Abstract
Objective
This study determined the prevalence of adolescents meeting the individual and combinations
of the Australian 24-Hour Movement Guidelines, and their associations with the health
related quality of life (HRQoL).
Methods
The participants were 3096 adolescents (mean age: 12.4 years; 49% female) from wave
7 of the birth-cohort of the Longitudinal Study of Australian Children. The outcome
was parent-reported HRQoL. Meeting the 24-Hour Movement Guidelines was defined as:
≥60 min/day of moderate to vigorous physical activity (MVPA), ≤2 hour/day of recreational
screen time, and 9-11 hour/night of sleep. Generalised estimating equations were used
to examine the associations between meeting vs. not meeting recommendations and HRQoL
outcomes.
Results
The prevalence of adolescents meeting all three recommendations was 2.4%, with 23%
meeting two, and 57% meeting one recommendation. Meeting all three recommendations
was associated with higher overall HRQoL score (β = 4.96, 95% CI: 2.54–7.38) as well
as physical (β = 5.22, 95% CI: 2.61–7.83) and psychosocial (β = 4.76, 95% CI: 1.77–7.75)
scores. Meeting combinations of screen time with MVPA or sleep recommendations were
associated with higher scores for all HRQoL outcomes, while meeting MVPA and sleep
recommendations was associated with overall HRQoL score. Compared to meeting no recommendation,
meeting more recommendations was significantly and incrementally associated with higher
scores for all HRQoL outcomes (ptrend<0.001).
Conclusions
Overall, meeting more recommendations within the 24-Hour Movement Guidelines was associated
with better HRQoL outcomes. However, only a small percentage of adolescents met all
the recommendations, which underscores the need for promoting and supporting adherence
to these behaviours.
Keywords
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Article info
Publication history
Published online: November 06, 2020
Accepted:
October 28,
2020
Received in revised form:
October 8,
2020
Received:
June 15,
2020
Identification
Copyright
© 2020 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.
