{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T04:52:33Z","timestamp":1764305553421,"version":"3.46.0"},"reference-count":61,"publisher":"Walter de Gruyter GmbH","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,10,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_ijamh-2017-0066_s_999_w2aab3b7b9b1b6b1aab1c16b1Aa\">\n                    <jats:title id=\"d2745653e30959_w2aab3b7b9b1b6b1aab1c16b1aAa\">Background<\/jats:title>\n                    <jats:p>In adolescence there are several biological and physiological changes associated with overweight and obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_ijamh-2017-0066_s_998_w2aab3b7b9b1b6b1aab1c16b2Aa\">\n                    <jats:title id=\"d2745653e30968_w2aab3b7b9b1b6b1aab1c16b2aAa\">Objective<\/jats:title>\n                    <jats:p>The purpose of this study was to analyze the associations between health-related quality of life (HRQoL) and body mass index (BMI) in adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_ijamh-2017-0066_s_997_w2aab3b7b9b1b6b1aab1c16b3Aa\">\n                    <jats:title id=\"d2745653e30977_w2aab3b7b9b1b6b1aab1c16b3aAa\">Methods<\/jats:title>\n                    <jats:p>This is a cross-sectional analysis of 957 Portuguese adolescents (446 girls and 511 boys) aged 12\u201318 years. A series of variables were collected: (a) HRQoL was assessed using the KIDSCREEN-10 questionnaire; (b) socioeconomic status (SES) was measured using the Family Affluence Scale; (c) body composition (weigh, height) were measured and BMI was calculated and, (d) pubertal stage was assessed with Tanner stages; (e) the 20-m shuttle-run was used to estimate cardiorespiratory fitness. Regression models and mediation analysis were performed to assess the association between HRQoL and BMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_ijamh-2017-0066_s_996_w2aab3b7b9b1b6b1aab1c16b4Aa\">\n                    <jats:title id=\"d2745653e30986_w2aab3b7b9b1b6b1aab1c16b4aAa\">Results<\/jats:title>\n                    <jats:p>HRQoL was significantly higher in boys than girls (p &lt; 0.05). The prevalence of overweight and obesity was 23.5% and 6.7% in girls, and 21.3% and 5% in boys, respectively. HRQoL was inversely and significantly associated with BMI in boys (B = \u22120.130; p &lt; 0.05) and girls (B = \u22120.148; p &lt; 0.05) after controlling for age, pubertal stage and SES. Cardiorespiratory fitness act as a full mediator variable on the relationship between BMI and HRQoL in adolescents (p &lt; 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_ijamh-2017-0066_s_995_w2aab3b7b9b1b6b1aab1c16b5Aa\">\n                    <jats:title id=\"d2745653e30996_w2aab3b7b9b1b6b1aab1c16b5aAa\">Conclusion<\/jats:title>\n                    <jats:p>Our results suggest that cardiorespiratory fitness acted as a full mediator in the relationship between BMI and HRQoL, in adolescents. Public health policies targeting a wealthy weight and an improved physical fitness level could be a strategy of particular interest for improving the HRQoL of adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/ijamh-2017-0066","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T17:15:58Z","timestamp":1518455758000},"source":"Crossref","is-referenced-by-count":9,"title":["Associations between health-related quality of life and body mass index in Portuguese adolescents: LabMed physical activity study"],"prefix":"10.1515","volume":"31","author":[{"given":"Sofia","family":"Evaristo","sequence":"first","affiliation":[{"name":"Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto , Porto , Portugal"}]},{"given":"Carla","family":"Moreira","sequence":"additional","affiliation":[{"name":"Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto , R. Pl\u00e1cido Costa, 91, 4200 450 Porto , Portugal , Phone: +351-22-5074786, Fax: +351-22-5500689"}]},{"given":"Rute","family":"Santos","sequence":"additional","affiliation":[{"name":"Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto , Porto , Portugal"},{"name":"Early Start Research Institute, Faculty of Social Sciences , University of Wollongong , Wollongong , NSW, Australia"}]},{"given":"Lu\u00eds","family":"Lopes","sequence":"additional","affiliation":[{"name":"Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto , Porto , Portugal"}]},{"given":"Sandra","family":"Abreu","sequence":"additional","affiliation":[{"name":"Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto , Porto , Portugal"}]},{"given":"C\u00e9sar","family":"Agostinis-Sobrinho","sequence":"additional","affiliation":[{"name":"Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto , Porto , Portugal"}]},{"given":"Jos\u00e9","family":"Oliveira-Santos","sequence":"additional","affiliation":[{"name":"Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto , Porto , Portugal"}]},{"given":"Jorge","family":"Mota","sequence":"additional","affiliation":[{"name":"Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto , Porto , Portugal"}]}],"member":"374","published-online":{"date-parts":[[2018,2,12]]},"reference":[{"key":"2025112723532089835_j_ijamh-2017-0066_ref_001_w2aab3b7b9b1b6b1ab1b7b1Aa","doi-asserted-by":"crossref","unstructured":"Kirchengast S. 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