Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescents

The present research examined the association of Mediterranean diet adherence and physical activity with self- esteem through five components of health-related quality of life. Data were collected from 456 adolescents attending one of five schools in Granada, Spain using a cluster-randomised design....

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Main Authors: Knox, Emily, Muros Molina, Jose Joaquin
Format: Article
Published: Springer 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/40933/
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author Knox, Emily
Muros Molina, Jose Joaquin
author_facet Knox, Emily
Muros Molina, Jose Joaquin
author_sort Knox, Emily
building Nottingham Research Data Repository
collection Online Access
description The present research examined the association of Mediterranean diet adherence and physical activity with self- esteem through five components of health-related quality of life. Data were collected from 456 adolescents attending one of five schools in Granada, Spain using a cluster-randomised design. Participants completed questionnaires on Mediterranean diet adherence, physical activity, self-esteem and health-related quality of life (HRQoL). Models were constructed to identify associations between Mediterranean diet adherence and physical activity on self-esteem. Mediational analysis using bootstrapped confidence intervals examined possible mediation by five components of HRQoL. Mediterranean diet adherence and physical activity engagement were associated with four components of HRQoL: more positive physical wellbeing, psychological wellbeing, family relationships and autonomy support and perceptions of the school environment. Both lifestyle behaviours were positively associated with self-esteem. Both relationships were mediated through positive psychological wellbeing and perceptions of the school environment. Physical wellbeing was also a mediator of the relationship between physical activity and self-esteem. Conclusions. Interventions promoting Mediterranean diets or physical activity to adolescents may facilitate improvements in self-esteem in addition to wider health benefits previously identified. Approaches within such interventions targeting improvements in physical wellbeing, psychological wellbeing and positive perceptions of the school environment may improve their efficacy.
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spelling nottingham-409332020-05-04T19:57:36Z https://eprints.nottingham.ac.uk/40933/ Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescents Knox, Emily Muros Molina, Jose Joaquin The present research examined the association of Mediterranean diet adherence and physical activity with self- esteem through five components of health-related quality of life. Data were collected from 456 adolescents attending one of five schools in Granada, Spain using a cluster-randomised design. Participants completed questionnaires on Mediterranean diet adherence, physical activity, self-esteem and health-related quality of life (HRQoL). Models were constructed to identify associations between Mediterranean diet adherence and physical activity on self-esteem. Mediational analysis using bootstrapped confidence intervals examined possible mediation by five components of HRQoL. Mediterranean diet adherence and physical activity engagement were associated with four components of HRQoL: more positive physical wellbeing, psychological wellbeing, family relationships and autonomy support and perceptions of the school environment. Both lifestyle behaviours were positively associated with self-esteem. Both relationships were mediated through positive psychological wellbeing and perceptions of the school environment. Physical wellbeing was also a mediator of the relationship between physical activity and self-esteem. Conclusions. Interventions promoting Mediterranean diets or physical activity to adolescents may facilitate improvements in self-esteem in addition to wider health benefits previously identified. Approaches within such interventions targeting improvements in physical wellbeing, psychological wellbeing and positive perceptions of the school environment may improve their efficacy. Springer 2017-05 Article PeerReviewed Knox, Emily and Muros Molina, Jose Joaquin (2017) Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescents. European Journal of Pediatrics, 176 (5). pp. 621-628. ISSN 1432-1076 Mediterranean diet; physical activity; self-esteem; health-related quality of life; adolescents https://link.springer.com/article/10.1007%2Fs00431-017-2886-z doi:10.1007/s00431-017-2886-z doi:10.1007/s00431-017-2886-z
spellingShingle Mediterranean diet; physical activity; self-esteem; health-related quality of life; adolescents
Knox, Emily
Muros Molina, Jose Joaquin
Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescents
title Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescents
title_full Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescents
title_fullStr Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescents
title_full_unstemmed Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescents
title_short Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescents
title_sort association of lifestyle behaviours with self-esteem through health-related quality of life in spanish adolescents
topic Mediterranean diet; physical activity; self-esteem; health-related quality of life; adolescents
url https://eprints.nottingham.ac.uk/40933/
https://eprints.nottingham.ac.uk/40933/
https://eprints.nottingham.ac.uk/40933/