Evidence map›Paper›PMID 37842643›Full record

ArticleThe Lancet regional health. Western Pacific2023

Cross-sectional and prospective associations between children's 24-h time use and their health-related quality of life: a compositional isotemporal substitution approach.

Sarah Yi Xuan Tan, Natarajan Padmapriya, Jonathan Y Bernard, Jia Ying Toh, Hwee-Lin Wee, Kok Hian Tan, Fabian Kok Peng Yap, Yung Seng Lee, Yap-Seng Chong, Keith Godfrey and 5 more

Open access · goldAbstract read
In one paragraph

Article in The Lancet regional health. Western Pacific, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 12 citations in OpenAlex.

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  12. Twenty-Four-Hour Compositional Data Analysis in Healthcare: Clinical Potential and Future Directions.International journal of environmental research and public health · 2025
    Article
  13. 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 · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 5 countries.

Sarah Yi Xuan TanSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Natarajan PadmapriyaSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Jonathan Y BernardSingapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore.
Jia Ying TohSingapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore.
Hwee-Lin WeeSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Kok Hian TanDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore.
Fabian Kok Peng YapDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore.
Yung Seng LeeSingapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore.
Yap-Seng ChongDepartment of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Keith GodfreyMedical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, United Kingdom.
Johan Gunnar ErikssonDepartment of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Lynette Pei-Chi ShekSingapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore.
Chuen Seng TanSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Mary Foong-Fong ChongSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Falk Müller-RiemenschneiderSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Agency for Science, Technology and Research · SGNational University of Singapore · SGUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Promoting active, balanced lifestyles among children may be an important approach to optimising their health-related quality of life (HRQoL). However, the relationships between children's movement behaviours and HRQoL remain unclear. Methods: We examined the associations between movement behaviours (sleep, inactivity, light and moderate-to-vigorous intensity physical activity) assessed using accelerometers at ages 8 and 10 years and self-reported HRQoL scores (overall, and physical and emotional well-being, self-esteem, relationship with family and friends, and school functioning domains) at age 10 years among 370 children in a local birth cohort using compositional isotemporal substitution techniques. Findings: Cross-sectionally, light and moderate-to-vigorous intensity physical activities were associated with better self-esteem (β = 15.94 [2.71, 29.18]) and relationship with friends (β = 10.28 [3.81, 16.74]) scores respectively. Prospectively, inactivity was associated with lower overall HRQoL (β = -10.00 [-19.13, -0.87]), relationship with friends (β = -16.41 [-31.60, -1.23]) and school functioning (β = -15.30 [-29.16, -1.44]) scores, while sleep showed a positive trend with overall HRQoL (β = 10.76 [-1.09, 22.61]) and school functioning (β = 17.12 [-0.87, 35.10]) scores. Children's movement behaviours were not associated with their physical and emotional well-being, or relationship with family scores. The isotemporal substitution analyses suggest that increasing time spent in physical activity and/or sleep at the expense of inactivity may benefit children's HRQoL. Interpretation: Our findings suggest that sleep and physical activity may be associated with better HRQoL, with the inverse for inactivity. However, the relationship between children's movement behaviours and HRQoL is complex and warrants further research. Funding: Singapore National Research Foundation, Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research.

Indexed as

AdolescentChildrenCross-sectionalHealth-related quality of lifeInactivityMovement behaviourPhysical activityProspectiveSleepTime-use

Identifiers

PMID37842643
PMCPMC10570705
OpenAlexW4387417314

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.