Associations between health-related quality of life and physical fitness in 4-7-year-old Spanish children: the MOVIKIDS study.

Publisher: Springer Netherlands Country of Publication: Netherlands NLM ID: 9210257 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2649 (Electronic) Linking ISSN: 09629343 NLM ISO Abbreviation: Qual Life Res

Publication: 2005- : Netherlands : Springer Netherlands
Original Publication: Oxford, UK : Rapid Communications of Oxford, Ltd, c1992-

Health Status*; Cardiorespiratory Fitness/*psychology ; Exercise/*psychology ; Muscle Strength/*physiology ; Quality of Life/*psychology; Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Humans ; Male ; Parents ; Physical Fitness/psychology ; Schools ; Spain ; Surveys and Questionnaires

Purpose: Health-related quality of life (HRQOL) in childhood is defined as an individual's subjective perception of the impact of health status on physical, psychological and social functioning. Nowadays, measuring of HRQOL has become an important outcome indicator in evaluating health-care. However, in younger children, the role of cardiorespiratory and other physical fitness components on HRQOL is unclear. The aims of this study were to analyse the association between components of physical fitness and HRQOL, as well as to determine which component of physical fitness was the best predictor of higher HRQOL.
Methods: This was a cross-sectional study of 1413 schoolchildren (4 to 7 years old) from Spain. HRQOL was evaluated with the KINDL-R questionnaire for parents. Cardiorespiratory fitness, muscle strength and speed-agility were assessed using the ALPHA-Fitness battery. ANCOVA models were used to assess differences in HRQOL across physical fitness categories, controlling for age and BMI, by gender. Multiple linear regression was used to determine the independent association between the different physical fitness components and HRQOL.
Results: Children with high physical fitness levels had better scores in physical well-being, school and total HRQOL score than those who had low physical fitness levels. The best predictor of HRQOL (total score) was muscular strength in boys and speed-agility among girls.
Conclusions: Children with high physical fitness levels have higher HRQOL, although the association between components of physical fitness and HRQOL varies according to gender. Improving physical fitness could be a good strategy for improving HRQOL in children.

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FIS PI12/02400 Ministry of Economy and Competitiveness-Carlos III Health Institute and FEDER funds; FIS PI12/00761 Ministry of Economy and Competitiveness-Carlos III Health Institute and FEDER funds

Keywords: Cardiorespiratory fitness; Fitness; KINDL-R; Muscular strength; Schoolchildren; Speed-agility

Date Created: 20190413 Date Completed: 20190821 Latest Revision: 20200225

20231215

10.1007/s11136-019-02136-6

30976956