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Dun-Dery F, Xie J, Winston K, Burstein B, Emsley J, Sabhaney V, Gravel J, Zemek R, Kam A, Mater A, Beer D, Freire G, Poonai N, Berthelot S, Porter R, Moffatt A, Salvadori M, Dixon A, Freedman SB. No Association between SARS-CoV-2 Infection and Quality of Life 6- and 12-Months After Infection. Acad Pediatr 2024:S1876-2859(24)00273-0. [PMID: 39004300 DOI: 10.1016/j.acap.2024.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Revised: 07/01/2024] [Accepted: 07/04/2024] [Indexed: 07/16/2024]
Abstract
OBJECTIVE To assess the association between Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection and long-term quality of life (QoL). METHODS Prospective cohort study with 6- and 12-months follow-up conducted in 14 Canadian institutions. Children tested for SARS-CoV-2 between August 2020 and February 2022 were eligible. QoL was measured using PedsQL-4.0, overall health status scores 6- and 12-months after testing. RESULTS Among SARS-CoV-2 positive and negative participants eligible for long-term follow-up, 74.8% (505/675) and 71.8% (1106/1541) at 6- and 59.0% (727/1233) and 68.1% (2520/3699) at 12-months, completed follow-up, respectively. Mean ± SD PedsQL scores did not differ between positive and negative groups; difference: -0.86 (95% CI: -2.33, 0.61) at 6- and -0.48 (95% CI: -1.6, 0.64) at 12-months, respectively. SARS-CoV-2 test-positivity was associated with higher social subscale scores. Although in bivariate analysis, overall health status at 6-months was higher among SARS-CoV-2 cases [difference: 2.16 (95% CI: 0.80, 3.53)], after adjustment for co-variates, SARS-CoV-2 infection was not independently associated with total PedsQL or overall health status at either time point. Parental perception of recovery did not differ based on SARS-CoV-2 test-status at either time point. CONCLUSIONS SARS-CoV-2 infection was not associated with QoL, overall health status, or parental perception of recovery 6- and 12-months following infection.
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Affiliation(s)
- Frederick Dun-Dery
- Department of Pediatrics (F Dun-Dery), Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Jianling Xie
- Section of Pediatric Emergency Medicine (J Xie), Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Kathleen Winston
- Department of Pediatrics (K Winston), Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Brett Burstein
- Division of Pediatric Emergency Medicine (B Burstein), Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada; Department of Epidemiology (B Burstein), Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada
| | - Jason Emsley
- Department of Emergency Medicine (J Emsley), IWK Children's Health Centre and Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Vikram Sabhaney
- Department of Pediatrics and British Columbia Children's Hospital Research Institute, BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
| | - Jocelyn Gravel
- Department of Pediatric Emergency Medicine (J Gravel), Centre Hospitalier Universitaire (CHU) Sainte-Justine, Université de Montréal, Montreal, Quebec, Canada
| | - Roger Zemek
- Department of Pediatrics (R Zemek), University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada; Department of Emergency Medicine (R Zemek), University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
| | - April Kam
- Division of Emergency Medicine (A Kam), Department of Pediatrics, McMaster Children's Hospital, Hamilton, Ontario, Canada
| | - Ahmed Mater
- Section of Pediatric Emergency (A Mater), Department of Pediatrics, Jim Pattison Children's Hospital, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Darcy Beer
- Department of Pediatrics and Child Health (D Beer), The Children's Hospital of Winnipeg, Children's Hospital Research Institute of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Gabrielle Freire
- Division of Emergency Medicine (G Freire), Department of Paediatrics, Hospital for Sick Children, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Naveen Poonai
- Department of Paediatrics (N Poonai), Schulich School of Medicine & Dentistry, London, Ontario, Canada; Department of Internal Medicine (N Poonai), Schulich School of Medicine & Dentistry, London, Ontario, Canada; Department of Epidemiology & Biostatistics (N Poonai), Schulich School of Medicine & Dentistry, London, Ontario, Canada
| | - Simon Berthelot
- Département de Médecine de Famille et de Médecine d'Urgence (S Berthelot), CHU de Québec-Université Laval, Québec City, Quebec, Canada
| | - Robert Porter
- Janeway Children's Health and Rehabilitation Centre (R Porter), NL Health Services, St John's, Newfoundland and Labrador, St. John's, Newfoundland, Canada
| | - Anne Moffatt
- Department of Paediatrics (A Moffatt), Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada
| | - Marina Salvadori
- Public Health Agency of Canada (M Salvadori), Ottawa, Ontario, Canada; Department of Pediatrics (M Salvadori), McGill University, Montreal, Quebec, Canada
| | - Andrew Dixon
- Section of Pediatric Emergency Medicine (A Dixon), Departments of Pediatric, Women's and Children's Health Research Institute, University of Alberta, Edmonton, Alberta, Canada
| | - Stephen B Freedman
- Sections of Pediatric Emergency Medicine and Gastroenterology (SB Freedman), Departments of Pediatrics and Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
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Hao Y, Sun X, Duan W, Fong DYT, Jin X. Editorial: A moving target: exploring if, when, how, and why promoting quality of life counts among children and adolescents during COVID-19 pandemic. Front Public Health 2023; 11:1339945. [PMID: 38162598 PMCID: PMC10755957 DOI: 10.3389/fpubh.2023.1339945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Accepted: 11/20/2023] [Indexed: 01/03/2024] Open
Affiliation(s)
- Yuan Hao
- School of Social and Public Administration, East China University of Science and Technology, Shanghai, China
| | - Xixi Sun
- School of Social and Public Administration, East China University of Science and Technology, Shanghai, China
| | - Wenjie Duan
- School of Social and Public Administration, East China University of Science and Technology, Shanghai, China
| | | | - Xuejing Jin
- Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China
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Tan SYX, Padmapriya N, Bernard JY, Toh JY, Wee HL, Tan KH, Yap FKP, Lee YS, Chong YS, Godfrey K, Eriksson JG, Shek LPC, Tan CS, Chong MFF, Müller-Riemenschneider F. Cross-sectional and prospective associations between children's 24-h time use and their health-related quality of life: a compositional isotemporal substitution approach. THE LANCET REGIONAL HEALTH. WESTERN PACIFIC 2023; 41:100918. [PMID: 37842643 PMCID: PMC10570705 DOI: 10.1016/j.lanwpc.2023.100918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 08/26/2023] [Accepted: 09/12/2023] [Indexed: 10/17/2023]
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.
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Affiliation(s)
- Sarah Yi Xuan Tan
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
| | - Natarajan Padmapriya
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
- Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Jonathan Y. Bernard
- Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore
- Université Paris Cité and Université Sorbonne Paris Nord, Centre for Research in Epidemiology and StatisticS (CRESS), Inserm, Inrae, F-75004, Paris, France
| | - Jia Ying Toh
- Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore
| | - Hwee-Lin Wee
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
- Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore, Singapore
| | - Kok Hian Tan
- Department of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore
- Duke-National University of Singapore Medical School, Singapore, Singapore
| | - Fabian Kok Peng Yap
- Department of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore
- Duke-National University of Singapore Medical School, Singapore, Singapore
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
| | - Yung Seng Lee
- Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore
- Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore, Singapore
- Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Yap-Seng Chong
- Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
- Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore
| | - Keith Godfrey
- Medical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, United Kingdom
- NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - Johan Gunnar Eriksson
- Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
- Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore
- Department of General Practice and Primary Health Care, University of Helsinki and Folkhälsan Research Center, Helsinki, Finland
| | - Lynette Pei-Chi Shek
- Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore
- Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore, Singapore
- Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Chuen Seng Tan
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
| | - Mary Foong-Fong Chong
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
- Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore
| | - Falk Müller-Riemenschneider
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
- Digital Health Centre, Berlin Institute of Health, Charité – Universitätsmedizin Berlin, Berlin, Germany
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Paduano S, Facchini MC, Borsari L, D’Alterio A, Iacuzio L, Greco A, Fioretti E, Creola G, Kahfian Z, Zona S, Bargellini A, Filippini T. Health surveillance for SARS-CoV-2: infection spread and vaccination coverage in the schools of Modena province, Italy. Front Public Health 2023; 11:1240315. [PMID: 37965518 PMCID: PMC10641794 DOI: 10.3389/fpubh.2023.1240315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 10/09/2023] [Indexed: 11/16/2023] Open
Abstract
Introduction In Italy, over 4.8 million individuals aged 0-19 years have been infected with SARS-CoV-2. This study aims to evaluate the spread of SARS-CoV-2 within schools in Modena province and the influence of anti-SARS-CoV-2 vaccination coverage. Methods We performed a survey in the period 1 September-15 December 2021, involving student population aged 0-19 years and related teachers screened for SARS-CoV-2 infection using nasopharyngeal swab after the detection of an index case within their class. During the study period, vaccination against SARS-CoV-2 was actively offered to all subjects aged ≥12 years. Results A total of 13,934 subjects were tested, 12,534 students and 1,400 teachers (594 classes). We identified a total of 594 and 779 index and secondary cases, respectively. We found that 9.8% of students and 10.6% of teachers were positive for SARS-CoV-2. Overall at the test time, 32.5% were vaccinated with at least one dose of anti-SARS-CoV-2 vaccine. Among secondary cases, 7.8% were vaccinated compared to 34.9% among negative tested subjects. A higher secondary attack rate was for non-vaccinated subjects rather than vaccinated ones (8.1% vs. 1.4%). Higher secondary attack rates were reported for subjects attending infant and primary school (5.9 and 9.6%, respectively). Lower secondary attack rates were for those who attended middle school (4.9%) and especially high school (1.7%). Conclusion Our results highlight the differential spread of the infection within various educational settings and that the vaccination, available in the study period for the population aged ≥12, have mitigated SARS-CoV-2 spread in high and middle schools.
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Affiliation(s)
- Stefania Paduano
- Department of Biomedical, Metabolic and Neural Sciences – Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy
| | - Maria Chiara Facchini
- Department of Biomedical, Metabolic and Neural Sciences – Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy
| | - Lucia Borsari
- Department of Public Health – Public Hygiene Service, Local Health Authority of Modena, Modena, Italy
| | - Alessandra D’Alterio
- Department of Biomedical, Metabolic and Neural Sciences – Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy
| | - Laura Iacuzio
- Department of Public Health – Public Hygiene Service, Local Health Authority of Modena, Modena, Italy
| | - Antonella Greco
- Department of Public Health – Public Hygiene Service, Local Health Authority of Modena, Modena, Italy
| | - Elisabetta Fioretti
- Department of Public Health – Public Hygiene Service, Local Health Authority of Modena, Modena, Italy
| | - Giacomo Creola
- Department of Public Health – Public Hygiene Service, Local Health Authority of Modena, Modena, Italy
| | - Zaynalabedin Kahfian
- Department of Public Health – Public Hygiene Service, Local Health Authority of Modena, Modena, Italy
| | - Stefano Zona
- Infection Control Strategic Group, Local Health Authority of Modena, Modena, Italy
| | - Annalisa Bargellini
- Department of Biomedical, Metabolic and Neural Sciences – Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy
| | - Tommaso Filippini
- Department of Biomedical, Metabolic and Neural Sciences – Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy
- School of Public Health, University of California, Berkeley, Berkeley, CA, United States
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5
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Vilchez-Chavez AF, Bernal Altamirano E, Morales-García WC, Sairitupa-Sanchez L, Morales-García SB, Saintila J. Healthy Habits Factors and Stress Associated with Health-Related Quality of Life in a Peruvian Adult Population: A Cross-Sectional Study. J Multidiscip Healthc 2023; 16:2691-2700. [PMID: 37720270 PMCID: PMC10505026 DOI: 10.2147/jmdh.s412962] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 07/07/2023] [Indexed: 09/19/2023] Open
Abstract
Background Healthy habits contribute to the prevention of diseases and, therefore, improve the health-related quality of life of people. However, stress is one of the main risk factors associated with serious health problems in the individual. Therefore, the literature suggests a relationship between healthy habits, stress, and health-related quality of life. Objective To assess the factors of healthy habits and stress associated with health-related quality of life in a Peruvian adult population. Methods A cross-sectional study was conducted with a sample of 540 Peruvian citizens aged between 18 and 60 years. A questionnaire was applied on the Google Forms platform to be completed online, using the "Healthy Lifestyle Questionnaire" and the PSS-4 to assess healthy habits and stress, respectively. Health-related quality of life was evaluated using the EuroQol-5D. Results In the multivariate analysis, stress was the most associated factor with quality of life. Physical activity, drug consumption, tobacco consumption, rest habits, and a balanced diet were healthy habits associated with quality of life. Conclusion Physical activity, rest habits, and a balanced diet improve health-related quality of life, while drug or tobacco consumption and stress are associated with a lower health-related quality of life.
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Affiliation(s)
| | | | | | | | | | - Jacksaint Saintila
- School of Medicine, Faculty of Health Sciences, Señor de Sipan University, Chiclayo, Peru
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Al-Saeedi F, Rajendran P, Tipre D, Aladwani H, Alenezi S, Alqabandi M, Alkhamis A, Redha A, Mohammad A, Ahmad F, Abdulnabi Y, Alfadhly A, Alrasheedi D. The effect of COVID-19 on nuclear medicine and radiopharmacy activities: A global survey. Sci Rep 2023; 13:10489. [PMID: 37380735 PMCID: PMC10307835 DOI: 10.1038/s41598-023-36925-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Accepted: 06/12/2023] [Indexed: 06/30/2023] Open
Abstract
Globally, COVID-19 affected radiopharmaceutical laboratories. This study sought to determine the economic, service, and research impacts of COVID-19 on radiopharmacy. This online survey was conducted with the participation of employees from nuclear medicine and radiopharmaceutical companies. The socioeconomic status of the individuals was collected. The study was participated by 145 medical professionals from 25 different countries. From this work, it is evident that 2-deoxy-2-[18F]fluoro-D-glucose (2-[18F]FDG), and 99mTc-labeled macro aggregated albumin 99mTc-MAA were necessary radiopharmaceuticals used by 57% (83/145and 34% (49/145;) respondents, respectively for determining how COVID infections affect a patient's body. The normal scheduling procedure for the radiopharmacy laboratory was reduced by more than half (65%; 94/145). In COVID-19, 70% (102/145) of respondents followed the regulations established by the local departments. Throughout the pandemic, there was a 97% (141/145) decrease in all staffing recruitment efforts. The field of nuclear medicine research, as well as the radiopharmaceutical industry, were both adversely affected by COVID-19.
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Affiliation(s)
- Fatma Al-Saeedi
- The Department of Nuclear Medicine, College of Medicine, Kuwait University, P.O. box: 24923, 13110, Safat, Kuwait.
| | - Peramaiyan Rajendran
- Department of Biological Sciences, College of Science, King Faisal University, AlAhsa, Saudi Arabia
- Department of Biochemistry, Saveetha Dental College & Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, 600 077, Tamil Nadu, India
| | - Dnyanesh Tipre
- Translational Biomedical Imaging Laboratory, Department of Radiology, Children's Hospital Los Angeles, Los Angeles, California, USA
| | - Hassan Aladwani
- College of Medicine, Kuwait University, P.O. box: 24923, 13110, Safat, Kuwait
| | - Salem Alenezi
- College of Medicine, Kuwait University, P.O. box: 24923, 13110, Safat, Kuwait
| | - Maryam Alqabandi
- The Department of Nuclear Medicine, College of Medicine, Kuwait University, P.O. box: 24923, 13110, Safat, Kuwait
| | - Abdullah Alkhamis
- College of Medicine, Kuwait University, P.O. box: 24923, 13110, Safat, Kuwait
| | - Abdulmohsen Redha
- College of Medicine, Kuwait University, P.O. box: 24923, 13110, Safat, Kuwait
| | - Ahmed Mohammad
- College of Medicine, Kuwait University, P.O. box: 24923, 13110, Safat, Kuwait
| | - Fahad Ahmad
- College of Medicine, Kuwait University, P.O. box: 24923, 13110, Safat, Kuwait
| | - Yaaqoup Abdulnabi
- College of Medicine, Kuwait University, P.O. box: 24923, 13110, Safat, Kuwait
| | - Altaf Alfadhly
- College of Medicine, Kuwait University, P.O. box: 24923, 13110, Safat, Kuwait
| | - Danah Alrasheedi
- College of Medicine, Kuwait University, P.O. box: 24923, 13110, Safat, Kuwait
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7
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Victoria-Montesinos D, Tárraga-Marcos A, Brazo-Sayavera J, Jiménez-López E, Gutiérrez-Espinoza H, Panisello Royo JM, Tárraga-López PJ, López-Gil JF. Adherence to the Mediterranean Diet and Health-Related Quality of Life during the COVID-19 Lockdown: A Cross-Sectional Study including Preschoolers, Children, and Adolescents from Brazil and Spain. Nutrients 2023; 15:nu15030677. [PMID: 36771384 PMCID: PMC9920644 DOI: 10.3390/nu15030677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Revised: 01/23/2023] [Accepted: 01/24/2023] [Indexed: 01/31/2023] Open
Abstract
Scientific literature has suggested positive associations between the Mediterranean diet (MD) and the health-related quality of life (HRQoL) in young populations. However, to our knowledge, this relationship is unexplored during a situation of social isolation (i.e., lockdown). The objective of the current study is to examine the relationship between the MD and HRQoL during the COVID-19 lockdown among preschoolers, children, and adolescents from Brazil and Spain. This cross-sectional study includes a sample of 1099 three- to seventeen-year-old participants (47.6% girls) who were recruited via social networks. The HRQoL was assessed with the EQ-5D-Y. The Quality Index for Children and Teenagers (KIDMED) questionnaire was applied to evaluate the relationship between the MD and HRQoL. The highest prevalence of reported problems was found for worried, sad, or unhappy participants (39.8%). Furthermore, the lowest proportion of HRQoL problems was observed for "mobility" (2.5%). The proportion of high adherence to the MD was 44.3%. Participants with greater MD adherence reported higher HRQoL mean scores when compared with those who did not adhere to the MD (83.7 ± 0.6 vs. 85.6 ± 0.7, respectively; p < 0.05). Adherence to the MD and especially daily fruit intake were related to higher HRQoL during the COVID-19 lockdown among Brazilian and Spanish young people aged three to seventeen years.
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Affiliation(s)
| | - Almudena Tárraga-Marcos
- Departamento de Ciencias Médicas, Facultad de Medicina, Universidad Castilla-La Mancha (UCLM), 02006 Albacete, Spain
| | - Javier Brazo-Sayavera
- PDU EFISAL, Centro Universitario Regional Noreste, Universidad de la República (UdelaR), Rivera 40000, Uruguay
- Department of Sports and Computer Science, Universidad Pablo de Olavide (UPO), 41013 Seville, Spain
| | - Estela Jiménez-López
- Health and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain
| | - Héctor Gutiérrez-Espinoza
- Escuela de Fisioterapia, Universidad de las Américas, Quito 170504, Ecuador
- Correspondence: (P.J.T.-L.); (H.G.-E.)
| | | | - Pedro J. Tárraga-López
- Departamento de Ciencias Médicas, Facultad de Medicina, Universidad Castilla-La Mancha (UCLM), 02006 Albacete, Spain
- Correspondence: (P.J.T.-L.); (H.G.-E.)
| | - José Francisco López-Gil
- Health and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain
- Department of Environmental Health, Harvard University T.H. Chan School of Public Health, Boston, MA 02138, USA
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