ArticleHealth and quality of life outcomes2021
Lifestyle-related behaviors and health-related quality of life among children and adolescents in China.
Article in Health and quality of life outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
42 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Socioeconomic status and health behavior in children and adolescents: a systematic literature review.Frontiers in public health · 2023Pooled it
- A Systematic Review on Cross-Cultural Comparative Studies of Sleep in Young Populations: The Roles of Cultural Factors.International journal of environmental research and public health · 2021Pooled it
- Effect of Sleep Changes on Health-Related Quality of Life in Healthy Children: A Secondary Analysis of the DREAM Crossover Trial.JAMA network open · 2023Trial
- Nutrition knowledge, attitude, and practice in relation to health-related quality of life among urban-poor children in Malaysia: the mediating role of lifestyle factors.Health and quality of life outcomes · 2026Article
- Sleep Health and Quality of Life in Children and Adolescents with NF1: A Biopsychosocial Perspective.Cancers · 2026Article
- Association of Adverse Childhood Experiences With Health-Related Quality of Life and Quality-Adjusted Life-Years Among Adolescents in the United Kingdom: Findings From Two General Population Cohorts.Alpha psychiatry · 2026Article
- Self-esteem patterns and the associations with health-related quality of life, self-rated health and lifestyle behaviour among junior high school students: a latent class analysis.BMC psychology · 2026Article
- Associations Among Lifestyle Behaviors, Academic Achievement, and Physical Diseases in Adolescents: A Cross-Lagged Network Analysis.Nutrients · 2026Article
- Physical activity and health-related quality of life among Chinese adolescents: a cross-sectional statistical path model involving sleep disturbance and depressive symptoms.Frontiers in pediatrics · 2026Article
- Predictors of health management participation in community-dwelling older adults: a cross-sectional study based on the health belief model.Frontiers in public health · 2026Article
- Article
- EQ-5D-Y-3L population norms for children in Mainland China derived from a national survey 2023-2024.Health and quality of life outcomes · 2025Article
- QALY loss associated with unhealthy behaviors: evidence from a multi-center cross-sectional study in Iran.Population health metrics · 2025Article
- Association between dietary factors and health-related quality of life in adolescents longitudinally over three years from age 11-16 years.BMC public health · 2025Article
- What Drives Fast Food Consumption in Asian Low- and Middle-Income Countries?-A Narrative Review of Patterns and Influencing Factors.Public health challenges · 2025Review
- Predicting children and adolescents at high risk of poor health‑related quality of life using machine learning methods.Health and quality of life outcomes · 2025Article
- Beyond illness: how chronic conditions and unhealthy behaviors impact health-related quality of life among Iranian women.BMC public health · 2025Article
- Lifestyle and Perceived Well-Being in Children and Teens: Importance of Exercise and Sedentary Behavior.Nutrients · 2025Observational
- How are 24-hour movement guidelines linked to health-related quality of life in Spanish children and adolescents?BMC public health · 2025Article
- Associations between 24-h movement behaviors and health-related quality of life(HRQoL) in preschool children: a cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeTo investigate associations of five typical lifestyle-related behavioral risk factors (insufficient physical activity, prolonged screen viewing, deprived sleeping, consumption of fast food and sugar-sweetened beverage) with health-related quality of life (HRQoL) among school students in China.
methodsStudents aged 9-17 years (grades 4-12) were randomly selected from primary and high schools in Nanjing, China, to participate in this cross-sectional study in 2018. The outcome variable, HRQoL, was assessed using the Child Health Utility 9D (CHU9D) instrument and scored from 0 (worst) to 1 (best). Physical activity (including screen viewing and sleeping) and dietary intake were measured using a validated Physical Activity Scale and Food Frequency Questionnaire, respectively. Lifestyle-related behaviors were categorized as sufficient/insufficient or no/yes, and their associations with HRQoL were assessed using mixed-effects linear regression models.
resultsOverall, 4388 participants completed the questionnaire (response rate = 97.6%). Students with insufficient physical activity [mean difference (MD) = - 0.03; 95% confidence interval (CI) = - 0.04, - 0.01], prolonged screen time (MD = - 0.06; 95% CI = - 0.07, - 0.04), insufficient sleeping time (MD = - 0.04; 95% CI = - 0.07, - 0.02), consumption of sugar-sweetened beverage (MD = - 0.02; 95% CI = - 0.03, - 0.01) or fast food intake (MD = - 0.03; 95% CI = - 0.04, - 0.02) reported significantly lower HRQoL scores. When considered additively, each additional lifestyle-related risk factor was associated with an average decrease of 0.03 units (95% CI: - 0.03, - 0.02) CHU9D score.
conclusionsFor Chinese students, HRQoL was positively associated with physical activity and sleep duration, but negatively with screen time and consumption of sugar-sweetened beverage and fast food. Moreover, lifestyle-related behaviors may have an additive effect on HRQoL.
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