Background: The association of physical activity (PA) and screen time (ST) on health-related quality of life (HRQOL) among predominantly low-income children in the Mississippi Delta region has not been previously desc...Background: The association of physical activity (PA) and screen time (ST) on health-related quality of life (HRQOL) among predominantly low-income children in the Mississippi Delta region has not been previously described. Methods: We performed a cross-sectional survey to assess health risks from a representative sample of the population ≥3 years old in the Delta Region of Arkansas, Louisiana, and Mississippi. Linear models were utilized to examine Pediatric Quality of Life Inventory (PedsQL) scores based on reported PA and ST. Results: Median age of the 371 participants was 9.8 years, 57% were African American, and 26% had annual household income ≤$14,999. Overall, 262 (75%) were categorized as physically active and 48% reported >2 hours ST per day. Children reporting exercising 5 - 7 days per week had significantly better PedsQL total score (84.3 vs 80.8;p 2 hours per day) did not significantly impact HRQOL. Conclusions: Findings suggest that PA among children living in the Mississippi Delta was related to higher HRQOL;however, the positive effects of PA on HRQOL may be less for minority and low-income children.展开更多
Objective: Adults and children in rural settings are at greater risk for overweight and obesity than those in urban settings. Multiple studies have suggested that quality of life is lower for obese individuals. This s...Objective: Adults and children in rural settings are at greater risk for overweight and obesity than those in urban settings. Multiple studies have suggested that quality of life is lower for obese individuals. This study addresses the association of obesity with health-related Quality of Life (QOL) among youth in the rural Mississippi Delta. Methods: QOL data on children aged 3 - 17 years using the PedsQL were collected as part of a cross-sectional telephone survey in the Delta. Weight was grouped by AAP categorizations as underweight, normal, overweight (85 - 95th BMI percentile), obese (95 - 97th percentile), and extremely obese (> 97th percentile). Results: 437 youth participated. Multiple linear regression models were used to predict PedsQL component scores. Results showed main effects for age (p = 0.006), race (p < 0.001), and BMI group (p = 0.049) on psychosocial QOL. Older children ages 9 - 17, white and black children, and obese or extremely obese children scored lower on psychosocial QOL than younger children, other race, and non- obese. A strong age by weight group interaction (p = 0.014) showed that obesity and extreme obesity was associated with lower scores on psychosocial QOL only for older children ages 12 - 17. Conclusions: Investigating the QOL in this rural community where the majority of adults and children are obese aids in our understanding the relationship between sociocultural factors and HRQOL. In the context of an obese majority obesity and extreme obesity remain important contributions to reduced psychosocial (emotional, social, school performance) quality of life for adolescents but not for younger children).展开更多
文摘Background: The association of physical activity (PA) and screen time (ST) on health-related quality of life (HRQOL) among predominantly low-income children in the Mississippi Delta region has not been previously described. Methods: We performed a cross-sectional survey to assess health risks from a representative sample of the population ≥3 years old in the Delta Region of Arkansas, Louisiana, and Mississippi. Linear models were utilized to examine Pediatric Quality of Life Inventory (PedsQL) scores based on reported PA and ST. Results: Median age of the 371 participants was 9.8 years, 57% were African American, and 26% had annual household income ≤$14,999. Overall, 262 (75%) were categorized as physically active and 48% reported >2 hours ST per day. Children reporting exercising 5 - 7 days per week had significantly better PedsQL total score (84.3 vs 80.8;p 2 hours per day) did not significantly impact HRQOL. Conclusions: Findings suggest that PA among children living in the Mississippi Delta was related to higher HRQOL;however, the positive effects of PA on HRQOL may be less for minority and low-income children.
文摘Objective: Adults and children in rural settings are at greater risk for overweight and obesity than those in urban settings. Multiple studies have suggested that quality of life is lower for obese individuals. This study addresses the association of obesity with health-related Quality of Life (QOL) among youth in the rural Mississippi Delta. Methods: QOL data on children aged 3 - 17 years using the PedsQL were collected as part of a cross-sectional telephone survey in the Delta. Weight was grouped by AAP categorizations as underweight, normal, overweight (85 - 95th BMI percentile), obese (95 - 97th percentile), and extremely obese (> 97th percentile). Results: 437 youth participated. Multiple linear regression models were used to predict PedsQL component scores. Results showed main effects for age (p = 0.006), race (p < 0.001), and BMI group (p = 0.049) on psychosocial QOL. Older children ages 9 - 17, white and black children, and obese or extremely obese children scored lower on psychosocial QOL than younger children, other race, and non- obese. A strong age by weight group interaction (p = 0.014) showed that obesity and extreme obesity was associated with lower scores on psychosocial QOL only for older children ages 12 - 17. Conclusions: Investigating the QOL in this rural community where the majority of adults and children are obese aids in our understanding the relationship between sociocultural factors and HRQOL. In the context of an obese majority obesity and extreme obesity remain important contributions to reduced psychosocial (emotional, social, school performance) quality of life for adolescents but not for younger children).
