scholarly journals Linking Psychological Need Satisfaction and Physical Activity to Dimensions of Health-Related Quality of Life During Adolescence: A Test of Direct, Reciprocal, and Mediating Effects

2016 ◽  
Vol 38 (4) ◽  
pp. 367-380 ◽  
Author(s):  
Katie E. Gunnell ◽  
Jennifer Brunet ◽  
Catherine Sabiston ◽  
Mathieu Bélanger

Despite research attention toward understanding relationships between psychological need satisfaction (PNS), moderate-to-vigorous-intensity physical activity (MVPA), and health-related quality of life (HRQoL), methodological limitations make it difficult to establish reciprocal and mediating effects. Reciprocal relationships between PNS and MVPA were examined over 4 years, and their effects on adolescents’ change in dimensions of HRQoL were examined. Self-reported data were collected from 932 adolescents (Mage = 10.9 years) every 4 months beginning in Grades 5/6. At the between-persons and within-person level, earlier PNS predicted later MVPA whereas earlier MVPA did not predict later PNS. Increases in MVPA were associated with greater change in physical (βlinear = .61, βquadratic = .77, ps = .03) and school functioning (βlinear = .68, βquadratic = .84, ps = .03) but no other dimensions of HRQoL (p > .05). Decreases in PNS were not associated with any of the dimensions of HRQoL. Fostering adolescents’ PNS could be a starting point to increase MVPA, which, in turn, may enhance select dimensions of HRQoL.

2016 ◽  
Vol 24 (4) ◽  
pp. 535-545 ◽  
Author(s):  
Rachel Campbell ◽  
Maarten Vansteenkiste ◽  
Liesbeth Delesie ◽  
Bart Soenens ◽  
Els Tobback ◽  
...  

Research has not yet examined the relationship between psychological need satisfaction, sleep, mindfulness, and health-related quality of life in people living with HIV. This cross-sectional study ( N = 101; 84% male; mean age = 45.48, SD = 12.75) found need satisfaction to relate positively to physical and mental health. Sleep quality fully mediated the association with physical health and partially mediated the association with mental health. Furthermore, mindfulness related to higher sleep quality through higher need satisfaction. Findings underscore the role of need satisfaction in determining health-related quality of life and sleep quality in people living with HIV and suggest that mindfulness may facilitate need satisfaction.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A201-A201
Author(s):  
Ragy Tadrous ◽  
Julie Broderick ◽  
Niamh Murphy ◽  
Lisa Slattery ◽  
Gillian Quinn ◽  
...  

Abstract Introduction Narcolepsy can significantly impact the physical and mental wellbeing of people with narcolepsy, and has been associated with significant reductions in quality of life and physical performance. People with narcolepsy demonstrate many barriers to being physically fit and active, such as sleepiness and social isolation. Despite physical functioning and vitality being the most affected domains of health-related quality of life in this cohort, little is known about how physical performance variables are affected in people with narcolepsy. Methods This cross-sectional study profiled the physical performance of adults with narcolepsy attending the Narcolepsy Centre located in St. James’s Hospital. Participants underwent a physical performance test battery that investigated cardiopulmonary fitness, physical activity, muscle strength and endurance. Furthermore, health-related quality of life (HRQoL), symptom severity and sedentary behaviour was ascertained through self-report questionnaires. Results A total of 23 participants were recruited in this study. The majority of participants were female (n=13, 56.52%) and the mean age was 31.53 (± 13.17) years. Physical performance was generally found to be lower than age-and-gender matched normative values for cardiopulmonary fitness, physical activity and muscle strength and endurance. Participants’ completed 42.20 ± 21.41 minutes of moderate-vigorous physical activity daily as measured by actigraphy. Considerable sedentary behaviour was objectively measured in this sample (10.21 hours). Symptom severity was high as measured by the Epworth Sleepiness Scale and the Narcolepsy Severity Scale, and participants reported reduced quality of life when compared to general population norms (US, UK, France and Norway). Conclusion Markedly reduced physical performance was identified in this sample of people with narcolepsy, irrespective of participant age, gender and BMI. Future research should explore the role of exercise in improving the physical fitness in people with narcolepsy, and the influence of exercise on HRQoL and symptom severity in this cohort. Support (if any) This study was completed as part of Mr Ragy Tadrous’ Master of Science (MSc) degree in Trinity College Dublin. This degree was co-sponsored by the Physiotherapy Department in St. James’s Hospital, Dublin.


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