants was 28 years (7-52) with a sex ratio of 1.52. Underlying disease was acute leukemia for 29 patients and aplastic anemia for 14 others. The median time between HSCT and the interview was of 26 months (17-39). At the time of the survey, all patients were in complete remission and 28% among them (12 of 43) had active extensive chronic GVHD. Results obtained in the different dimensions of the SF-36 and FACT-BMT scales indicated good overall QoL in patients after HSCT. However, using SF-36, patients with chronic active GVHD had significantly lower scores on « role limitation due to their physical condition » (p=0.001), «role limitation due to their psychological condition » (p=0.0001), « vitality » (p= 0.045) and « general health perception » (p=0.027) than the other patients. In addition, the FACT-BMT score revealed a negative impact on chronic GVHD in physical well-being dimension (p=0.009) and the functional well-being dimension (p=0.027). Apart from chronic active GVHD, a negative impact on QoL was noted with: adult age, peripheral stem cells transplants and GVHD prophylaxis with ciclosporin alone. Summary/Conclusion: Active chronic GVHD was associated with impared QoL in patients after HSCT hence the need for rapid diagnosis and optimal prophylaxis and treatment of this complication.

The influence of leadership styles and human resource management on educators' well-being in the light of three Sustainable Development Goals

PROPÓSITOEste trabajo analiza la influencia de los estilos de liderazgo y la gestión de los recursos humanos (GRH) en el bienestar de los profesores y cómo estos contribuyen a los Objetivos de Desarrollo Sostenible (ODS) 3: Buena salud y bienestar, 4: Educación de calidad y 8: Trabajo decente y crecimiento económico. El análisis evalúa hasta qué punto el bienestar de los profesores está influenciado por la gestión de los recursos humanos y el estilo de liderazgo de la dirección del centro.DISEÑO/METODOLOGÍA/ENFOQUEEl objetivo de este estudio es determinar cómo el liderazgo mediante el ejemplo, el liderazgo de alta comunicación, la gestión de los recursos humanos y el género influyen en dos dimensiones del bienestar de los profesores, a saber, el bienestar emocional y el físico. El género se utilizó como variable moderadora. Las relaciones entre estas variables se reflejan en las hipótesis de este estudio. Se utilizó un análisis de regresión lineal para probar estas hipótesis. Las escalas de medición se extrajeron de la literatura. Los datos se obtuvieron mediante un muestreo no probabilístico de conveniencia de 300 institutos públicos y concertados. Para incluir en el estudio ciudades españolas grandes y medianas, se seleccionaron Madrid, Valencia, Málaga y Murcia. La muestra final consistió en 315 profesores de secundaria de 75 centros.HALLAZGOSLos resultados sugieren que el liderazgo mediante el ejemplo y el liderazgo de alta comunicación influyen directa y positivamente en la gestión de los recursos humanos. La gestión de los recursos humanos, a su vez, influye en el bienestar físico y psicológico de los profesores de instituto.ORIGINALIDAD/VALOREste artículo se suma a la literatura sobre los estilos de liderazgo y la gestión de los recursos humanos, ampliando el conocimiento de los factores que influyen en el bienestar de los profesores de centros escolares. Hasta donde los autores saben, éste es el primer artículo que informa de un estudio sobre dichos factores en los centros escolares de España.

The quality of life of people with ASD through physical activity and sports

Among the factors that influence the quality of life of people with Autism Spectrum Disorder (ASD), physical activity and sport are key dimensions of physical well-being. Few studies take into account the perspectives of people with ASD in order to understand the extent of physical well-being and their subjective perception of it. The development of a system of quality of life indicators related to physical activity and sport for people with ASD and their analysis is the aim of this study, providing guidelines for improvement. A study was carried out with a sample of 276 people, professionals (n = 143), family members (n = 73) and people with ASD (n = 60). The people with ASD in the sample belonged to three age categories: children aged 8–12 years, adolescents aged 12–18 years and adults over 18 years. The research team used a qualitative methodology in the collection of information. They adapted three questionnaires, with validated quality of life scales, to guide the interviews and also applied them in the design of the focus group protocols. Subsequently, the research team analysed the information collected in the focus groups with families and professionals using a DELPHI method. A system for coding the responses and qualitative analysis of the responses was also prepared for the analysis of the data by the research team. Finally, the information obtained was compared with a group of representative experts. The results concluded with the elaboration of a system of quality of life indicators related to the dimension of physical well-being, as well as guidelines and proposals that bring together the perspectives of people with ASD in relation to the practice of sport and physical activity. There is a need to increase the practice of sport among people with ASD in order to promote their health, social participation and personal satisfaction.It is concluded that it is not possible to obtain a broad picture of the quality of life of people with ASD and their families due to lack of information. However, the method and the results obtained represent a first approach at national level to increase knowledge about the quality of life of people with ASD.

The Quality of Life of People Living With ASD Through Physical Activity and Sports

Among the factors that influence the quality of life of people living with Autism Spectrum Disorder (ASD), physical activity and sport are key dimensions of physical wellbeing. Few studies take account of the perspectives of people with ASD, in order to understand the scope of physical wellbeing and their subjective perception regarding it. The preparation of a system of quality of life indicators that refer to physical activity and sport for people with ASD and its analysis is the objective of this study, setting guidelines for improvement. A study is conducted with a sample of 276 people, professionals (n=143), family members (n=73), and people with ASD (n=60). The research team employed a mixed methodology with qualitative and quantitative techniques in the collection of the information. They adapted three questionnaires to guide the interviews and they applied them too in the design of the protocols for the focus groups. Subsequently, the research team analyzed the information collected in the focus groups using a DELPHI method. A system for encoding the responses and for their qualitative analysis is also prepared for data-analysis purposes. The results concluded with the elaboration of a system of qualify-of life indicators related to the dimension of physical wellbeing, as well as guidelines and proposals that agglutinate the perspectives of people with ASD regarding the sport and physical activity practice. There is a need to increase sports practice within people with ASD, with the aim to promote their health, social participation and personal satisfaction. Funding Information: None to declare. Declaration of Interests: None to declare. Ethics Approval Statement: All the participants signed documents regarding informed consent participation, protection of personal data and confidentiality.

Health-related quality of life in developmental coordination disorder and typical developing children

PurposeTo analyse: 1) the differences in health-related quality of life (HRQoL) between typically developing (TD) children and children with developmental coordination disorder (DCD) according to parents’ and children’s perception, and 2) the differences and level of agreement between parents and children’s perceptions in HRQoL in both children’s samples. MethodsCross-sectional analysis in 115 Spanish schoolchildren 4-to-7 years. Motor competence and HRQoL were assessed using the MACB-2 and the KINDL-R questionnaire, respectively. ResultsANCOVA model showed that children with DCD children obtained lower scores in physical well-being, friends, school and total HRQoL dimensions than TD peers after controlling for covariates (p < 0.05). Moreover, parents’ perception scores in HRQoL were lower in children with DCD than in TD peers (79.7 vs 84.8; p = 0.022). Student T-tests for repeated-measures showed non-significant differences between children and parents’ perceptions in mean HRQoL scores, by motor competence categories. The intraclass correlations coefficients between parents and children’s perception of HRQoL was moderate in DCD category (0.62; p = 0.024) and small in TD category (0.29; p = 0.049). ConclusionsChildren under 6 years old with DCD have lower HRQoL scores than their TD peers. No differences were found between children's and parents' perceptions in total HRQoL, although the perceptions of children and parents in DCD category showed a significantly higher level of agreement than TD children. Interventions aimed at promoting motor skills in school settings during the preschool age seem necessary to improve children’s quality of life.

Relationship between Weight Status and Health-Related Quality of Life in a Sample of Early Adolescents from Central and Northern Italy: A Cross-Sectional Study of the AVATAR Project Participants.

Among the various factors that could influence health-related quality of life (HRQoL) in adolescence, body mass index (BMI) seems to play a key role as a main anthropometric parameter. The aim of this cross-sectional study was to determine, in a sample of Italian adolescents, whether HRQoL is associated with the different weight status categories (underweight, normal weight, overweight, obese), according to BMI cut-off points for children, even considering sex differences. Data were collected from 1707 adolescents (n = 828 males) in seven schools. HRQoL was analyzed using the Italian version of KIDSCREEN-52. Males were more overweight and obese than females (13% vs. 10% and 4% vs. 2%, p < 0.05, respectively). In females, BMI categories are associated with physical well-being (p < 0.05), emotion/mood (p < 0.05), self-perception (p < 0.001), financial resources (p < 0.05), and bullying behavior (p < 0.05). In males, weight status is linked to physical well-being dimension (p < 0.001) and perception of self (p < 0.05). Our results may suggest that there is an association between weight status categories and HRQoL, more pronounced in females than in males. Interestingly, the weight status correlated more with the psychological dimension mainly in females, whereas in males, a stronger association between weight and physical status was observed, suggesting that given the complex, multifaceted, and dynamic nature of relationship between health-related quality of life and weight status in adolescents, multiple factors must be considered.

Effects of high-intensity training on the quality of life of cancer patients and survivors: a systematic review with meta-analysis

Cancer and associated medical treatments affect patients' health-related quality of life (HRQoL) by decreasing functional dimensions of physical, social, cognitive, and emotional well-being, while increasing short and late-term symptoms. Exercise, however, is demonstrated to be a useful therapy to improve cancer patients' and survivors’ HRQoL, yet the effectiveness of high-intensity training (HIT) exercise is uncertain. This systematic review and meta-analysis aimed to analyse the effects of HIT on HRQoL dimensions in cancer patients and survivors as well as evaluate the optimal prescription of HIT. The search followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA) and examined Web of Science and PubMed (Medline) databases. Data were analysed utilizing Review Manager Software. Twenty-two articles were included in the systematic review and 17 in the meta-analysis. Results showed HIT improved global quality of life, physical functioning, role functioning, social functioning, cognitive functioning, fatigue, pain, dyspnea, and insomnia, compared to an inactive control group, yet no differences were found between HIT and low to moderate-intensity exercise interventions. Particular improvements in HRQoL were observed during cancer treatment and with a training duration of more than eight weeks, a frequency of 2 days/week, and a volume of at least 120 min/week, including 15 min or more of HIT. Our findings whilst encouraging, highlight the infancy of the extant evidence base for the role of HIT in the HRQoL of cancer patients and survivors.

Problematic Gaming in Youth and Its Association with Different Dimensions of Quality of Life.

Objective: The problematic use of computer games was included in the DSM-5 and in the ICD-11. Initial research revealed associations between problematic gaming (PG) and quality of life (QoL). However, clarification is needed concerning which dimensions of the multidimensional construct QoL are particularly relevant for PG. Method: To answer this question empirically, we asked 503 parents (mean age: 47.63 years) to rate their 503 children (average age: 14.60 years) regarding QoL and PG, using validated questionnaires on parental assessments of adolescent PG and health-related QoL to collect the data. Correlation analyses were calculated to determine bivariate relations, and a multiple linear regression was used to conduct a multivariable analysis. Results: In the bivariate analyses, a higher severity of PG was associated with a lower health-related QoL in all five surveyed dimensions. In the multivariable model (corrected R2 = 0.35), we observed statistically significant associations between higher severity of PG and male sex and lower age of the adolescent as well as lower QoL in the dimensions of physical well-being and school environment. Conclusions: According to the findings of the present study, physical well-being and school environment should be especially focused on in preventive approaches against the development of PG in youth.