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Biological maturation as a confounding factor in the relation between chronological age and health-related quality of life in adolescent females

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Abstract

Purpose

To examine the potential confounding effect of biological maturation on the relations between chronological age and health-related quality of life in adolescent British females.

Methods

Biological maturation, chronological age, and health-related quality of life were assessed in 366 British female students in years 7–10 (M = 13.0 years, SD = 0.8). The Kid-Screen 10 was used to assess health-related quality of life. Percentage of predicted adult height attained at measurement was used as an estimate of biological maturation.

Results

Pearson product moment correlation demonstrated a statistically significant inverse relation between chronological age and health-related quality of life. This relation was, however, attenuated and non-significant once biological maturation was controlled for.

Conclusions

Researchers studying health-related quality of life in youth should consider and/or control for the potential confounding effect of biological maturation.

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References

  1. WHOQOL Group. (1995). The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41, 1403–1409.

    Article  Google Scholar 

  2. Williams, J., Wake, M., Hesketh, K., Maher, E., & Waters, E. (2005). Health-related quality of life of overweight and obese children. Journal of the American Medical Association, 293(1), 70–76.

    Article  CAS  PubMed  Google Scholar 

  3. Sawyer, M. G., Reynolds, K. E., Couper, J. J., French, D. J., Kennedy, D., & Martin, J. (2004). Health-related quality of life in children and adolescents with chronic illness—a two year prospective study. Quality of Life Research, 13(7), 1309–1319.

    Article  PubMed  Google Scholar 

  4. Gillison, F., & Skevington, S. (2006). Assessing children’s quality of life in health and social services: Meeting challenges and adding value. Journal of Children’s Services, 1(2), 42–51.

    Google Scholar 

  5. Bisegger, C., Cloetta, B., Von Rueden, U., Abel, T., & Ravens-Sieberer, U. (2005). Health-related quality of life: Gender differences in childhood and adolescence. Sozial- und Praventivmedizin, 50(5), 281–291.

    Article  PubMed  Google Scholar 

  6. Williams, P. G., Holmbeck, G. N., & Greenley, R. N. (2002). Adolescent health psychology. Journal of Consulting and Clinical Psychology, 70(3), 828–842.

    Article  PubMed  Google Scholar 

  7. Zullig, K. J., Valois, R. F., Huebner, E. S., Oeltmann, J. E., & Drane, J. W. (2001). Relationship between perceived life satisfaction and adolescents’ substance abuse. Journal of Adolescent Health, 29(4), 279–288.

    Article  CAS  PubMed  Google Scholar 

  8. Baxter-Jones, A. D. G., Eisenmann, J. C., & Sherar, L. B. (2005). Controlling for maturation in pediatric exercise science. Pediatric Exercise Science, 17(1), 18–30.

    Google Scholar 

  9. Malina, R. M., Bouchard, C., & Bar-Or, O. (2004). Growth maturation and physical activity. Champaign, IL: Human Kinetics.

    Google Scholar 

  10. Malina, R. M. (2008). Biocultural factors in developing physical activity levels. In S. J. H. Biddle & A. L. Smith (Eds.), Youth physical activity and sedentary behavior: Challenges and solutions (pp. 141–166). Champaign, IL: Human Kinetics.

    Google Scholar 

  11. Schwimmer, J. B., Burwinkle, T. M., & Varni, J. W. (2003). Health-related quality of life of severely obese children and adolescents. Journal of the American Medical Association, 289(14), 1813–1819.

    Article  PubMed  Google Scholar 

  12. Friedlander, S. L., Larkin, E. K., Rosen, C. L., Palermo, T. M., & Redline, S. (2003). Decreased quality of life associated with obesity in school-aged children. Archives of Pediatrics and Adolescent Medicine, 157(12), 1206–1211.

    Article  PubMed  Google Scholar 

  13. Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity, and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics, 115(2), 340–347.

    Article  PubMed  Google Scholar 

  14. Niven, A. G., Fawkner, S. G., Knowles, A., & Stephenson, C. (2007). Maturational differences in physical self-perceptions and the relationship with physical activity in early adolescent girls. Pediatric Exercise Science, 19, 472–480.

    PubMed  Google Scholar 

  15. Graber, J. A., Brooks-Gunn, J., & Warren, M. P. (1999). The vulnerable transition: Puberty and the development of eating pathology and negative mood. Womens Health Issues, 9(2), 107–114.

    Article  CAS  PubMed  Google Scholar 

  16. Kaltiala-Heino, R., Marttunen, M., Rantanen, P., & Rimpela, M. (2003). Early puberty is associated with mental health problems in middle adolescence. Social Science and Medicine, 57(6), 1055–1064.

    Article  PubMed  Google Scholar 

  17. Laitinen-Krispijn, S., Van der Ende, J., Hazebroek-Kampschreur, A. A. J. M., & Verhulst, F. C. (1999). Pubertal maturation and the development of behavioural and emotional problems in early adolescence. Acta Psychiatrica Scandinavica, 99(1), 16–25.

    Article  CAS  PubMed  Google Scholar 

  18. Dick, D. M., Rose, R. J., Viken, R. J., & Kaprio, J. (2000). Pubertal timing and substance use: Associations between and within families across late adolescence. Developmental Psychology, 36(2), 180–189.

    Article  CAS  PubMed  Google Scholar 

  19. Costello, E. J., Sung, M., Worthman, C., & Angold, A. (2007). Pubertal maturation and the development of alcohol use and abuse. Drug and Alcohol Dependence, 88, S50–S59.

    Article  PubMed  Google Scholar 

  20. Brown, J. D., Halpern, C. T., & L’Engle, K. L. (2005). Mass media as a sexual super peer for early maturing girls. Journal of Adolescent Health, 36(5), 420–427.

    Article  PubMed  Google Scholar 

  21. Palacio-Vieira, J. A., Villalonga-Olives, E., Valderas, J. M., Espallargues, M., Herdman, M., Berra, S., et al. (2008). Changes in health-related quality of life (HRQoL) in a population-based sample of children and adolescents after 3 years of follow-up. Quality of Life Research, 17(10), 1207–1215.

    Article  CAS  PubMed  Google Scholar 

  22. Benjet, C., & Hernandez-Guzman, L. (2002). A short-term longitudinal study of pubertal change, gender, and psychological well-being of Mexican early adolescents. Journal of Youth and Adolescence, 31(6), 429–442.

    Article  Google Scholar 

  23. Malina, R. M. (1995). Anthropometry. In P. J. Maud & C. Foster (Eds.), Physiological assessment of human fitness (pp. 205–219). Champaign, IL: Human Kinetics.

    Google Scholar 

  24. Perini, T. A., de Oliveira, G. L., dos Santos Ornellas, J., & de Oliveira, F. P. (2005). Technical error of measurement in anthropometry. Revista Brasileira de Medicina do Esporte, 11(1), 86–90.

    Article  Google Scholar 

  25. Ravens-Sieberer, U., Auquier, P., Erhart, M., Gosch, A., Rajmil, L., Bruil, J., et al. (2007). The KIDSCREEN-27 quality of life measure for children and adolescents: Psychometric results from a cross-cultural survey in 13 European countries. Quality of Life Research, 16(8), 1347–1356.

    Article  PubMed  Google Scholar 

  26. Khamis, H. J., & Roche, A. F. (1994). Predicting adult stature without using skeletal age—the Khamis–Roche method. Pediatrics, 94(4), 504–507.

    CAS  PubMed  Google Scholar 

  27. Khamis, H. J., & Roche, A. F. (1995). Predicting adult stature without using skeletal age—the Khamis–Roche method (vol 94, p 504, 1994). Pediatrics, 95(3), 457.

    Google Scholar 

  28. Epstein, L., Valoski, A. M., Kalarchian, M. A., & McCurley, J. (1995). Do children lose and maintain weight easier than adults? A comparison of child and parent weight changes from six months to ten years. Obesity Research, 3, 411–417.

    CAS  PubMed  Google Scholar 

  29. Cumming, S. P., Standage, M., Gillison, F., & Malina, R. M. (2008). Sex differences in exercise behavior during adolescence: is biological maturation a confounding factor? Journal of Adolescent Health, 42(5), 480–485.

    Article  PubMed  Google Scholar 

  30. Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: International survey. British Medical Journal, 320(7244), 1240–1243.

    Article  CAS  PubMed  Google Scholar 

  31. Fisher, R. A. (1915). Frequency distribution of the values of the correlation coefficient in samples from an indefinitely large population. Biometrika, 10(4), 507–521.

    Google Scholar 

  32. Sherar, L. B., Cumming, S. P., Eisenmann, J. C., Baxter-Jones, A. D. G., & Malina, R. M. (2010). Adolescent biological maturity and physical activity: Biology meets behaviour. Pediatric Exercise Science, 22(3), 173–183.

    Google Scholar 

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Acknowledgments

This research was supported by Grant #SG-46063 from The British Academy, entitled ‘Relations Between Biological Maturation, Exercise Behavior, and Psychological Health in British Adolescents’. Sean P. Cumming and Fiona B. Gillison are part of the Sport and Exercise Science Research Group, School for Health, University of Bath, UK; Lauren Sherar is part of the College of Kinesiology, University of Saskatchewan, Canada. Correspondence concerning this article should be sent to Sean P. Cumming, School for Health, University of Bath, Bath, United Kingdom, BA2 7AY.

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Correspondence to Sean P. Cumming.

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Cumming, S.P., Gillison, F.B. & Sherar, L.B. Biological maturation as a confounding factor in the relation between chronological age and health-related quality of life in adolescent females. Qual Life Res 20, 237–242 (2011). https://doi.org/10.1007/s11136-010-9743-0

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