Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescentsTools 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 Full text not available from this repository.AbstractThe 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.
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