{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:28:09Z","timestamp":1756384089797,"version":"3.41.2"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. paul. pediatr."],"abstract":"<jats:p>ABSTRACT  Objective:  Adolescent\u2019s ideal cardiovascular health index (ICVH) seems to be an important indicator of youth\u2019s lifestyles and cardiometabolic health with potential positive consequences for their Health-Related Quality of Life (HRQoL). The purpose of this study was to examine the associations between the ICVH index and HRQoL in adolescents.  Methods:  This was a cross-sectional study based on secondary analyses from the LabMed Physical Activity Study (n=407 adolescents, 53% girls). ICVH, as defined by the American Heart Association, was determined as meeting ideal behaviors (physical activity, body mass index, smoking status, and diet intake) and health factors (blood pressure, total glucose, and cholesterol). HRQoL was measured with the Kidscreen-10 self-report questionnaire.  Results:  Analysis of covariance (ANCOVA) showed a significant association between the accumulation of ideal cardiovascular health metrics and HRQoL (F(4,403)=4.160; p=0.003). In addition, the higher the number of ideal health behaviors accumulated, the higher the mean values of HRQoL (p-value for trend=0.001), after adjustments for age, sex, socioeconomic status and pubertal stage.  Conclusions:  ICVH index was positively associated with HRQoL in adolescents. Ideal health behaviors metrics seem to have a stronger association with HRQoL than the ideal health factors metrics in adolescents.<\/jats:p>","DOI":"10.1590\/1984-0462\/2021\/39\/2019343","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T13:59:38Z","timestamp":1598623178000},"source":"Crossref","is-referenced-by-count":10,"title":["IDEAL CARDIOVASCULAR HEALTH STATUS AND HEALTH-RELATED QUALITY OF LIFE IN ADOLESCENTS: THE LABMED PHYSICAL ACTIVITY STUDY"],"prefix":"10.1590","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9104-9042","authenticated-orcid":false,"given":"C\u00e9sar","family":"Agostinis-Sobrinho","sequence":"first","affiliation":[{"name":"Klaipeda University,  Lithuania"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9166-4376","authenticated-orcid":false,"given":"Andr\u00e9 de Oliveira","family":"Werneck","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista \u201cJ\u00falio de Mesquita Filho\u201d,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6524-9910","authenticated-orcid":false,"given":"Justina","family":"Kievi\u0161ien\u0117","sequence":"additional","affiliation":[{"name":"Klaipeda University,  Lithuania"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1039-6320","authenticated-orcid":false,"given":"Carla","family":"Moreira","sequence":"additional","affiliation":[{"name":"University of Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3075-6960","authenticated-orcid":false,"given":"Robinson","family":"Ram\u00edrez-V\u00e9lez","sequence":"additional","affiliation":[{"name":"Public University of Navarra,  Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6986-0007","authenticated-orcid":false,"given":"Rafaela","family":"Ros\u00e1rio","sequence":"additional","affiliation":[{"name":"University of Minho,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3231-5168","authenticated-orcid":false,"given":"Sigute","family":"Norkiene","sequence":"additional","affiliation":[{"name":"Klaipeda University,  Lithuania"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6680-0893","authenticated-orcid":false,"given":"Lu\u00eds","family":"Lopes","sequence":"additional","affiliation":[{"name":"University of Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7571-9181","authenticated-orcid":false,"given":"Jorge","family":"Mota","sequence":"additional","affiliation":[{"name":"University of Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7604-5753","authenticated-orcid":false,"given":"Rute","family":"Santos","sequence":"additional","affiliation":[{"name":"University of Porto,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1089\/met.2012.0122","article-title":"The prevalence of metabolic syndrome in children: a systematic review of the literature","volume":"11","author":"Friend A","year":"2013","journal-title":"Metab Syndr Relat Disord"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1161\/CIRCULATIONAHA.109.192703","article-title":"Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association\u2019s strategic Impact Goal through 2020 and beyond","volume":"121","author":"Lloyd-Jones DM","year":"2010","journal-title":"Circulation"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/j.numecd.2016.12.003","article-title":"Ideal cardiovascular health and inflammation in European adolescents: the HELENA study","volume":"27","author":"Gonz\u00e1lez-Gil EM","year":"2017","journal-title":"Nutr Metab Cardiovasc Dis"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.ijcard.2016.12.117","article-title":"Ideal cardiovascular health in childhood-longitudinal associations with cardiac structure and function: the Special Turku Coronary Risk Factor Intervention Project (STRIP) and the Cardiovascular Risk in Young Finns Study (YFS)","volume":"230","author":"Laitinen TT","year":"2017","journal-title":"Int J Cardiol"},{"key":"ref5","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.113.000532","article-title":"Prospective relationship of change in ideal cardiovascular health status and arterial stiffness: the Cardiovascular Risk in Young Finns Study","volume":"3","author":"Aatola H","year":"2014","journal-title":"J Am Heart Assoc"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1971","DOI":"10.1161\/CIRCULATIONAHA.111.073585","article-title":"Ideal cardiovascular health in childhood and cardiometabolic outcomes in adulthood: the Cardiovascular Risk in Young Finns Study","volume":"125","author":"Laitinen TT","year":"2012","journal-title":"Circulation"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1007\/s11136-010-9706-5","article-title":"Reliability, construct and criterion validity of the KIDSCREEN-10 score: a short measure for children and adolescents\u2019 well-being and health-related quality of life","volume":"19","author":"Ravens-Sieberer U","year":"2010","journal-title":"Qual Life Res"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1007\/s00787-008-1016-x","article-title":"Health-related quality of life in children and adolescents in Germany: results of the BELLA study","volume":"17","author":"Ravens-Sieberer U","year":"2008","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1037\/hea0000210","article-title":"Depression trajectories, inflammation, and lifestyle factors in adolescence: the TRacking Adolescents\u2019 Individual Lives Survey","volume":"34","author":"Duivis HE","year":"2015","journal-title":"Health Psychol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"2641","DOI":"10.1017\/S0033291712000554","article-title":"Generalized anxiety and C-reactive protein levels: a prospective, longitudinal analysis","volume":"42","author":"Copeland WE","year":"2012","journal-title":"Psychol Med"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1016\/j.jadohealth.2014.05.018","article-title":"Positive attributes protect adolescents from risk for the metabolic syndrome","volume":"55","author":"Midei AJ","year":"2014","journal-title":"J Adolesc Health"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1161\/CIRCULATIONAHA.113.007104","article-title":"Cumulative effect of psychosocial factors in youth on ideal cardiovascular health in adulthood: the Cardiovascular Risk in Young Finns Study","volume":"131","author":"Pulkki-R\u00e5back L","year":"2015","journal-title":"Circulation"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.numecd.2016.02.011","article-title":"Association between serum adiponectin levels and muscular fitness in Portuguese adolescents: LabMed Physical Activity Study","volume":"6","author":"Agostinis-Sobrinho C","year":"2016","journal-title":"Nutr Metab Cardiovasc Dis"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1079\/PHN2004556","article-title":"Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents","volume":"7","author":"Serra-Majem L","year":"2004","journal-title":"Public Health Nutr"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1016\/j.numecd.2018.05.012","article-title":"Longitudinal association between ideal cardiovascular health status and muscular fitness in adolescents: the LabMed Physical Activity Study","volume":"28","author":"Agostinis-Sobrinho C","year":"2018","journal-title":"Nutr Metab Cardiovasc Dis"},{"key":"ref16","first-page":"55","article-title":"Quality of life promotion with children and adolescents","volume":"9","author":"Gaspar T","year":"2008","journal-title":"Psicol Sa\u00fade Doen\u00e7as"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.jad.2018.07.001","article-title":"Depressive symptom trajectories and physical health: persistence of problems from adolescence to young adulthood","volume":"240","author":"Ames ME","year":"2018","journal-title":"J Affect Disord"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.jped.2016.10.005","article-title":"The association between healthy lifestyle behaviors and health\u2010related quality of life among adolescents","volume":"93","author":"Muros JJ","year":"2017","journal-title":"J Pediatr (Rio J.)"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1007\/s00431-017-2886-z","article-title":"Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescents","volume":"176","author":"Knox E","year":"2017","journal-title":"Eur J Pediatr"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"1762","DOI":"10.1002\/oby.21952","article-title":"Physical activity and sedentary time associations with metabolic health across weight statuses in children and adolescents","volume":"25","author":"Kuzik N","year":"2017","journal-title":"Obesity (Silver Spring)"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1136\/bjsm.36.5.360","article-title":"Associations of health related behaviour, social relationships, and health status with persistent physical activity and inactivity: a study of Finnish adolescent twins","volume":"36","author":"Aarnio M","year":"2002","journal-title":"Br J Sports Med"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s10935-012-0260-5","article-title":"Perceptions of social support, empowerment and youth risk behaviors","volume":"33","author":"Reininger BM","year":"2012","journal-title":"J Prim Prev"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1007\/s10964-017-0712-6","article-title":"Associations between social support from family, friends, and teachers and depressive symptoms in adolescents","volume":"47","author":"P\u00f6ssel P","year":"2018","journal-title":"J Youth Adolesc"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1016\/j.ijcard.2017.03.022","article-title":"Prevalence of ideal cardiovascular health in European adolescents: the HELENA study","volume":"240","author":"Henriksson P","year":"2017","journal-title":"Int J Cardiol"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1161\/CIRCULATIONAHA.113.001559","article-title":"Status of cardiovascular health in US adolescents: prevalence estimates from the National Health and Nutrition Examination Surveys (NHANES) 2005-2010","volume":"127","author":"Shay CM","year":"2013","journal-title":"Circulation"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1136\/heartjnl-2014-306750","article-title":"Cardiorespiratory fitness and ideal cardiovascular health in European adolescents","volume":"101","author":"Ruiz JR","year":"2015","journal-title":"Heart"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.atherosclerosis.2011.12.029","article-title":"Retinal vessel diameter, obesity and metabolic risk factors in school children (JuvenTUM 3)","volume":"221","author":"Hanssen H","year":"2012","journal-title":"Atherosclerosis"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"584","DOI":"10.3389\/fnhum.2014.00584","article-title":"Aerobic fitness is associated with greater white matter integrity in children","volume":"8","author":"Chaddock-Heyman L","year":"2014","journal-title":"Front Hum Neurosci"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1146\/annurev-psych-113011-143750","article-title":"Executive functions","volume":"64","author":"Diamond A","year":"2013","journal-title":"Annu Rev Psychol"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s12955-019-1086-0","article-title":"Associations between combined overweight and obesity, lifestyle behavioural risk and quality of life among Australian regional school children: baseline findings of the Goulburn Valley health behaviours monitoring study","volume":"17","author":"Hoare E","year":"2019","journal-title":"Health Qual Life Outcomes"}],"container-title":["Revista Paulista de Pediatria"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rpp\/v39\/1984-0462-rpp-39-e2019343.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,24]],"date-time":"2021-01-24T01:57:35Z","timestamp":1611453455000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0103-05822021000100427&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":30,"alternative-id":["S0103-05822021000100427"],"URL":"https:\/\/doi.org\/10.1590\/1984-0462\/2021\/39\/2019343","relation":{},"ISSN":["1984-0462","0103-0582"],"issn-type":[{"type":"electronic","value":"1984-0462"},{"type":"print","value":"0103-0582"}],"subject":[],"published":{"date-parts":[[2021]]},"article-number":"e2019343"}}