Health-related quality of life in adolescents: individual and combined impact of health-related behaviors (DADOS study)
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Health‑related quality of life in adolescents: individual and combined impact of health‑related behaviors (DADOS study) Alba Solera‑Sanchez1 · Mireia Adelantado‑Renau1 · Diego Moliner‑Urdiales1 · Maria Reyes Beltran‑Valls1 Accepted: 6 November 2020 © Springer Nature Switzerland AG 2020
Abstract Purpose To investigate the individual and combined effect of physical activity, adherence to the Mediterranean diet, sleep quality, sleep duration, and screen time on health-related quality of life (HRQoL) in adolescents. Methods This is a cross-sectional analysis with 262 adolescents (13.9 ± 0.3 years) from DADOS (Deporte, ADOlescencia y Salud) study. Physical activity was assessed with a wrist-worn GENEActiv triaxial accelerometer. Adherence to the Mediterranean diet was evaluated by the KIDMED questionnaire. Sleep patterns were self-reported through the Spanish version of Pittsburgh Sleep Quality Index questionnaire. Screen time was assessed through the HELENA sedentary behavior questionnaire. HRQoL was measured using the KIDSCREEN-10 questionnaire. Scores were categorized into low and high using a normative cut-off used to identify factors associated with being in a high HRQoL group. A healthy lifestyle index was created including positive scores for each individual behavior, and five categories of achievement were established (0, 1, 2, 3, ≥ 4). Results Sleep patterns and screen time revealed a significant individual relationship with HRQoL (p
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