Quality of Life and Meeting 24-h WHO Guidelines Among Preschool Children in Singapore
Quality of Life and Meeting 24-h WHO Guidelines Among Preschool Children in Singapore
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DOI：
10.1007/s10643-019-00987-9
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发表时间：
2019-10-03
影响因子：
2.7
通讯作者：
Chua, Terence Buan Kiong
中科院分区：
文献类型：
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作者：
Chia, Michael Yong Hwa;Tay, Lee Yong;Chua, Terence Buan Kiong
这项研究的目的是确定5岁以下学龄前儿童的比例，以满足世界卫生组织关于体力活动、久坐行为和睡眠的24小时指南。另一个目标是检查新加坡学龄前儿童的健康相关生活质量与满足这些指南之间的联系。家长完成了一份关于儿童身体活动、久坐行为和睡眠的在线匿名SMALLQ(R)(儿童早期数字媒体习惯监测问卷)。符合世界卫生组织的24小时指南意味着，在24小时内，(I)至少有180分钟的体力活动，(Ii)从事少于60分钟的屏幕介质，(Iii)有10-13小时的高质量睡眠。使用同时在线收集的儿科生活质量问卷(TM)来确定父母报告的儿童与健康相关的生活质量。家长报告的数据显示，12.6%的学龄前儿童没有达到标准，而9.6%的学龄前儿童符合世卫组织的所有指南。70.7%、56.9%和26.5%的学龄前儿童在24小时内达到了睡眠、体力活动和屏幕媒体使用指南。40.5%的患者符合两项指南，37.4%的患者符合一项指南。与健康相关的生活质量在全部达到、没有达到或符合世界卫生组织指南1-2的学龄前儿童中有显著差异(即总健康评分：82.9+/-12.4vs.76.4+/-15.1vs.78.6+/-14.5%，p<0.05；n(2)=0.008-0.11)。我们的结果表明，学龄前儿童的健康相关生活质量随着世卫组织指南的完成数量而增加。
The objective of the study was to determine the proportion of preschool children under 5 years old meeting the 24-h World Health Organisation guidelines on physical activity, sedentary behaviour and sleep. Another objective was to examine the association between the health-related quality of life and meeting these guidelines among preschool children in Singapore. Parents completed an online and anonymous SMALLQ (R) (Surveillance of digital Media hAbits in earLy chiLdhood Questionnaire) on children's physical activity, sedentary behaviour and sleep. Meeting the 24-h WHO guidelines meant, within a 24-h period, (i) having at least 180 min of physical activity (ii) engaging in less than 60 min of screen media and (iii) having 10-13 h of good quality sleep. Parent-reported health-related quality of life of the children was determined using the Pediatric Quality of Life Inventory (TM), collected online at the same time. Parent-reported data showed that 12.6% met none while 9.6% of preschool children met all the WHO guidelines. 70.7%, 56.9% and 26.5%, of preschool children respectively, achieved the sleep, physical activity and screen media use guidelines within a 24-h period. 40.5% met two guidelines while 37.4% met one guideline. Significant differences were detected in the health-related quality of life among preschool children who met all, none, or met 1-2 of the WHO guidelines (i.e. total health score: 82.9 +/- 12.4 vs. 76.4 +/- 15.1 vs. 78.6 +/- 14.5%, p < 0.05; n(2) = 0.008-0.11). Our results show that the health- related quality of life of preschool children increased with the number of WHO guidelines accomplished.