Associations between self-rated health, mental health problems and physical inactivity among urban adolescents

Lachytova, Marketa; Katreniakova, Zuzana; Mikula, Pavol; Jendrichovsky, Marian; Nagyová, Iveta

doi:10.1093/eurpub/ckx051

Cited by 37 publications

(40 citation statements)

References 33 publications

(18 reference statements)

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“…The detailed results are presented in the Additional files, including the assessments of PA, SB and SRH, statistical methods and confounders adjusted for in the regression, and the key results (see Additional file 3 ). The review included 59 cross-sectional studies and nine longitudinal studies [ 1 – 4 , 25 – 28 , 35 – 94 ]. Most of the studies ( n = 43) were conducted in European countries (e.g., UK, Spain, Finland, Sweden, Norway, Portugal, Hungary) or used data from multiple countries.…”

Section: Resultsmentioning

confidence: 99%

“…A number of studies observed a dose-response relationship between PA and SRH, where an increasing level or amount of PA was related to a higher odds of “good or excellent” SRH (see Additional file 3 ) [ 1 , 4 , 27 , 41 , 42 , 46 , 48 , 54 , 60 , 68 , 70 , 86 ]. For example, the study by Lachytova et al (2017) found in a sample of adolescents aged 14–16 years old that relative to students who exercised less than once a week, students who exercised every day were 8.04 times more likely to report “good and excellent” health; students who exercised 4–6 times a week and 2–3 times a week were 3.67 times and 1.35 times, respectively, more likely than those exercised less than once a week to have “good and excellent” health after adjusting for gender, BMI, mental health and sedentary behaviour in the logistic regression [ 4 ]. Herman et al (2015) reported that Canadian boys who were moderately active or inactive were 1.59 and 2.09 times, respectively, more likely to report lower health than peers who were physically active [ 1 ].…”

Section: Resultsmentioning

confidence: 99%

“…The relationship between SB and SRH was observed for different types of sedentary behaviours, including watching TV, using computers or playing video games and total screen time. Lachytova et al (2017) showed that adolescents who watched TV less than two hours a day were more likely to report “good and excellent” health (OR = 2.36, 95% CI: 1.35, 4.10) than their peers who watched TV two or more hours a day (see Additional file 3 ) [ 4 ]. Husu et al (2016) used a device-measure of SB (accelerometer) and found that a one-hour increase in sedentary time a day was related to 29% lower likelihood of reporting “excellent” health relative to “good/fair/poor” health (OR = 0.71, 95% CI: 0.62, 0.82) among children after controlling for the effects of gender and school grade [ 25 ].…”

Section: Resultsmentioning

confidence: 99%

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Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis

Zhang

2020

BMC Public Health

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Background Self-rated health (SRH) is an indicator that captures a person’s perception of their overall health status. The relationship between physical activity (PA), sedentary behaviour (SB) and SRH has been investigated in systematic reviews among adult and elderly populations. No systematic review to date has synthesized the relationship between PA, SB and SRH among children and adolescents. The purpose of this systematic review and meta-analysis was to synthesize the associations between PA, SB and SRH in the general population of children and adolescents and to investigate the dose-response relationship between PA, SB and SRH. Methods We conducted a computer search for English language studies in the databases of MEDLINE, EMBASE and PSYCINFO that were published between 1946 and 2019. We searched PubMed, Google Scholar, and the references of the identified publications for additional studies. A meta-analysis was employed to synthesize the associations between PA, SB respectively and SRH. The dose-response association was tested using a random effects meta-regression model. The review was reported following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Results Sixty-eight published articles were included in the final review, including 59 cross-sectional and nine longitudinal studies. We found evidence that PA was associated with better SRH, and SB was associated with lower SRH among children and adolescents. A dose-response relationship between PA and SRH was observed, where a higher level of PA was associated with better SRH than a lower level of PA. The relationship between PA, SB and SRH was observed in both boys and girls, and did not show a significant gender difference. Conclusions The findings in the systematic review suggest that health intervention programmes targeting promoting PA and reducing SB among children and adolescents may enhance their overall health status. Future research is needed to expand prospective cohort and intervention studies to address directionality and causality in the relationships between PA, SB and SRH among children and youth. Trial registration PROSPERO - CRD42019142244 . Registered on October 18, 2019.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis

Zhang

2020

BMC Public Health

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“…Numerous health benefits allow considering PA a powerful tool for the prevention of noninfectious chronic disease. On the contrary, physically inactive adolescents tend to have decreased cognition (e.g., academic performance and memory) [4], higher body fat [5], and worse health [6,7] compared to their physically active same-age peers. erefore, in order to identify the reasons for the modification of adolescent PA and to develop measures for the prevention of noninfectious chronic diseases, an objective study of this group, taking into account the peculiarities of lifestyle, is necessary [8].…”

Section: Introductionmentioning

confidence: 99%

Specific Features of the Ukrainian Urban Adolescents’ Physical Activity: A Cross-Sectional Study

Yelizarova

Stankevych

Parats

et al. 2020

Journal of Environmental and Public Health

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Background. An increase in the proportion of physically active peoples is one of the public health priorities. Particular attention should be addressed to the adolescent group with regard to their sensitivity. The purpose of our study is to determine the overall level of physical activity (PA) of urban adolescents and to evaluate its components. Methods. The study included the results of a survey of 415 children aged 11–15 years from public schools in Ukraine. We have adapted the standardized questionnaire QAPACE, which allows characterizing the level of adolescent’s PA by indicators: type, duration, and intensity. Results. A sedentary lifestyle is typical for most Ukrainian urban adolescents. Only 30.8% of Ukrainian urban adolescents (45.4% of boys and 21.4% of girls; p<0.001) meet the recommended level of moderate-to-vigorous PA (at least 60 minutes per day). The chances to follow the recommended moderate-to-vigorous PA are almost 5 times higher in the group of adolescents exercising at their own wish and not by parents’ direction (OR = 4.96; 95% CI: 2.77–8.90; p<0.001). Girls have a 3.0 higher chance of not adhering to recommendations for duration of PA (OR = 3.01; 95% CI: 1.95–4.63). They are 2.5 times more likely to lead a sedentary lifestyle (OR = 2.48; 95% CI: 1.54–3.98) than boys. Conclusion. The obtained results are indicative of a lack of implementation of measures to increase physical activity, which requires public attention to this problem. A search for ways to improve public policy towards optimizing adolescents’ PA is still an urgent goal for scholars and practitioners. PA-promoting measures should be developed taking into account the impact of family traditions, accessibility of sports facilities, leisure, advertising, and other factors. The obtained results are the initial stage for developing the program of physical inactivity prevention.

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“…Reports on older Croatian adults showed that, among other factors, higher self-rated health in 65-year-olds and over was associated with higher educational level, better health, better functional ability (26), and higher life satisfaction (37). This finding was no surprise, since subjective estimation of one's health comprises broad mental health aspects (38). We should bear in mind, however, that the relation between depression and perception of one's health is bi-directional, as depression contributes to the self-perception of poor health.…”

Section: Mental Health Of Older Croatian Workersmentioning

confidence: 85%

Employment status and other predictors of mental health and cognitive functions in older Croatian workers

Bjelajac

Bobić

Kovačić

et al. 2019

Archives of Industrial Hygiene and Toxicology

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The aim of this study was to examine mental health and cognitive functions in older Croatian workers (50–65 years) taking into account their employment status, self-assessed health, and a set of demographic characteristics. We analysed the data collected on 650 older workers (71 % employed) in the Wave 6 of the Survey of Health, Ageing and Retirement in Europe (SHARE). Unemployed workers reported symptoms of loneliness more often than the employed, while in rural areas unemployment was additionally associated with more pronounced symptoms of depression. Feeling of loneliness was also higher in those living without a partner in the household and in those with poorer health. In urban residents symptoms of depression were more severe in women, respondents with higher education, those living without a partner, and those who rated their health as poorer. As for cognitive functions, unemployment significantly predicted poorer subtraction in the rural subsample. Women in general showed less efficient numerical abilities. In the urban subsample poorer numerical abilities were also associated with lower education and living without a partner in the household. Better verbal recall was predicted by higher education and better self-rated memory. Higher scores in verbal fluency were predicted by urban residency and better self-rated health. Our results indicate that the protective factors for good mental health and cognitive functioning in older Croatian workers are being employed, having more education, living with a partner in the household, and being healthier. These findings stress the importance of implementing broader social policy strategies covering employment, education, and health.

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Associations between self-rated health, mental health problems and physical inactivity among urban adolescents

Cited by 37 publications

References 33 publications

Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis

Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis

Specific Features of the Ukrainian Urban Adolescents’ Physical Activity: A Cross-Sectional Study

Employment status and other predictors of mental health and cognitive functions in older Croatian workers

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