摘要

BackgroundTo examine the associations of the independent and combined healthy lifestyle factors with health-related quality of life (HRQOL) in adolescents, and to test the moderating role of gender.MethodsThis cross-sectional study included 5125 adolescents aged between 11 and 20 years. They provided self-reported data on six healthy lifestyle factors, including never smoking, never drinking, good sleep quality, sufficient sleep duration, appropriate Internet use, and adequate physical activity. Adolescents' HRQOL was evaluated using the Pediatric Quality of Life Inventory version 4.0. Linear regression models were conducted to explore the association of individual and combined healthy lifestyle factors with adolescents' HRQOL. We further performed stratified analyses and likelihood ratio test to explore the moderating role of gender in these associations.ResultsOf the included adolescents, the proportions with 0-2, 3, 4, and 5-6 healthy lifestyle factors were 13.6, 26.4, 44.3, and 15.7, respectively. Compared to adolescents with composite healthy lifestyle scores of 0-2, those with scores of 3, 4, or 5-6 had significantly higher HRQOL scores across all dimensions, summary scales, and total scale in both unadjusted and adjusted models. Specifically, adolescents with 5-6 healthy lifestyle factors had a total scale score that was 19.03 (95CI: 17.76 to 20.30) points higher than their counterparts who only had 0-2 healthy lifestyle factors. Significant dose-response patterns were also observed in aforementioned associations. Gender was a significant moderator in the associations between composite healthy lifestyle groups and HRQOL scores, except for the social functioning dimension.ConclusionsOur results confirmed that combined healthy lifestyle factors were associated with improved HRQOL among adolescents, with a stronger association observed in girls. These findings underscore the necessity for education and healthcare authorities to design health-promoting strategies that encourage multiple healthy lifestyle factors in adolescents, with the objective of enhancing their overall health outcomes.展開▼

機(jī)譯：背景探討?yīng)毩⒑途C合健康生活方式因素與青少年健康相關(guān)生活質(zhì)量（HRQOL）的關(guān)聯(lián)，并檢驗(yàn)性別的調(diào)節(jié)作用。方法這項(xiàng)橫斷面研究納入了5125名年齡在11-20歲之間的青少年。他們提供了關(guān)于六個(gè)健康生活方式因素的自我報(bào)告數(shù)據(jù)，包括從不吸煙、從不飲酒、良好的睡眠質(zhì)量、充足的睡眠時(shí)間、適當(dāng)?shù)幕ヂ?lián)網(wǎng)使用和足夠的身體活動(dòng)。使用兒科生活質(zhì)量量表 4.0 版評估青少年的 HRQOL。采用線性回歸模型探討個(gè)體和組合健康生活方式因素與青少年HRQOL的關(guān)聯(lián)。我們進(jìn)一步進(jìn)行了分層分析和似然比檢驗(yàn)，以探討性別在這些關(guān)聯(lián)中的調(diào)節(jié)作用。結(jié)果在納入的青少年中，0-2歲、3歲、4歲和5-6歲健康生活方式因素的比例分別為13.6%、26.4%、44.3%和15.7%。與綜合健康生活方式得分為 0-2 的青少年相比，得分為 3、4 或 5-6 的青少年在未調(diào)整和調(diào)整模型中在所有維度、總量表和總量表上的 HRQOL 得分均顯著更高。具體來說，具有 5-6 個(gè)健康生活方式因素的青少年的總量表得分比只有 0-2 個(gè)健康生活方式因素的同齡人高出 19.03 分（95% CI：17.76 至 20.30）。在上述關(guān)聯(lián)中也觀察到顯著的劑量反應(yīng)模式。除社會(huì)功能維度外，性別是復(fù)合健康生活方式組與HRQOL評分之間關(guān)聯(lián)的重要調(diào)節(jié)因素。結(jié)論我們的研究結(jié)果證實(shí)，綜合健康生活方式因素與青少年HRQOL的改善相關(guān)，在女孩中觀察到更強(qiáng)的相關(guān)性。這些發(fā)現(xiàn)強(qiáng)調(diào)了教育和醫(yī)療保健當(dāng)局制定健康促進(jìn)策略的必要性，以鼓勵(lì)青少年采取多種健康生活方式因素，以提高他們的整體健康結(jié)果。展開▼

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