ArticleHealth and quality of life outcomes2020
Association of academic performance, general health with health-related quality of life in primary and high school students in China.
Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
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- Physical Activity, Sleep Quality, Physical Fitness, and Academic Performance as Factors Associated with Health-Related Quality of Life in Primary and Secondary School Students from the Canary Islands.Healthcare (Basel, Switzerland) · 2026Article
- Isocaloric substitution of plant for animal protein and health-related quality of life in Spanish adolescents.European journal of nutrition · 2026Article
- Health status and academic progress: A cross-sectional study of nursing students in Croatia and Serbia.Revista da Escola de Enfermagem da U S P · 2025Article
- Investigation of the status of virtual education from the perspective of school-age children and its relationship with the health-related quality of life and life satisfaction.Journal of education and health promotion · 2025Article
- The bidirectional longitudinal association between health-related quality of life and academic performance in adolescents: DADOS study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- The association between academic stress, social support, and self-regulatory fatigue among nursing students: a cross-sectional study based on a structural equation modelling approach.BMC medical education · 2022Article
- Associations of physical activity with academic achievement and academic burden in Chinese children and adolescents: do gender and school grade matter?BMC public health · 2022Article
- Comparison of Health Literacy Assessment Tools among Beijing School-Aged Children.Children (Basel, Switzerland) · 2022Article
- The Quality of Life and Its Relationship With Systemic Family Dynamics and Mental Health in Senior High School Students From Shaanxi, China.Frontiers in public health · 2022Observational
- The joint association of physical activity and sedentary behavior with health-related quality of life among children and adolescents in Mainland China.Frontiers in public health · 2022Article
- Health utility of children with acute lymphoblastic leukemia in China.Frontiers in public health · 2022Article
- Perceived Academic Stress and Depression: The Mediation Role of Mobile Phone Addiction and Sleep Quality.Frontiers in public health · 2022Article
- Prevalence and Clinical Correlates of Internet Addiction Symptoms and Their Association With Quality of Life in Adolescents With Major Depressive Disorder: A Multicenter Cross-Sectional Study.Frontiers in psychiatry · 2022Article
- CHU9D Normative Data in Peruvian Adolescents.Journal of personalized medicine · 2021Article
- The relationship between health literacy and health-related quality of life among school-aged children in regional China.Health and quality of life outcomes · 2021Article
- Lifestyle-related behaviors and health-related quality of life among children and adolescents in China.Health and quality of life outcomes · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeTo explore the association of academic performance and general health status with health-related quality of life (HRQoL) in school-aged children and adolescents in China.
methodsIn this cross-sectional study conducted in 2018, students (grade 4-12) were randomly chosen from primary and high schools in Nanjing, China. HRQoL, the outcome measure, was recorded using the Child Health Utility 9D, while self-rated academic performance and general health were the independent variables. Mixed-effects regression models were applied to compute mean difference (MD) and 95% confidence interval (CI) of HRQoL utility score between students with different levels of academic performance and general health.
resultsTotally, 4388 participants completed the study, with a response rate of 97.6%. The mean HRQoL utility score was 0.78 (SD: 0.17). After adjustment for socio-demographic attributes, physical activity, sedentary behavior, dietary patterns, body weight status and class-level clustering effects, students with fair (MD = 0.048, 95% CI 0.019, 0.078) and good (MD = 0.082, 95% CI 0.053, 0.112) self-rated academic performance reported higher HRQoL utility scores than those with poor academic performance, respectively. Meanwhile, students with fair (MD = 0.119, 95% CI 0.083, 0.154) and good (MD = 0.183, 95% CI 0.148, 0.218) self-assessed general health also recorded higher HRQoL utility scores than those with poor health, separately. Consistent findings were observed for participants by gender, school type and residential location.
conclusionsBoth self-rated academic performance and general health status were positively associated with HRQoL among Chinese students, and such relationships were independent of lifestyle-related behaviors and body weight status.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.