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

  • Andrés Redondo-Tébar
  • Abel Ruíz-Hermosa
  • Vicente Martínez-VizcaínoEmail author
  • Ana Isabel Cobo-Cuenca
  • Alberto Bermejo-Cantarero
  • Iván Cavero-Redondo
  • Mairena Sánchez-López
Article

Abstract

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.

Keywords

Fitness Schoolchildren Cardiorespiratory fitness Muscular strength Speed-agility KINDL-R 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that there is no conflict of interest.

Supplementary material

11136_2019_2136_MOESM1_ESM.doc (42 kb)
Supplementary material 1 (DOC 43 KB)

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Andrés Redondo-Tébar
    • 1
  • Abel Ruíz-Hermosa
    • 1
    • 2
  • Vicente Martínez-Vizcaíno
    • 1
    • 3
    Email author
  • Ana Isabel Cobo-Cuenca
    • 4
  • Alberto Bermejo-Cantarero
    • 1
    • 5
  • Iván Cavero-Redondo
    • 1
  • Mairena Sánchez-López
    • 1
    • 2
  1. 1.Social and Health Research CenterUniversidad de Castilla-La ManchaCuencaSpain
  2. 2.School of EducationUniversidad de Castilla-La ManchaCiudad RealSpain
  3. 3.School of Health SciencesUniversidad Autónoma de ChileTalcaChile
  4. 4.School of NursingUniversidad de Castilla-La ManchaToledoSpain
  5. 5.School of NursingUniversidad de Castilla-La ManchaCiudad RealSpain

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