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Human development index, children’s health-related quality of life and movement behaviors: a compositional data analysis

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Abstract

Purpose

Health-related quality of life has been related to physical activity, sedentary behavior, and sleep among children from developed nations. These relationships have rarely been assessed in developing nations, nor have behaviors been considered in their true context, as mutually exclusive and exhaustive parts of the movement behavior composition. This study aimed to explore whether children’s health-related quality of life is related to their movement behavior composition and if the relationship differs according to human development index.

Methods

Children aged 9–11 years (n = 5855), from the 12-nation cross-sectional observational International Study of Childhood Obesity, Lifestyle and the Environment 2011–2013, self-reported their health-related quality of life (KIDSCREEN-10). Daily movement behaviors were from 24-h, 7-day accelerometry. Isometric log-ratio mixed-effect linear models were used to calculate estimates for difference in health-related quality of life for the reallocation of time between daily movement behaviors.

Results

Children from countries of higher human development index reported stronger positive relationships between health-related quality of life and moderate-to-vigorous physical activity, relative to the remaining behaviors (r = 0.75, p = 0.005) than those from lower human development index countries. In the very high human development index strata alone, health-related quality of life was significantly related to the movement behavior composition (p = 0.005), with moderate-to-vigorous physical activity (relative to remaining behaviors) being positively associated with health-related quality of life.

Conclusions

The relationship between children’s health-related quality of life and their movement behaviors is moderated by their country’s human development index. This should be considered when 24-h movement behavior guidelines are developed for children around the world.

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Data availability

The data that support the findings of this study are available from Peter T. Katzmarzyk (Peter.Katzmarzyk@pbrc.edu) but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Data are however available from the authors upon reasonable request and with permission of Pennington Biomedical Research Center.

Funding

This work was supported by an Australian Government Research Training Program Scholarship [DD], the National Heart Foundation (100188) [CM] and partially supported by the Spanish Ministry of Economy and Competitiveness under the project CODA-RETOS (MTM2015-65016- C2-1(2)-R) [JAMF]. The International Study of Childhood Obesity, Lifestyle and Environment (ISCOLE) was funded by The Coca-Cola Company. The funders had no role in the design and conduct of the study, data collection, management, analysis and interpretation of the data; and decision to publish, preparation, review or approval of this manuscript.

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Authors and Affiliations

  1. Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia

    Dorothea Dumuid, Carol Maher, Lucy K. Lewis & Timothy Olds

  2. School of Health Sciences, Flinders University, Adelaide, Australia

    Lucy K. Lewis

  3. LBT Innovations, Adelaide, Australia

    Tyman E. Stanford

  4. School of Mathematical Sciences, The University of Adelaide, Adelaide, Australia

    Tyman E. Stanford

  5. Department of Computer Science, Applied Mathematics and Statistics, University of Girona, Girona, Spain

    Josep Antoni Martín Fernández

  6. Institute for Choice, University of South Australia, Adelaide, Australia

    Julie Ratcliffe

  7. Pennington Biomedical Research Center, Baton Rouge, USA

    Peter T. Katzmarzyk, Tiago V. Barreira & Gang Hu

  8. School of Education, Syracuse University, New York, USA

    Tiago V. Barreira

  9. Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Canada

    Jean-Philippe Chaput & Mark S. Tremblay

  10. Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland

    Mikael Fogelholm

  11. Faculty of Sport, University of Porto, Porto, Portugal

    José Maia

  12. Faculty of Medicine, University of Los Andes, Bogotá, Colombia

    Olga L. Sarmiento

  13. Department for Health, University of Bath, Bath, UK

    Martyn Standage

  14. Department of Kinesiology, University of Massachusetts Amherst, Amherst, USA

    Catrine Tudor-Locke

Authors
  1. Dorothea Dumuid
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  2. Carol Maher
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  3. Lucy K. Lewis
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  4. Tyman E. Stanford
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  5. Josep Antoni Martín Fernández
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  6. Julie Ratcliffe
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  7. Peter T. Katzmarzyk
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  8. Tiago V. Barreira
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  9. Jean-Philippe Chaput
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  10. Mikael Fogelholm
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  11. Gang Hu
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  12. José Maia
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  13. Olga L. Sarmiento
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  14. Martyn Standage
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  15. Mark S. Tremblay
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  16. Catrine Tudor-Locke
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  17. Timothy Olds
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Corresponding author

Correspondence to Dorothea Dumuid.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Dumuid, D., Maher, C., Lewis, L.K. et al. Human development index, children’s health-related quality of life and movement behaviors: a compositional data analysis. Qual Life Res 27, 1473–1482 (2018). https://doi.org/10.1007/s11136-018-1791-x

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